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