This document discusses suicide risk assessment. It defines key terms like suicide, suicide attempts, and suicidal ideation. It also outlines theories of suicide and lists factors that can increase or decrease risk. Components of a suicide assessment include identifying risk factors, conducting a psychiatric exam, directly asking about suicide, determining the level of risk, and creating a treatment plan. Evidence-based warning signs and rating scales used in assessments are also provided. Treatment options mentioned include medication, counseling, CBT, and DBT.

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