suicidal ideation (SI)
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Introduction
SI is an acronym for suicidal ideation (see suicide)
Etiology
- risk factors
- veterans who have killed in combat are at increased risk[5]
- having a parent die during childhood[6]
- cerebral concussion ~ 3-fold risk[7]
- self neglect, RR~3-fold (Chinese Americans)[8]
- elder mistreatment, including elder neglect
- self-reported discrimination ~ 2-fold risk[8]
Complications
Management
- if someone has a plan to harm themselves or others, or otherwise in iminent danger (active suicidal ideation), hospitalize or emergency department evaluation[2]
- passive suicidal ideation requires evaluation of depression & other psychiatric disorders
- follow-up in 1 week is recommended
- lack of evidence for population-based screening for suicide risk[3]
More general terms
Additional terms
References
- ↑ Richards JE, Whiteside U, Ludman EJ et al. Understanding why patients may not report suicidal ideation at a health care visit prior to a suicide attempt: A qualitative study. Psychiatr Serv 2018 Nov 20; PMID: https://www.ncbi.nlm.nih.gov/pubmed/30453860 https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201800342
- ↑ 2.0 2.1 NEJM Knowledge+ Psychiatry
- ↑ 3.0 3.1 US Preventive Services Task Force Screening for Depression and Suicide Risk in Adults; US Preventive Services Task Force Recommendation Statement. JAMA. 2023;329(23):2057-2067 PMID: https://www.ncbi.nlm.nih.gov/pubmed/37338872 https://jamanetwork.com/journals/jama/fullarticle/2806144
Simon GE et al. Reframing the key questions regarding screening for suicide risk. JAMA 2023 Jun 20; 329:2026. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37338888 https://jamanetwork.com/journals/jama/fullarticle/2806177 - ↑ Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016 Mar 19;387(10024):1227-39. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26385066 PMCID: PMC5319859 Free PMC article. Review.
- ↑ 5.0 5.1 Maguen S et al. Killing in combat may be independently associated with suicidal ideation. Depress Anxiety 2012 Apr 13 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/22505038 <Internet> http://onlinelibrary.wiley.com/doi/10.1002/da.21954/abstract
- ↑ 6.0 6.1 Guldin MB et al Incidence of Suicide Among Persons Who Had a Parent Who Died During Their Childhood. A Population-Based Cohort Study. JAMA Psychiatry. Published online November 11, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26558351 <Internet> http://archpsyc.jamanetwork.com/article.aspx?articleid=2469106
- ↑ 7.0 7.1 Fralick M, Thiruchelvam D, Tien HC, Redelmeier DA. Risk of suicide after a concussion CMAJ February 8, 2016 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26858348 <Internet> http://www.cmaj.ca/content/early/2016/02/08/cmaj.150790
- ↑ 8.0 8.1 8.2 Dong XQ, Xu Y, Ding D. Elder self-neglect and suicidal ideation in a U.S. Chinese aging population: findings from the PINE study. J Gerontol A Biol Sci Med Sci. 2017;72(suppl 1):S76-S81 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28575261 PMCID: PMC5861963 Free PMC article https://academic.oup.com/biomedgerontology/article/72/suppl_1/S76/3859671
Dong XQ. Associations between the differential definitions of elder mistreatment and suicidal ideation outcomes in U.S. Chinese older adults: do the definitions matter? J Gerontol A Biol Sci Med Sci. 2017;72(suppl 1):S82-S89 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28575267 PMCID: PMC5861847 Free PMC article https://academic.oup.com/biomedgerontology/article/72/suppl_1/S82/3859677
Li LW, Gee GC, Dong XQ. Association of self-reported discrimination and suicide ideation in older Chinese Americans. Am J Geriatr Psychiatry. 2018;26(1):42-51 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28917505 PMCID: PMC5725252 Free PMC article https://www.ajgponline.org/article/S1064-7481(17)30421-9/fulltext
Wei JW, Zhang J, Deng Y, et al. Suicidal ideation among the Chinese elderly and its correlates: a comparison between the rural and urban populations. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29495615 PMCID: PMC5876967 Free PMC article https://www.mdpi.com/1660-4601/15/3/422