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About two-thirds of individuals who commit suicide are depressed. | About two-thirds of individuals who commit suicide are depressed. | ||
| − | Sexual abuse is a major risk factor for adolescent suicide attempts '''and''' reattempt. Up to 20% of adolescent suicide attempts are attributed to sexual abuse-related PTSD; these adolescents are also eight times more likely to reattempt suicide as compared to their suicidal peers who were not sexually abused. (JACAAP PTSD parameter | + | Sexual abuse is a major risk factor for adolescent suicide attempts '''and''' reattempt. Up to 20% of adolescent suicide attempts are attributed to sexual abuse-related PTSD; these adolescents are also eight times more likely to reattempt suicide as compared to their suicidal peers who were not sexually abused. (JACAAP PTSD parameter p.416) |
| + | |||
| + | ==Definitions== | ||
| + | '''Suicidal Events''' from the Columbia Classification Algorithm of Suicide Assessment (C-CASA) | ||
| + | *Completed Suicide - deadly self-injurious behavior associated with some intent to die. | ||
| + | *Suicide Attempt - self-injurious behavior with some intent to die. | ||
| + | **intent may be stated/explicit or clinically inferred from seriousness of the event. | ||
| + | **a self-injury that did not result in any harm is still a ''suicide attempt'' if intent to die as a result was present. | ||
| + | *Preparatory acts toward imminent suicidal behavior - this includes patients who prepared for or began a behavior leading to self-injury with intent to die only to be discovered and interrupted. | ||
| + | *Suicidal Ideation - Thoughts about dying (passive SI) or killing self (active SI) without preparation | ||
Revision as of 17:19, 20 May 2011
Introduction
This article addresses both the epidemiology of suicide and assessment of suicidality.
Epidemiology
About two-thirds of individuals who commit suicide are depressed.
Sexual abuse is a major risk factor for adolescent suicide attempts and reattempt. Up to 20% of adolescent suicide attempts are attributed to sexual abuse-related PTSD; these adolescents are also eight times more likely to reattempt suicide as compared to their suicidal peers who were not sexually abused. (JACAAP PTSD parameter p.416)
Definitions
Suicidal Events from the Columbia Classification Algorithm of Suicide Assessment (C-CASA)
- Completed Suicide - deadly self-injurious behavior associated with some intent to die.
- Suicide Attempt - self-injurious behavior with some intent to die.
- intent may be stated/explicit or clinically inferred from seriousness of the event.
- a self-injury that did not result in any harm is still a suicide attempt if intent to die as a result was present.
- Preparatory acts toward imminent suicidal behavior - this includes patients who prepared for or began a behavior leading to self-injury with intent to die only to be discovered and interrupted.
- Suicidal Ideation - Thoughts about dying (passive SI) or killing self (active SI) without preparation
Screening
Assessment
The Modified Scale for Suicide Ideation is available online. It's an 18-question clinican-administered scale of acute (past 48 hours) suicidality; it allows a score of 0-3 for most of the questions. Serious Suicidal Ideation is defined as presence of the following 4 factors: total score >20, Intensity score >1 (Range 0-3), active suicidality >1, and plan/method specificity >1. Total score of 9-20 signifies Mild to Moderate Suicidal Ideation.