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Risk Factor of Suicide

This document discusses risk factors and protective factors related to suicide. It identifies several static and acute risk factors, including prior suicide attempts, suicidal ideation, psychiatric disorders, physical illnesses, substance use, and stressful life events. There is concern that acute risk factors can increase risk even in the presence of protective factors. The document also provides questions to elicit protective factors from patients, such as reasons for living and sources of social support. Finally, it outlines aspects of suicide risk evaluation, including determining intent, preparation, and seriousness of suicidal thoughts.

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214 views14 pages

Risk Factor of Suicide

This document discusses risk factors and protective factors related to suicide. It identifies several static and acute risk factors, including prior suicide attempts, suicidal ideation, psychiatric disorders, physical illnesses, substance use, and stressful life events. There is concern that acute risk factors can increase risk even in the presence of protective factors. The document also provides questions to elicit protective factors from patients, such as reasons for living and sources of social support. Finally, it outlines aspects of suicide risk evaluation, including determining intent, preparation, and seriousness of suicidal thoughts.

Uploaded by

alivanabilafarinisa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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RISK FACTOR AND PROTECTIVE

FACTOR OF SUICIDE
WHAT IS CHALLENGING WITH RISK FACTOR OF
SUCIDE ????
RISK FACTOR
• Many risk factors are STATIC, NOT MODIFIABLE, and LIMITED IN
HELPING DETERMINE WHO NEEDS HIGHER LEVEL OF CARE.
• Some risk factors may be more ACUTE or SUB ACUTE in nature,
indicating a heightened risk for suicide in the near term.
• American Association of Suicidology (AAS) : ACUTE risk factors,
referred to as “warning signs,” help clinicians appreciate what
the patient is doing or saying in the present moment that may
acutely increase their risk.
• There is concern that even in the setting of significant protective
factors, acute risk factors can significantly elevate an
individual’s risk for suicide.
Table 3 includes validated risk factors for suicide, separated by those associated with more acute
suicide risk. Risk factors represent factors that are potentially modifiable in the immediate clinical
setting.
PRIOR SUICIDE
SUICIDAL IDEATION
ATTEMPT
Especially if this ideation has
• Prior suicide attempt developed into the seeking of
remains the strongest means to perform the action.
predictor of future attempts
and completions.
• There is increasing
correlation between suicidal
ideation and behaviors,
especially for those
presenting in an emergency
room setting.
STRESSFUL LIFE ALL PSYCHIATRIC
EVENTS DISORDER
Bullying ALL PSYCHIATRIC DISORDER
ADOLESCENT
Disciplinary action exept intellectual disability
Legal issues and dementias are associated
School difficulties
with an increased risk of
Romantic break-ups
Home-life problem
suicidal ideation, attempts,
and completions.

Financial difficulties
Relationship losses
ADULT
Unemployement
Intimate partner violences
PHYSICAL ILLNESSES HIGH-RISK SUBSTANCE
USE OR USE DISORDERS
• Physical illnesses (mostly
chronic physical illnesses) • 20% of suicides occur while
individuals are intoxicated.
Increasing substance use
despite worsening mood
symptoms, associated
dysfunction, and increasing
suicidal ideation.
IS THERE ANY PROTECTIVE IN SUICIDE?
THIS QUESTIONS CAN HELP ELICIT THESE FACTORS

• What keeps you going during difficult times?

• What are your reasons for living?

• What has kept you from acting on those thoughts?

• What or who do you rely on for support during times like these?
SUICIDAL EVALUATION
• Why do you want to die?
• Have you done anything in preparation for
your death?
• On a scale of 1–10, where would you rate
your seriousness or wish to die?
• Have you tried out any particular method or
taken steps in rehearsal for suicide?
PROTECTIVE FACTORS
DETERMINING AND MANAGING LEVEL OF RISK

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