suicide_risk_factors_flashcards
What is the common practice in clinical settings for assessing suicide risk?
Risk stratification into ‘high’, ‘medium’, or ‘low risk’.
What does the BMJ 2017 review conclude about suicide risk assessments?
There is no evidence that these assessments can usefully guide decision making.
What percentage of suicides occur in patients deemed ‘low risk’?
50%.
What are some factors associated with an increased risk of suicide?
Male sex, history of deliberate self-harm, alcohol or drug misuse, history of mental illness, history of chronic disease, advancing age, unemployment, social isolation/living alone, being unmarried, divorced or widowed.
What is the hazard ratio (HR) for male sex as a risk factor for suicide?
Hazard ratio (HR) approximately 2.0.
What is the hazard ratio (HR) for a history of deliberate self-harm as a risk factor for suicide?
Hazard ratio (HR) 1.7.
What is the hazard ratio (HR) for alcohol or drug misuse as a risk factor for suicide?
Hazard ratio (HR) 1.6.
What mental illnesses are associated with an increased risk of suicide?
Depression, schizophrenia.
What percentage of people with schizophrenia are estimated by NICE to complete suicide?
10%.
What are some social factors associated with an increased risk of suicide?
Unemployment, social isolation/living alone, being unmarried, divorced, or widowed.
What factors increase the risk of completed suicide after a previous attempt?
Efforts to avoid discovery, planning, leaving a written note, final acts such as sorting out finances, violent method.
What are some protective factors against suicide?
Family support, having children at home, religious belief.
