Suicide

Patients with borderline personality disorder can present with multiple crises and minor incidents of self-harm or threats, but determining when the actions are true cause for concern can be a challenge.

Cases that come to our attention as malpractice claims, ethics claims, or Board of Registration complaints raise the question: why did the treating clinician not terminate the treatment before things got so out of hand?

A study of veterans at risk for suicide showed that single attempters did not differ from multiple attempters on any variable except a history of childhood physical abuse.

It is important for the inpatient psychiatrist to understand the perspective of the newly admitted patient. Many patients will find the experience depersonalizing, threatening, and socially alienating and may perceive it as a personal failure.

The Suicide Risk Screening Alert is a clinical tool that assists the psychiatrist and nonpsychiatric physician in identifying patients at risk for suicide during brief medication management appointments.

Staying empathic and keeping the conflict within the patient instead of between the patient and health care provider, is a key to successful management.

Adequate treatment of the underlying psychiatric illness consistently appears to be the most effective use of medication in suicidal patients.

Here we list important points to keep in mind when assessing and treating patients who self harm.

Mostly prose with effective inclusion of poetry, author Jill Bialosky adds an important survivor’s perspective in her book of her sister's suicide. To clinicians in particular, the book may serve as a window into the psychic lives of those left behind following a tragic end.

The purpose of suicide risk assessment is to identify treatable and modifiable risks and protective factors that inform the patient’s treatment and safety management requirements.

Psychache (sīk-āk), a neologism coined by suicidologist Edwin Shneidman, is unbearable psychological pain-hurt, anguish, soreness, and aching.

"I'm all over it, because I'm looking for something to help," declared Army Vice-Chief of Staff General Peter W. Chiarelli, quoted in USA Today News September 20, in his response to a study finding an increased risk of suicide in US military personnel with low Omega-3 fatty acid serum levels.

Describing herself as “strangled by debt” and “unable to deal with [the] school system” that had provided education for her special-needs son, psychiatrist Margaret Jensvold, MD, recently killed her 13-year-old son and then committed suicide.

President Obama announced that he would begin sending letters of condolence to the families of troops who kill themselves in combat zones. He noted that this was a decision that was made after a difficult and exhaustive review of the former policy.

The suicide rate in the US military has steadily climbed over the past 5 to 7 years despite aggressive efforts by the military and the mental health community to counter this trend.

According to the American Foundation for Suicide Prevention, more than 34,000 Americans die by suicide annually. Of these, 10% have never been given a psychiatric diagnosis.

Researchers are developing a scale to measure a clinically identified emotional “trigger state” that puts individuals with suicidal ideation at increased risk of acting on their ideations.

In the second in his series of podcasts, Dr Phillip Resnick answers questions psychiatrists often ask about assessing the risk of violence.

In the first in a series of brief podcasts, Dr. Phillip Resnick answers questions often asked about assessing risk for suicide and violence.

During what season is suicide most common among college students? These questions and more in this week's quiz.

I recently shared a research article on “no-suicide contracts” with a colleague who is very knowledgeable about suicide. That article concluded--as virtually all the previous literature had-that use of suicide prevention contracts (SPC) remains a questionable clinical practice intervention.

Childhood and adolescent bullying-and, recently, cyberbullying-is a major public health problem with potentially devastating consequences. In any prevention effort, students need hope and to learn the skills to end the abuse, as described here.

In this podcast, Dr Caine discusses the many issues associated with suicide and touches on specific articles in this Special Report.

Major mood disorders have been associated with increased suicidal behavior. This is especially true in patients with a mixed, manic-depressive, or dysphoric-agitated state.

Emerging research suggests that some individuals with particular types of substance use and abuse may be more likely to engage in suicidal behaviors. For example, those who use opiates, cocaine, or sedatives may have a noticeably higher risk of suicide than those who use other drugs.