|
|
| (3 intermediate revisions by one other user not shown) |
| Line 3: |
Line 3: |
|
| |
|
| {{CMG}}; {{AE}} {{Vbe}} | | {{CMG}}; {{AE}} {{Vbe}} |
| ==Overview==
| |
|
| |
| There is no established system for classification of [[suicidal]] ideation.
| |
|
| |
| ==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
| |
|
| |
| |-
| |
|
| |
| |'''Suicidal events'''
| |
| Completed [[suicide]]
| |
|
| |
| |A self-injurious behavior which lead to a fatality with an intent to die as a consequence.
| |
|
| |
| |
| |
| example:1) After a long argument with his wife, which resulted in the
| |
| end of their relationship, the patient collected a rope, locked himself in his room
| |
| and fatally hanged himself, a [[suicide]] note was later found.
| |
| 2) After four documented attempts at [[suicide]],
| |
| the patient stole his dad's gun and shot himself and was fatally injured
| |
|
| |
| |-
| |
| |[[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 fatal outcomes.
| |
|
| |
| |'''Example''': After an altercation with her friends at school, in which they stopped
| |
| speaking to her, the patient overdosed on unknown number of pills of different types at home. 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 (optics)|objective]] was to stop feeling like
| |
| that,” and he knew that he could die but didn’t care.
| |
|
| |
| |-
| |
| |[[Preparatory acts]]
| |
| towards imminent [[suicidal]] [[behavior]]
| |
|
| |
| |The individual initiates the steps to harm him- or herself,
| |
| but is stopped by self or others from starting the self-harm behavior before the potential for harm has begun
| |
| |
| |
| The following example will depict the preparatory acts in an efficient manner.
| |
| A patient's father had gone to school and retrieved a recent “bad” report card.
| |
| He was fearful of his father’s reaction. Upon his return home, a verbal
| |
| argument with his parents ensued, and he took a 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 succeed in the attempt.
| |
|
| |
| |-
| |
| |[[Suicidal ideation]]
| |
| |[[Passive-aggressive behavior|Passive]] thoughts about wanting to be dead or active
| |
| thoughts about killing oneself, not accompanied
| |
| by preparatory behavior.
| |
| |
| |
| 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.
| |
|
| |
| |}
| |
|
| |
| ==References==
| |
| {{Reflist|2}}
| |
| {{WH}}
| |
| {{WS}}
| |