Suicidal ideation

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Suicidal ideation is a common medical term for thoughts about suicide, which may be as detailed as a formulated plan, without the suicidal act itself. Although most people who undergo suicidal ideation do not commit suicide, some go on to make suicide attempts or take their own lives.^[1] The range of suicidal ideation varies greatly from fleeting to detailed planning, role playing and unsuccessful attempts, which may be deliberately constructed to fail or be discovered or may be fully intended to succeed but not actually do so.

In a study conducted in Finland, 22% of the suicide victims examined had discussed suicidal intent with a health care professional in their last office visit.^[2]

Epidemiology and Demographics

Male, white, age greater than 65 years
Widowed or divorced
Living alone; no children under the age of 18 in the household
Presence of stressful life events

Causes

Post-traumatic stress disorder (PTSD)
Major depression, which is often associated with loneliness
Bipolar disorder
Substance abuse (particularly alcohol)
Schizophrenia
Panic disorder
Borderline personality disorder
Additionally, in adolescents: impulsive, aggressive and antisocial behavior; presence of family violence and disruption

History and Symptoms

History of previous suicide attempt
Family history of suicide attempt
Hopelessness
Anhedonia
Insomnia
Severe anxiety
Impaired concentration
Psychomotor agitation
Panic attacks

References

↑ Gliatto, Michael F. (1999). "Evaluation and Treatment of Patients with Suicidal Ideation". American Family Physician. 59 (6). Retrieved 2007-01-08. Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (help)
↑ Halgin, Richard P. (2006). Abnormal psychology : clinical perspectives on psychological disorders. Boston : McGraw-Hill. pp. pp. 267-272. ISBN 0-07-322872-9. Unknown parameter |coauthors= ignored (help)CS1 maint: Extra text (link)

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[1] Gliatto, Michael F. (1999). "Evaluation and Treatment of Patients with Suicidal Ideation". American Family Physician. 59 (6). Retrieved 2007-01-08. Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (help)

[2] Halgin, Richard P. (2006). Abnormal psychology : clinical perspectives on psychological disorders. Boston : McGraw-Hill. pp. pp. 267-272. ISBN 0-07-322872-9. Unknown parameter |coauthors= ignored (help)CS1 maint: Extra text (link)

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