Suicidal ideation history and symptoms: Difference between revisions
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{{Suicidal ideation}} | {{Suicidal ideation}} | ||
{{CMG}}; {{AE}} {{Vbe}} | {{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== | ==History and Symptoms== | ||
Talking about having no reason to live | *Talking about having no reason to live | ||
Forming a plan for the suicide attempt | *Forming a plan for the [[suicide attempt]] | ||
Wanting to be left alone | *Wanting to be left alone | ||
Violent or rebellious behaviors | *Violent or rebellious behaviors | ||
Running away | *Running away | ||
Difficulty concentrating | *Difficulty concentrating | ||
Hopelessness | *Hopelessness | ||
Depression | *[[Depression]] | ||
Despair | *Despair | ||
Paranoia | *[[Paranoia]] | ||
Delusions | *[[Delusions]] | ||
Psychosis | *[[Psychosis]] | ||
No hope for the future | *No hope for the future | ||
The belief that nothing will get better | *The belief that nothing will get better | ||
Changes in eating or sleeping patterns | *Changes in eating or sleeping patterns | ||
Seeking out lethal means to end their life | *Seeking out lethal means to end their life | ||
Preoccupation with death or dying | *Preoccupation with death or dying | ||
Getting affairs in order – making a will, giving away treasured possessions | *Getting affairs in order – making a will, giving away treasured possessions | ||
Saying goodbye to loved ones | *Saying goodbye to loved ones | ||
Acting recklessly | *Acting recklessly | ||
Previous suicide attempts | *Previous suicide attempts | ||
*Psycho motor agitation | |||
Insomnia | *Insomnia | ||
Dramatic mood swings | *Dramatic mood swings | ||
Anger | *[[Anger]] | ||
Anxiety | *[[Anxiety]] | ||
Sudden change to extreme happiness | *Sudden change to extreme happiness | ||
Talking about wanting to die | *Talking about wanting to die | ||
Anhedonia | *[[Anhedonia]] | ||
Hallucinations | *[[Hallucinations]] | ||
Vague somatic physical symptoms | *Vague somatic [[Physical Culture|physical]] symptoms | ||
Decline in work or scholastic performance | *Decline in work or scholastic performance | ||
Withdrawing from once-pleasurable feelings | *Withdrawing from once-pleasurable feelings | ||
Sudden and extreme personality changes | *Sudden and extreme [[personality changes]] | ||
Sudden sense of calm | *Sudden sense of calm | ||
Increased usage of alcohol or drugs | *Increased usage of [[alcohol]] or [[drugs]] | ||
Worsening of emotional health | *Worsening of emotional health | ||
Neglecting personal appearance | *Neglecting personal appearance | ||
Panic attacks | *[[Panic attacks]] | ||
Angst | *Angst | ||
Extreme remorse | *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" | {| class="wikitable" | ||
!Questions to ask to patients with suicidal ideation | !Questions to ask to patients with suicidal ideation | ||
|- | |- | ||
|Delineate extent of suicidal ideation | |Delineate extent of suicidal ideation | ||
| Line 101: | Line 102: | ||
|- | |- | ||
|Have you changed your will or life insurance policy or given away your possessions? | |Have you changed your will or life insurance policy or given away your possessions? | ||
|} | |} | ||
==References== | ==References== | ||
Latest revision as of 18:12, 7 December 2017
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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 |
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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? |