Фактори ризику та тривожні ознаки суїциду
Type | Specific Factors* |
|---|---|
Social situation | Personally significant anniversaries Unemployment or financial difficulties, particularly if they caused a drastic fall in economic status Recent separation, divorce, or widowhood Recent arrest or trouble with the law Social isolation with real or imagined unsympathetic attitude of relatives or friends |
History of suicidality | Previous suicide attempt Making detailed suicide plans, taking steps to implement the plan (obtaining a gun or pills), and taking precautions against being discovered Family history of suicide or a psychiatric disorder |
Clinical features | Depressive illness, especially at onset Marked motor agitation, restlessness, and anxiety with severe insomnia Marked feelings of guilt, inadequacy, and hopelessness; perception of being a burden to others (burdensomeness); self-denigration; nihilistic delusion Delusion or near-delusional conviction of a physical disorder (eg, cancer, a heart disorder, sexually transmitted infection) or other delusions (eg, delusions of poverty) Command hallucinations Impulsive, hostile personality A chronic, painful, or disabling physical disorder, especially in formerly healthy patients |
Medication and substance use | Alcohol or substance use disorder (including misuse of prescription medications), especially if recent use has increased Use of medications that may contribute to suicidal behavior (eg, abruptly stopping paroxetine and certain other antidepressants can result in increased depression and anxiety, which in turn increases risk of suicidal behavior) |
See also American Foundation for Suicide Prevention: Suicide Statistics. Accessed July 5, 2023. | |