Suicidal ideation classification: Difference between revisions

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{{CMG}}; {{AE}} {{Vbe}}
{{CMG}}; {{AE}} {{Vbe}}
==Overview==
There is no established system for classification of suicidal ideation.
==Classification of suicidal ideation==
{| class="wikitable"
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Classification
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Definition
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Examples
|-
|'''Suicidal events'''
Completed suicide
|A self-injurious behavior that resulted in fatality and
was associated with at least some intent to die as a
result of the act.
|
example:1) After a long argument with his girlfriend, which resulted in the
end of their relationship, the patient collected a rope and rode his
bike to an isolated area where he fatally hanged himself. A suicide
note was later found. 2) After four documented attempts at suicide,
the patient stole his uncle’s gun and shot himself and was fatally injured
|-
|[[Suicide attempt]]
|A potentially self-injurious behavior, associated with
at least some intent to die, as a result of the act.
Evidence that the individual intended to kill him/
herself, at least to some degree, can be explicit or
inferred from the behavior or circumstance. A suicide
attempt may or may not result in actual injury
|'''Example''':fter a fight with her friends at school, in which they discontinued
speaking with her, the patient ingested approximately 16 aspirin
and eight other pills of different types on the school
grounds. She said that she deserved to die, which was why she
swallowed the pills. 2) The patient used a razor blade to lacerate
his wrists, his antecubital fossae, and his back bilaterally. He told
his therapist that the “the main objective was to stop feeling like
that,” and he knew that he could die but didn’t care. According to
the patient, he also ingested a bottle of rubbing alcohol because
in his health class he heard “that the medulla will get more suppressed
that way,” thereby increasing y increasing the chances that he would
be “successful” and die
|-
|[Preparatory acts
towards imminent suicidal behavior
|The individual takes steps to injure him- or herself,
but is stopped by self or others from starting the
self-injurious act before the potential for harm has begun
|
her had gone to school and retrieved a recent “bad” report card.
He was fearful of his father’s reaction. Upon his return home, a 5-
to 6-hour argument with his parents ensued, and he took a vegetable
(broad, sharp) knife and went to his room. He reported putting
the knife to his wrist but never puncturing the skin. 2) The patient
stated that he “couldn’t stand being depressed anymore”
and “wanted to die.” He decided to hang himself. He tied a telephone
cord to the door knob and placed the cord loosely around
his neck. Then, he stopped himself and did not follow through
with the attempt. 
|-
|[[Suicidal ideation]]
|Passive thoughts about wanting to be dead or active
thoughts about killing oneself, not accompanied
by preparatory behavior.a
|
* Active: The patient reported to the doctor that he was thinking
about hanging himself in the closet. He was taken to the hospital
and admitted.
* Passive: The patient reported ideas about wanting
to be dead but denied acting on these feelings.
|}
==References==
{{Reflist|2}}
{{WH}}
{{WS}}

Latest revision as of 22:15, 29 December 2020