Summary
Definition
History and exam
Key diagnostic factors
- tentativa anterior de suicídio ou lesão autoprovocada
- plano suicida atual
- acesso a meios letais
- história de doença psiquiátrica, incluindo abuso de substâncias
- história familiar de suicídio ou transtorno mental
Other diagnostic factors
- afecção clínica crônica, incapacidade ou deformidade
- fatores psicossociais significativos
- características pessoais desfavoráveis
Risk factors
- plano de suicídio atual
- autolesão
- história de transtorno mental, incluindo abuso de substâncias
- disponibilidade de meios letais
- história de abuso ou abandono na infância
- história familiar de morte por suicídio
- sexo masculino
- detento em prisão
- história familiar de doença psiquiátrica
- doença física
- estado civil (divorciado, solteiro, viúvo)
- profissões/ocupações (desempregados, autônomos, agrícolas, profissionais médicos e dentistas)
- estressores psicossociais
Diagnostic tests
1st tests to order
- diagnóstico clínico
Treatment algorithm
pacientes que podem ser vulneráveis a lesões autoprovocadas e suicídio
pessoas que conviveram com uma morte por suicídio
Contributors
Authors
Alys Cole-King, MB, BCh, DGM, MSc, FRCPsych
Consultant Liaison Psychiatrist
Liaison Team
Glan Clwyd Hospital
Betsi Cadwaladr Health Board
St Asaph
Wales
UK
Disclosures
ACK is an employee and director of 4Mental Health and, in this capacity, has received funding for designing and delivering training. ACK is an author of references cited in this topic.
Acknowledgements
Dr Alys Cole-King would like to gratefully acknowledge Dr Angharad de Cates, Dr Stan Kutcher and Dr Magdalena Szumilas, previous contributors to this topic.
Disclosures
AdeC is in receipt of a clinical doctoral training fellowship from the Wellcome Trust (since October 2018) and a travel fellowship from the Royal College of Psychiatrists/Gatsby Foundation. All are external bodies that fund research into and/or release information that includes suicide prevention. SK has received research grants from various foundations and national granting agencies (none from either the pharmaceutical nor psychotherapy industries) to support some of his academic work. He is employed by a university and hospital, and sees patients who sometimes present with a suicide attempt. He has also co-authored a textbook on suicide risk assessment and management, published in 2007 and the second edition in 2012. MS is an author of a reference cited in this topic.
Peer reviewers
Stephen Platt, BA, MSc, PhD
Emeritus Professor of Health Policy Research
University of Edinburgh
Edinburgh
Scotland
UK
Disclosures
SP is a paid consultant to Samaritans, NHS Health Scotland, the Scottish Government, and the Irish National Office of Suicide Prevention. He is an unpaid adviser to The Listening Place.
Steve Gilbert, BSc Sports & Materials Science
Patient Advocate
Sports & Materials Science
University of Birmingham
Birmingham
UK
Disclosures
SG is the vice-chair of the Independent Mental Health Act Review; an associate trainer for suicide mitigation at Connecting with People; Programme Lead for the Engager Prison Project; trustee for the Council of Management for Mind and the Association of Mental Health Providers; Service User Representative for West Midlands Mental Health (STP) Alliance; occasional advisor to the National Suicide Prevention Alliance and Public Health England; and a member of the West Midlands Service User Representative Forum, Royal College of Psychiatrists West Midlands Executive Division. He receives a salary and/or travel and subsistence expenses for these roles.
References
Key articles
Chun TH, Mace SE, Katz ER, et al. Evaluation and management of children and adolescents with acute mental health or behavioral problems. Part I: common clinical challenges of patients with mental health and/or behavioral emergencies. Pediatrics. 2016 Sep;138(3):e20161570.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Lesão autoprovocada
More DifferentialsGuidelines
- VA/DoD clinical practice guideline for assessment and management of patients at risk for suicide
- Bipolar disorder: assessment and management
More GuidelinesPatient information
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