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| ==Classification of suicidal ideation==
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| {| class="wikitable"
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Classification
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Definition
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| ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Examples
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| |'''Suicidal events'''
| | _NOTOC _ |
| Completed suicide
| | {{CMG}};{{AE}}{{Vbe}} |
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| |A self-injurious behavior that resulted in fatality and
| | ==Causes== |
| was associated with at least some intent to die as a
| | [[Hypogammaglobulinemia]] is caused by: |
| result of the act.
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|
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|
| | Immunodeficiency secondary to: |
| | *[[Uremia]] |
| | *Protein losing enteropathy |
| | *[[Nephrotic syndrome]] |
| | *Malnutrition |
| | *Cirrhosis |
| | *Hemodialysis |
| | * Intestinal lymphangiectasia |
|
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|
| | | | * Protein-losing gastroenteropathy |
| example:1) After a long argument with his girlfriend, which resulted in the
| | *[[Nephrotic syndrome]] |
| end of their relationship, the patient collected a rope and rode his
| | *[[Thymoma]] <ref name="pmid29881497">{{cite journal |vauthors=Aouadi S, Ghrairi N, Braham E, Kaabi M, Maâlej S, Elgharbi LD |title=[Acquired hypogammaglobulinemia associated with thymoma: Good syndrome] |language=French |journal=Pan Afr Med J |volume=28 |issue= |pages=253 |date=2017 |pmid=29881497 |pmc=5989270 |doi=10.11604/pamj.2017.28.253.11352 |url=}}</ref> |
| bike to an isolated area where he fatally hanged himself. A suicide
| | * Medications : |
| note was later found. 2) After four documented attempts at suicide,
| | ** Gold |
| the patient stole his uncle’s gun and shot himself and was fatally injured
| | **D-Penicillamine |
| | **Sulfasalazin |
| | **Anticonvulsants |
| | **Glucocorticoids |
| | **Methotrexate |
| | **Calcineurin inhibitors |
| | ** Rituximab<ref name="pmid29755528">{{cite journal |vauthors=Shoukat BA, Ali O, Kumar D, Bilal Gilani M, Zahid A, Aslam Joiya S, Anwar Malik M |title=Hypogammaglobulinemia Observed One Year after Rituximab Treatment for Idiopathic Thrombocytopenic Purpura |journal=Case Rep Med |volume=2018 |issue= |pages=2096186 |date=2018 |pmid=29755528 |pmc=5884289 |doi=10.1155/2018/2096186 |url=}}</ref><ref name="pmid29752554">{{cite journal |vauthors=Farhat L, Dara J, Duberstein S, De A |title=Secondary Hypogammaglobulinemia After Rituximab for Neuromyelitis Optica: A Case Report |journal=Drug Saf Case Rep |volume=5 |issue=1 |pages=22 |date=May 2018 |pmid=29752554 |pmc=5948191 |doi=10.1007/s40800-018-0087-y |url=}}</ref><ref name="pmid29627491">{{cite journal |vauthors=Thorlacius H, Jerkeman A, Marginean FE, Toth E |title=Colorectal malakoplakia in a patient with hypogammaglobulinemia |journal=Gastrointest. Endosc. |volume= |issue= |pages= |date=April 2018 |pmid=29627491 |doi=10.1016/j.gie.2018.04.001 |url=}}</ref> |
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| | * Environmental hazards: |
| |[[Suicide attempt]]
| | ** Ionizing radiation |
| | **Toxins |
|
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|
| |A potentially self-injurious behavior, associated with
| | *Infections |
| at least some intent to die, as a result of the act.
| | ** Viral(Herpes, Measles) |
| Evidence that the individual intended to kill him/
| | **Bacterial(Mycobacterial) |
| herself, at least to some degree, can be explicit or
| | **Parasitic(Malaria, helminthic infections) |
| inferred from the behavior or circumstance. A suicide
| |
| attempt may or may not result in actual injury
| |
| | |
| | |
| | |
| |'''Example''':fter a fight with her friends at school, in which they discontinued
| |
| speaking with her, the patient ingested approximately 16 aspirin
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| and eight other pills of different types on the school
| |
| grounds. She said that she deserved to die, which was why she
| |
| swallowed the pills. 2) The patient used a razor blade to lacerate
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| his wrists, his antecubital fossae, and his back bilaterally. He told
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| his therapist that the “the main objective was to stop feeling like
| |
| that,” and he knew that he could die but didn’t care. According to
| |
| the patient, he also ingested a bottle of rubbing alcohol because
| |
| in his health class he heard “that the medulla will get more suppressed
| |
| that way,” thereby increasing y increasing the chances that he would
| |
| be “successful” and die
| |
| | |
| |-
| |
| |[Preparatory acts
| |
| towards imminent suicidal behavior
| |
| |The individual takes steps to injure him- or herself,
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| but is stopped by self or others from starting the
| |
| self-injurious act before the potential for harm has begun
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| | |
| | |
| |
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| her had gone to school and retrieved a recent “bad” report card.
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| He was fearful of his father’s reaction. Upon his return home, a 5-
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| to 6-hour argument with his parents ensued, and he took a vegetable
| |
| (broad, sharp) knife and went to his room. He reported putting | |
| the knife to his wrist but never puncturing the skin. 2) The patient
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| stated that he “couldn’t stand being depressed anymore”
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| and “wanted to die.” He decided to hang himself. He tied a telephone
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| cord to the door knob and placed the cord loosely around
| |
| his neck. Then, he stopped himself and did not follow through
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| with the attempt.
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|
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| |-
| |
| |[[Suicidal ideation]]
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| |Passive thoughts about wanting to be dead or active
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| thoughts about killing oneself, not accompanied
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| by preparatory behavior.a
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| * Active: The patient reported to the doctor that he was thinking | |
| about hanging himself in the closet. He was taken to the hospital
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| and admitted.
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| * Passive: The patient reported ideas about wanting | |
| to be dead but denied acting on these feelings.
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| |}
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| ==Classification of suicidal ideation==
| |
|
| |
| {| class="wikitable"
| |
| ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Classification
| |
| ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Definition
| |
| ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Examples
| |
|
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| |-
| |
| | |
| |''' Non-Suicidal events'''
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| Self-injurious
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| behavior, no
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| suicidal intent
| |
| | |
| |Self-injurious behavior associated with no intent to
| |
| die. The behavior is intended purely for other reasons,
| |
| either to relieve distress (often referred to as
| |
| “self-mutilation,” e.g., superficial cuts or scratches,
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| hitting/banging, or burns) or to effect change in
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| others or the environment
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| | |
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| The patient was feeling ignored. She went into the family kitchen
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| where her mother and sister were talking. She took a knife out of
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| the drawer and made a cut on her arm. She denied that she
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| wanted to die at all (“not even a little”), but she just wanted them
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| to pay attention to her. 2) The patient reported feeling agitated
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| and anxious after a fight with her parents. She went into her
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| room, locked the door, and made several superficial cuts on the
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| inside of her arms. She stated that she felt relieved after cutting
| |
| herself and that she did not want to die. She reported that she
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| had done this before at times of distress and that it usually helped
| |
| her feel better. 3) The patient was in class, where a test was about
| |
| to begin, and stabbed himself with a pencil in order to be taken
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| to the nurse’s office. 4) A 14-year-old girl wrote her name on her
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| arm with a penknife and said that she often does so in order to reduce
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| her anxiety. 5) The patient was noted to have multiple superficial
| |
| burns on his arms. Upon questioning, he denied trying to
| |
| |-
| |
| |[[Suicide attempt]]
| |
| | |
| |A potentially self-injurious behavior, associated with
| |
| at least some intent to die, as a result of the act.
| |
| Evidence that the individual intended to kill him/
| |
| herself, at least to some degree, can be explicit or
| |
| inferred from the behavior or circumstance. A suicide
| |
| attempt may or may not result in actual injury
| |
| | |
| | |
| | |
| |'''Example''':fter a fight with her friends at school, in which they discontinued
| |
| speaking with her, the patient ingested approximately 16 aspirin
| |
| and eight other pills of different types on the school
| |
| grounds. She said that she deserved to die, which was why she
| |
| swallowed the pills. 2) The patient used a razor blade to lacerate
| |
| his wrists, his antecubital fossae, and his back bilaterally. He told
| |
| his therapist that the “the main objective was to stop feeling like
| |
| that,” and he knew that he could die but didn’t care. According to
| |
| the patient, he also ingested a bottle of rubbing alcohol because
| |
| in his health class he heard “that the medulla will get more suppressed
| |
| that way,” thereby increasing y increasing the chances that he would
| |
| be “successful” and die
| |
| | |
| |-
| |
| |[Preparatory acts
| |
| towards imminent suicidal behavior
| |
| |The individual takes steps to injure him- or herself,
| |
| but is stopped by self or others from starting the
| |
| self-injurious act before the potential for harm has begun
| |
| | |
| | |
| |
| |
| her had gone to school and retrieved a recent “bad” report card.
| |
| He was fearful of his father’s reaction. Upon his return home, a 5-
| |
| to 6-hour argument with his parents ensued, and he took a vegetable
| |
| (broad, sharp) knife and went to his room. He reported putting | |
| the knife to his wrist but never puncturing the skin. 2) The patient
| |
| stated that he “couldn’t stand being depressed anymore”
| |
| and “wanted to die.” He decided to hang himself. He tied a telephone
| |
| cord to the door knob and placed the cord loosely around
| |
| his neck. Then, he stopped himself and did not follow through
| |
| with the attempt.
| |
|
| |
| |-
| |
| |[[Suicidal ideation]]
| |
| |Passive thoughts about wanting to be dead or active
| |
| thoughts about killing oneself, not accompanied
| |
| by preparatory behavior.a
| |
| |
| |
| * Active: The patient reported to the doctor that he was thinking
| |
| about hanging himself in the closet. He was taken to the hospital
| |
| and admitted.
| |
| * Passive: The patient reported ideas about wanting
| |
| to be dead but denied acting on these feelings.
| |
| | |
| | |
|
| |
| |}
| |