Provides a framework for suicide risk.

1. Suicide risk assessment
Presentor- Surabhi H

2. Suicide –Death caused By self directed injurious behavior with
any intent to die as a result of the Behavior
Suicide attempt – a non fatal self-directed potentially injurious
Behavior with any intent to die as a result of Behavior
Suicidal ideation- thoughts Of suicide . Which can range in
severity from vague wish to be dead to active suicidal ideation

3. Parasuicide –suicide attempts or gestures which does not result in
death
Deliberate self harm- direct injuring of body tissue most often done
without suicidal intentions

4. Theories of suicide
• Sociological-relation of social factors to ill health and suicide or
suicidal behavior
• Psychological-relation with the functioning of human mind
• Biological- to understand the cause of suicide relates to the
functioning of human body

5. • Suicide prediction- refers to whether suicide will or will not occur at
some future time
• Suicide risk assessment-refers to the establishment of a clinical
judgement of risk in the very near future, based on weighing on a
large number of clinical detail

6. Protective factors
• Having social supports
• Obtaining treatment (especially psychotropic medications)
• Being younger female
• Being physically healthy
• Being hopeful

7. Risk factors
• Marked hopelessness
• A history of previous suicide attempts
• Social isolation
• Depressive disorder with severe mood change , with insomnia, anorexia
and weight loss
• Alcohol dependence
• Drug dependence
• Schizophrenia
• Epilepsy
• Abnormal personality

9. Components of suicide assessment
• Identify multiple factors contributing to suicide
• Conduct a through psychiatric examination, identifying risk factors
and protective factors and distinguishing risk factors which can be
modified from those which cannot
• Ask derictly about suicide, the specific suicide inquiry
• Determine the level of suicide risk :low , moderate and high
• Determine treatment setting and plan
• Document assessments

14. Evidence based warning signs
• I –ideation(threatened/comminucated)
• S-substance use(excessive)
• P-purposeless(no reason for living)
• A-anxiety/agitation/insomnia
• T- trapped
• H-hopelessness
• W-withdrawal
• A-anger
• R-recklessness
• M-mood changes

15. Rating scale for suicide risk assessment
• SUICIDE IDEATION - Beck scale for suicide Ideation
• Depressive symptoms, - beck depression inventory
• Hopelessness- beck hopelessness scale
• Thoughts about the future-suicide cognition scale
• History of suicide related behaviors-self harm behavior questionnaire

18. Treatment options
• Medication
• Counselling
• Cognitive behavioral therapy
• Dialectical behevarioal therapy-focuses on acceptance techniques ,
change techniques, helping people change damaging patterns of
behavior