Mitigação do risco de suicídio

Última revisão: 24 Fev 2023
Última atualização: 09 Dez 2022



História e exame físico

Principais fatores diagnósticos

  • 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
Mais principais fatores diagnósticos

Outros fatores diagnósticos

  • afecção clínica crônica, incapacidade ou deformidade
  • fatores psicossociais significativos
  • características pessoais desfavoráveis
Outros fatores diagnósticos

Fatores de risco

  • 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
Mais fatores de risco

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • diagnóstico clínico
Mais primeiras investigações a serem solicitadas

Algoritmo de tratamento


pacientes que podem ser vulneráveis a lesões autoprovocadas e suicídio


pessoas que conviveram com uma morte por suicídio



Alys Cole-King, MB, BCh, DGM, MSc, FRCPsych

Consultant Liaison Psychiatrist

Liaison Team

Glan Clwyd Hospital

Betsi Cadwaladr Health Board

St Asaph




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.

Angharad de Cates, BMBCh, BA Hons (Oxon), MSc (Warw), MRCPsych

Wellcome Trust Clinical Doctoral Fellow

Department of Psychiatry

University of Oxford

Warneford Hospital

Honorary Clinical Fellow

Oxford Health NHS Foundation Trust




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.


Dr Alys Cole-King and Dr Angharad de Cates would like to gratefully acknowledge Dr Stan Kutcher and Dr Magdalena Szumilas, previous contributors to this topic.


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.


Stephen Platt, BA, MSc, PhD

Emeritus Professor of Health Policy Research

University of Edinburgh





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




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.

  • Diagnósticos diferenciais

    • Lesão autoprovocada
    Mais Diagnósticos diferenciais
  • Diretrizes

    • Bipolar disorder: assessment and management
    • VA/DoD clinical practice guideline for assessment and management of patients at risk for suicide
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Manejo do risco de suicídio

    Ansiedade: quais tratamentos funcionam?

    Mais Folhetos informativos para os pacientes
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