Suicidal ideation history and symptoms: Difference between revisions
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__NOTOC__ | |||
{{Suicidal ideation}} | |||
{{CMG}}; {{AE}} {{Vbe}} | |||
==Overview== | ==Overview== | ||
The most common [[symptoms]] of [[suicidal ideation]] [[disorders]] are: Talking about no reason to live, wanting to be left alone, forming a plan for the [[suicide attempt]], changes in [[eating]] or [[Sleeping sickness (West African)|sleeping]], preoccupation with death/ dying, getting affairs in order- making a will or giving away possessions. | |||
==History and Symptoms== | |||
*Talking about having no reason to live | |||
*Forming a plan for the [[suicide attempt]] | |||
*Wanting to be left alone | |||
*Violent or rebellious behaviors | |||
*Running away | |||
*Difficulty concentrating | |||
*Hopelessness | |||
*[[Depression]] | |||
*Despair | |||
*[[Paranoia]] | |||
*[[Delusions]] | |||
*[[Psychosis]] | |||
*No hope for the future | |||
*The belief that nothing will get better | |||
*Changes in eating or sleeping patterns | |||
*Seeking out lethal means to end their life | |||
*Preoccupation with death or dying | |||
*Getting affairs in order – making a will, giving away treasured possessions | |||
*Saying goodbye to loved ones | |||
*Acting recklessly | |||
*Previous suicide attempts | |||
*Psycho motor agitation | |||
*Insomnia | |||
*Dramatic mood swings | |||
*[[Anger]] | |||
*[[Anxiety]] | |||
*Sudden change to extreme happiness | |||
*Talking about wanting to die | |||
*[[Anhedonia]] | |||
*[[Hallucinations]] | |||
*Vague somatic [[Physical Culture|physical]] symptoms | |||
*Decline in work or scholastic performance | |||
*Withdrawing from once-pleasurable feelings | |||
*Sudden and extreme [[personality changes]] | |||
*Sudden sense of calm | |||
*Increased usage of [[alcohol]] or [[drugs]] | |||
*Worsening of emotional health | |||
*Neglecting personal appearance | |||
*[[Panic attacks]] | |||
*Angst | |||
*Extreme remorse | |||
* Alteration in sleeping or eating habits | |||
* Residual scars from previous attempts or injuries | |||
===Evaluation of a patient with suicidal ideation=== | |||
{| class="wikitable" | |||
|} | |||
{| class="wikitable" | |||
| colspan="1" rowspan="1" |New patients | |||
|- | |||
| colspan="1" rowspan="1" |Ask about a history of psychiatric illness and substance abuse; if present, ask about a history of suicidal ideas and attempts. | |||
|- | |||
| colspan="1" rowspan="1" |Using the CAGE questionnaire, screen for alcohol abuse. | |||
|- | |||
| colspan="1" rowspan="1" |Perform a mental status examination, with emphasis on mood, affect and judgment. | |||
|- | |||
| colspan="1" rowspan="1" |New and established patients with evidence of major depression, substance abuse, anxiety disorder or a recent stressor | |||
|- | |||
| colspan="1" rowspan="1" |Ask about suicidal ideation and furtherance of plans (including access to lethal means). | |||
|- | |||
| colspan="1" rowspan="1" |Identify symptoms associated with suicide | |||
|- | |||
| colspan="1" rowspan="1" |Review risk factors associated with suicide | |||
|- | |||
| colspan="1" rowspan="1" |Interview family or significant other, if indicated. | |||
|- | |||
| colspan="1" rowspan="1" |Synthesize and formulate a treatment plan. | |||
|} | |||
{| class="wikitable" | |||
!Questions to ask to patients with suicidal ideation | |||
|- | |||
|Delineate extent of suicidal ideation | |||
|- | |||
|When did you begin to have suicidal thoughts? | |||
|- | |||
|How often do you think about suicide? Do you feel as if you're a burden? Or that life isn't worth living? | |||
|- | |||
|Did any event (stressor) precipitate the suicidal thoughts? | |||
|- | |||
|Do you have any stressors | |||
|- | |||
|What makes you feel better | |||
|- | |||
|What makes you feel worse | |||
|- | |||
|Do you have a plan to end your life? | |||
|- | |||
|What stops you from killing yourself (e.g., family, religious beliefs)? | |||
|- | |||
|Do you have access to fire arms | |||
|- | |||
|Have you changed your will or life insurance policy or given away your possessions? | |||
|} | |||
== | ==References== | ||
Latest revision as of 18:12, 7 December 2017
|
Suicidal ideation Microchapters |
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Diagnosis |
|---|
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Treatment |
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Case Studies |
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Suicidal ideation history and symptoms On the Web |
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American Roentgen Ray Society Images of Suicidal ideation history and symptoms |
|
Risk calculators and risk factors for Suicidal ideation history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
The most common symptoms of suicidal ideation disorders are: Talking about no reason to live, wanting to be left alone, forming a plan for the suicide attempt, changes in eating or sleeping, preoccupation with death/ dying, getting affairs in order- making a will or giving away possessions.
History and Symptoms
- Talking about having no reason to live
- Forming a plan for the suicide attempt
- Wanting to be left alone
- Violent or rebellious behaviors
- Running away
- Difficulty concentrating
- Hopelessness
- Depression
- Despair
- Paranoia
- Delusions
- Psychosis
- No hope for the future
- The belief that nothing will get better
- Changes in eating or sleeping patterns
- Seeking out lethal means to end their life
- Preoccupation with death or dying
- Getting affairs in order – making a will, giving away treasured possessions
- Saying goodbye to loved ones
- Acting recklessly
- Previous suicide attempts
- Psycho motor agitation
- Insomnia
- Dramatic mood swings
- Anger
- Anxiety
- Sudden change to extreme happiness
- Talking about wanting to die
- Anhedonia
- Hallucinations
- Vague somatic physical symptoms
- Decline in work or scholastic performance
- Withdrawing from once-pleasurable feelings
- Sudden and extreme personality changes
- Sudden sense of calm
- Increased usage of alcohol or drugs
- Worsening of emotional health
- Neglecting personal appearance
- Panic attacks
- Angst
- Extreme remorse
- Alteration in sleeping or eating habits
- Residual scars from previous attempts or injuries
Evaluation of a patient with suicidal ideation
| New patients |
| Ask about a history of psychiatric illness and substance abuse; if present, ask about a history of suicidal ideas and attempts. |
| Using the CAGE questionnaire, screen for alcohol abuse. |
| Perform a mental status examination, with emphasis on mood, affect and judgment. |
| New and established patients with evidence of major depression, substance abuse, anxiety disorder or a recent stressor |
| Ask about suicidal ideation and furtherance of plans (including access to lethal means). |
| Identify symptoms associated with suicide |
| Review risk factors associated with suicide |
| Interview family or significant other, if indicated. |
| Synthesize and formulate a treatment plan. |
| Questions to ask to patients with suicidal ideation |
|---|
| Delineate extent of suicidal ideation |
| When did you begin to have suicidal thoughts? |
| How often do you think about suicide? Do you feel as if you're a burden? Or that life isn't worth living? |
| Did any event (stressor) precipitate the suicidal thoughts? |
| Do you have any stressors |
| What makes you feel better |
| What makes you feel worse |
| Do you have a plan to end your life? |
| What stops you from killing yourself (e.g., family, religious beliefs)? |
| Do you have access to fire arms |
| Have you changed your will or life insurance policy or given away your possessions? |