Inpatients Under Constant Observation for Suicide Risk

Crisis ◽  
1997 ◽  
Vol 18 (2) ◽  
pp. 50-50 ◽  
Author(s):  
David C Clark
Keyword(s):  
Suicide Risk ◽  
Constant Observation

Suicide Precautions for Psychiatric Inpatients: A Review

1992 ◽  
Vol 26 (4) ◽  
pp. 592-598 ◽  
Author(s):  
Peter Cheung
Keyword(s):  
Risk Factors ◽  
Suicide Risk ◽  
Psychiatric Inpatients ◽  
Legal Aspects ◽  
Short Term ◽  
Factors Associated ◽  
Suicide Intent ◽  
Psychiatric Conditions ◽  
Constant Observation ◽  
Patient Relationships

This paper reviews the literature on the assessment and management of suicide risk of psychiatric inpatients. Even though a large number of scales have been developed to assist the prediction of suicide for patients admitted for suicide ideas and attempts, none of them were designed to predict suicide in the short term. However the Modified Suicide Intent Scale and the Hopelessness Scale appear to have the potential to predict immediate suicide risk. Risk factors associated with specific psychiatric conditions were all derived retrospectively and their predictive validities have not been established by prospective studies. Important issues relating to the management of suicidal inpatients, such as staff-patient relationships, use of constant observation and medical-legal aspects are reviewed.

Practice and Malpractice in the Evaluation of Suicidal Patients

2017 ◽  
Author(s):  
Gary Jacobson
Keyword(s):  
Suicide Risk ◽  
Transitional Period ◽  
Standards Of Care ◽  
Initial Treatment Period ◽  
Increased Risk ◽  
Suicidal Person ◽  
History Of ◽  
Risk Treatment ◽  
Constant Observation ◽  
Suicidal Patients

This chapter discusses practice and malpractice in the evaluation of suicidal patients. Contemporary standards of care require a comprehensive assessment of suicide risk. Risk factors include ideation about suicide, death, or self-harm; a history of attempted suicide and a family history of suicide or a serious suicide attempt; diagnoses and symptoms that are correlated with an increased suicide risk; and stressors correlated with an increased risk of suicide in the short term. Protective factors include the presence of young children at home and religious beliefs. Hospitalization of a suicidal person does not necessarily eliminate the risk. Constant observation is usually required during the initial treatment period. Transferring care requires the transfer of explicit documentation, including the patient’s history of suicide risk, treatment efforts and their results, and plans for ensuring the patient’s safety during the transitional period between providers.

Suicide Risk Related to Acne Severity, Study Finds

2010 ◽  
Vol 41 (12) ◽  
pp. 10
Author(s):  
JENNIE SMITH
Keyword(s):  
Suicide Risk

Suicide Risk 15 Times Higher for PTSD Patients

2008 ◽  
Vol 41 (21) ◽  
pp. 30
Author(s):  
MICHELE G. SULLIVAN
Keyword(s):  
Suicide Risk

A Model for Analyzing Suicide Prevention

Crisis ◽  
2000 ◽  
Vol 21 (2) ◽  
pp. 80-89 ◽  
Author(s):  
Maila Upanne
Keyword(s):  
Risk Factors ◽  
Theoretical Model ◽  
Protective Factors ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
Practical Work ◽  
Individual Risk ◽  
Self Assessment ◽  
Prevention Project ◽  
Individual Risk Factors

This study monitored the evolution of psychologists' (n = 31) conceptions of suicide prevention over the 9-year course of the National Suicide Prevention Project in Finland and assessed the feasibility of the theoretical model for analyzing suicide prevention developed in earlier studies [ Upanne, 1999a , b ]. The study was formulated as a retrospective self-assessment where participants compared their earlier descriptions of suicide prevention with their current views. The changes in conceptions were analyzed and interpreted using both the model and the explanations given by the subjects themselves. The analysis proved the model to be a useful framework for revealing the essential features of prevention. The results showed that the freely-formulated ideas on prevention were more comprehensive than those evolved in practical work. Compared to the earlier findings, the conceptions among the group had shifted toward emphasizing a curative approach and the significance of individual risk factors. In particular, greater priority was focused on the acute suicide risk phase as a preventive target. Nonetheless, the overall structure of prevention ideology remained comprehensive and multifactorial, stressing multistage influencing. Promotive aims (protective factors) also remained part of the prevention paradigm. Practical working experiences enhanced the psychologists' sense of the difficulties of suicide prevention as well as their criticism and feeling of powerlessness.

Staring Down Death

Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 212-217 ◽  
Author(s):  
Thomas E. Joiner ◽  
Melanie A. Hom ◽  
Megan L. Rogers ◽  
Carol Chu ◽  
Ian H. Stanley ◽  
...  
Keyword(s):  
Suicide Risk ◽  
Clinical Utility ◽  
Blink Rate ◽  
Specific Task ◽  
Careful Planning ◽  
Eye Blink ◽  
Eye Blinks ◽  
Potential Clinical Utility ◽  
The Relationship

Abstract. Background: Lowered eye blink rate may be a clinically useful indicator of acute, imminent, and severe suicide risk. Diminished eye blink rates are often seen among individuals engaged in heightened concentration on a specific task that requires careful planning and attention. Indeed, overcoming one’s biological instinct for survival through suicide necessitates premeditation and concentration; thus, a diminished eye blink rate may signal imminent suicidality. Aims: This article aims to spur research and clinical inquiry into the role of eye blinks as an indicator of acute suicide risk. Method: Literature relevant to the potential connection between eye blink rate and suicidality was reviewed and synthesized. Results: Anecdotal, cognitive, neurological, and conceptual support for the relationship between decreased blink rate and suicide risk is outlined. Conclusion: Given that eye blinks are a highly observable behavior, the potential clinical utility of using eye blink rate as a marker of suicide risk is immense. Research is warranted to explore the association between eye blink rate and acute suicide risk.

Suicide Risk Among College Student

Crisis ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 416-423 ◽  
Author(s):  
Richard Shadick ◽  
Faedra Backus Dagirmanjian ◽  
Baptiste Barbot
Keyword(s):  
Sexual Minority ◽  
Students Of Color ◽  
Structural Equation ◽  
Suicide Risk ◽  
Equation Modeling ◽  
First Year ◽  
Chi Square ◽  
First Year College ◽  
Marginalized Groups ◽  
First Year College Students

Abstract. Background: Research on young adults in the general population has identified a relationship between sexual minority identification and risk for suicide. Differential rates of suicidal ideation and attempts have also been found across racial and ethnic groups. Aims: This study examined risk for suicide among university students, based on membership in one or more marginalized groups (sexual minority and racial minority identification). Method: Data were collected from first-year college students (N = 4,345) at an urban university. Structural equation modeling was employed to model a suicidality construct, based on which a "risk for suicide" category system was derived. Chi-square and logistic regression analyses were then conducted to estimate the relationship between the background variables of interest and suicide risk. Results: Students who identified as lesbian, gay, or bisexual (LGB) were associated with higher suicide risk than their heterosexual peers. Students of color were slightly less at risk than their heterosexual peers. However, LGB students of color were associated with elevated suicide risk relative to heterosexual peers. Conclusion: Results indicate that belonging to multiple marginalized groups may increase one's risk for suicide, though these effects are not simply additive. Findings highlight the complexity of the intersection between marginalized identities and suicidality.

Perceptions of a Peer Suicide Prevention Program by Inmates and Professionals Working in Prisons

Crisis ◽  
2013 ◽  
Vol 34 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Laurent Auzoult ◽  
Sid Abdellaoui
Keyword(s):  
Suicide Prevention ◽  
Prevention Program ◽  
Suicide Risk ◽  
Traditional Approach ◽  
Prevention Programs ◽  
New Methods ◽  
Penal Institutions ◽  
Peer Suicide ◽  
Suicide Prevention Programs ◽  
Methods Of Suicide

Background: Suicide prevention is a major challenge for penal institutions in many countries. The traditional approach relies on the expertise of health professionals and is supplemented by the intervention of other professionals and the inmates themselves. New methods of suicide prevention based on peer support have been developed in recent years. Peer prevention programs rely on the ability of inmates to identify suicide risk. Aims: This study examines perceived suicide risk among inmates and explores possible explanations. Method: 54 inmates and 17 professionals working in prisons responded to a questionnaire. Results: The peer prevention program was found to change inmates’ expectations of support in the event of a suicide crisis. The study also found that the inmates involved in the program tended to underestimate the risk of suicide. The perception of the prevention program and the level of self-consciousness were found to account for the underestimation of suicide risk. Conclusions: Support for inmates involved in suicide prevention programs must take into account their isolation in prison. The training provided to inmates must also consider the biases affecting the assessment of risk.

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