Suicide

Approximately what percentage of adults have made a serious suicide attempt?

Both the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry have identified substance abuse as a top risk factor for suicide in youths.

Adolescents with psychopathology who also experience psychotic symptoms have a nearly 70-fold increased odds of acute suicide attempts, according to new research.

A therapeutic alliance can serve to build a trusting relationship between clinician and patient and increase the patient’s feelings of agency and autonomy.

When our jails become our largest public mental health facilities, we definitely have a problem-a problem we created-in how we respond to serious mental illness.

The rise in suicides and lethal overdoses of opioid analgesics is probably not coincidental. In most overdose deaths, we have no way of knowing with any degree of certainty whether they were accidental deaths or intentional suicides.

PTSD is a psychiatric illness resulting from a physical or psychological trauma that is sometimes related to warfare, but of course occurs in the case of civilian trauma as well. However, wars have been a propitious time for studying PTSD.

According to the CDC's latest published report, there were 38,364 suicides in the US in 2010-an average of 105 each day. Globally, an estimated 1 million suicides occur annually.

Patients with major depression or bipolar depression have a 20- to 26-fold increase of mortality rate over the general population. Suicidal behavior can be quite complex as well deadly. It should go without saying that psychotherapy is usually necessary in treating patients who have suicidal ideation or who have demonstrated such tendencies or actions. Frequently, it may be combined with medication and sometimes it is the treatment of choice without medication.

What are the options for treating major depressive disorder in children and adolescents? This case offers readers a chance to give their feedback and to interact with the authors, who will present teaching points based on your comments.

With understandable urgency, Secretary of Defense Leon Panetta has made suicide one of his top priorities, instructing commanders at all levels to feel acutely accountable for it. The numbers are startling. On average 1 active duty soldier is killing himself each day--twice the number of combat deaths and twice the civilian rate.

Suicide involves a complex array of psychological, biological, social, and cultural factors, and it is particularly likely to occur during periods of individual, family, and socioeconomic crises associated with loss and shame. What 3 psychiatric disorders are most often associated with suicide?

The new annual suicide rate of 12.0 per 100,000 people translates into 100.8 suicides per day and 1 suicide every 14.3 minutes. Here, you will find tools and tips to help identify patients at risk.

Clinical tools and intervention options are available to the psychiatrist treating the suicidal patient. The severity of the patient’s psychiatric condition and the clinician’s experience and training will determine the interventions.

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.