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The American Psychiatric Publishing Textbook of Clinical Psychiatry, 5th Edition Suicide Risk and Protective Factors Sections: Risk Factors, Protective Factors. Topics Discussed: suicidal behavior; suicide.
Excerpt:
"Suicide is the result of multifaceted determinants, including diagnostic
(psychiatric and medical), psychodynamic, genetic, familial, occupational,
environmental, social, cultural, and contextual factors. No pathognomic
risk factors exist. A single risk factor does not have the statistical
power upon which to base a suicide risk assessment. General risk
assessment factors have been identified through retrospective community-based
psychological autopsies and studies of completed suicides (Fawcett et al. 1993). To be useful, general risk factors must be
adapted to the clinical presentation of the individual patient.
Evidence-based research finds that high-risk factors associated
with attempted suicide in adults include depression, prior suicide
attempts, hopelessness, suicidal ideation, alcohol abuse, cocaine
abuse, and recent loss of an important relationship (Murphy et al. 1992).Short-term suicide risk factors derived from a 10-year prospective
study of patients with affective disorders were statistically significant
within 1 year of assessment (Fawcett et al. 1990).
The short-term..."
DOI: 10.1176/appi.books.9781585623402.318736
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