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Journal Article

Citation

Pary R, Lippmann S, Tobias CR. J. Fam. Pract. 1988; 26(2): 185-189.

Affiliation

Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Louisville, Kentucky.

Copyright

(Copyright © 1988, Dowden Health Media)

DOI

unavailable

PMID

3276811

Abstract

Physicians may have the opportunity to prevent suicide. An awareness of suicide risk factors, such as depression, alcoholism, drug abuse, schizophrenia, and chronic pain or disease, may facilitate suicide prevention. Recognition of acute and chronic suicidal vulnerability occurs through direct questioning. Psychiatric consultation is indicated for patients exhibiting clear self-injury risk, as exemplified by expressed suicide intent, an overt plan for death, or a "gesture." Hospitalization is usually recommended for socially isolated patients presenting with overt suicidal ideation, complicated by injurious self-harm, encephalopathy, or substance abuse. Family involvement and a "no-suicide" contract with the patient, coupled with close outpatient follow-up appointments, should suffice for those exhibiting milder or transient thoughts of suicide without manifest intent to die.


Language: en

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