Please enable JavaScript.
Coggle requires JavaScript to display documents.
Suicide and suicidal ideation (Risk factors (Gender M>F successful…
Suicide and
suicidal ideation
Definition
Intentional self-inflicted death
Epidemiology
Commonest cause of death
in men <355y
Commonest method is hanging
Risk factors
Gender
M>F successful attempts
F>M for attempts overall
Age
Elderly
Mental illness
BPD, depression, borderline PD,
anorexia, substance abuse
Marital status
Widow>divorce>single>married
Occupation
Unemployed/retired
Unskilled>professionals
Pathophysiology
Men choose more violent methods
e.g. hanging, firearms
Women favour poisoning
Diagnosis
PC/HPC
Before
How things been recently
How long been considering it
What prevented them doing it before
Triggers that day
Planned or spontaneous
During
Method e.g. poisoning, hanging
Intention - cry for help, death
Last acts e.g. suicide note
What happened (found, contacted someone)
After
How they feel (regret?)
Would they do it again
Means available
Protective factors
Past psych history
Known mental illness
Previous suicide attempts/self harm
Psychiatric services
Social history
Occupation
Social support
Alcohol and drugs
DH
Current medications
Allergies
Risk assessment
Harm to self, others
Harm from others
Management
Manage co-morbid mental illness
Depression, anxiety, substance abuse
Support networks
Charities, social support
Setting
Inpatient, home treatment,
secondary services,
home with GP follow up