SAD CHILDREN Suicide evaluation risk

Alcohol, Assault

support system

Depressio, Delusion

Absence of support = more risk

Attempts occur during intoxification, assault-rape, battered spouse , abuse

Early recovery stage increase risk, A paranoid delusional system

Communication,Change in behavior

Hostility,History,Hallucinations

Lethality

Impulsiveness, Illness

Events leading to the suicide attempt

No hope

Reaction to the evaluator

Intention is communicated, writing a will, or giving away prized position

stronger anger towards others may lead to suicide attempt as a means of punishing them,History of previous suicide attempt, Command hallucination.

Impulsivity = high risk, chronic illness may lead helplessness

Men use more lethal methods

Demography

Living alone, recent divorce, unemployment, financial difficulties, women, crime

Cluster B personality disorders = manipulation

Trigger, cause e.g divorce, loss of a job

Hopelessness = high risk