Suicidal ideation classification: Difference between revisions
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Completed suicide | Completed suicide | ||
|A self-injurious behavior | |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 | example:1) After a long argument with his wife, which resulted in the | ||
end of their relationship, the patient collected a rope | 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, | note was later found. 2) After four documented attempts at suicide, | ||
the patient stole his | the patient stole his dad's gun and shot himself and was fatally injured | ||
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herself, at least to some degree, can be explicit or | herself, at least to some degree, can be explicit or | ||
inferred from the behavior or circumstance. A suicide | inferred from the behavior or circumstance. A suicide | ||
attempt may or may not result in | attempt may or may not result in fatal outcomes. | ||
|'''Example''': | |'''Example''': After an altercation with her friends at school, in which they stopped | ||
speaking | 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 | ||
swallowed the pills. 2) The patient used a razor blade to lacerate | |||
his wrists, his antecubital fossae, and his back bilaterally. He told | his wrists, his antecubital fossae, and his back bilaterally. He told | ||
his therapist that the “the main objective was to stop feeling like | his therapist that the “the main objective was to stop feeling like | ||
that,” and he knew that he could die but didn’t care. | that,” and he knew that he could die but didn’t care. | ||
|- | |- | ||
|[Preparatory acts | |[Preparatory acts | ||
towards imminent suicidal behavior | towards imminent suicidal behavior | ||
|The individual | |The individual initiates the steps to harm him- or herself, | ||
but is stopped by self or others from starting the | but is stopped by self or others from starting the self-harm behavior before the potential for harm has begun | ||
self- | |||
| | | | ||
The following example will depict the preparatory acts in an efficient manner. | |||
He was fearful of his father’s reaction. Upon his return home, a | 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. | |||
the knife to his wrist but never puncturing the skin. 2) The patient | He reported putting the knife to his wrist but never puncturing the skin. | ||
stated that he “couldn’t stand being depressed anymore” | 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 | and “wanted to die.” He decided to hang himself. He tied a telephone | ||
cord to the door knob and placed the cord loosely around | cord to the door knob and placed the cord loosely around his neck. | ||
his neck. Then, he stopped himself and did not | Then, he stopped himself and did not succeed in the attempt. | ||
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|Passive thoughts about wanting to be dead or active | |Passive thoughts about wanting to be dead or active | ||
thoughts about killing oneself, not accompanied | thoughts about killing oneself, not accompanied | ||
by preparatory behavior. | by preparatory behavior. | ||
| | | | ||
* Active: The patient reported to the doctor that he was thinking | * Active: The patient reported to the doctor that he was thinking | ||
Revision as of 19:07, 13 November 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 classification On the Web |
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American Roentgen Ray Society Images of Suicidal ideation classification |
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Risk calculators and risk factors for Suicidal ideation classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
There is no established system for classification of suicidal ideation.
Classification of suicidal ideation
| Classification | Definition | 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 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 thoughts about wanting to be dead or active
thoughts about killing oneself, not accompanied by preparatory behavior. |
about hanging himself in the closet. He was taken to the hospital and admitted.
to be dead but denied acting on these feelings.
|