Book

Suicide Prevention

Robert D. Goldney

Published on behalf of Oxford University Press

Published in print April 2013 | ISBN: 9780199677580
Published online May 2013 | e-ISBN: 9780191757044 | DOI: https://dx.doi.org/10.1093/med/9780199677580.001.0001

Series: Oxford Psychiatry Library

Suicide Prevention

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Bereavement after suicide

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 2539 words.

There are qualitative differences in grief themes in those bereaved through suicide compared with those arising from death by other causes. Themes include shock; disbelief; horror; how?...

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Broad suicide prevention initiatives

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 3802 words.

Many of the longitudinal antecedents of suicide are important social issues in their own right. Restriction of access to means of suicide is effective and usually requires political will...

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Clinical examples

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 1760 words.

All those who are suicidal warrant full assessment. Treatment offered depends on the presence and nature of any mental disorders identified. Older person are more likely to have more...

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Conclusion

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 1370 words.

No single approach is suitable for all. A range of effective approaches is available which can be tailored to specific situations or individuals. It is important not to lose focus on the...

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Contributing factors to suicide

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 2277 words.

The stress-diathesis model is a useful framework to conceptualize suicidal behaviours. Psychological autopsy studies demonstrate that 80–90% of suicides had a diagnosable mental disorder at...

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Definitions

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 1510 words.

There are no universally agreed definitions of suicidal behaviour. There has been a plethora of terms attempting to accommodate the semantics and diversity of suicidal behaviour. A...

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Epidemiology

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 2561 words.

About 1 million people die by suicide each year. Ten to twenty times that number attempt suicide. Suicide numbers are probably under-reported. There is wide variation of suicide rates both...

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An evidence-based management approach

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 1775 words.

The low base rate of suicide imposes constraints on the feasibility of using randomized controlled trials to demonstrate the effectiveness of methods of suicide prevention. Alternative...

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Frequently asked questions

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 3288 words.

Asking about suicide does not increase the risk. The management of younger and older persons, and also those with self-harm requires modification of the overall management approach. Suicide...

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Historical review

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 2790 words.

Suicide has been documented since antiquity. Contemporaneously relevant research has been conducted for over 200 years. Many of the accepted social and mental disorder antecedents of...

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Initial assessment and management

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 1999 words.

Establish rapport. Assess suicidal intent. Enquire about means of suicide. Assess mental state. If no mental disorder, offer precautionary follow-up and advise about alternative problem...

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Mental disorders and the biological substrate of suicide

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 3383 words.

All mental disorders are associated with a higher risk of suicide. Mood disorders, schizophrenia and substance abuse are strongly associated with suicide. Co-morbidity is common. There is...

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Non-pharmacological approaches

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 3334 words.

All suicidal persons warrant emotional support, the nature and intensity of which depend on the presence and type of mental disorder. Dialectical behaviour therapy is specifically effective...

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Pharmacological approaches

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 3355 words.

The use of some psychotropic medications in those who are suicidal has been controversial. If there is a mental disorder for which there is evidence of effective pharmacological treatment,...

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Psychosocial influences on suicidal behaviour

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 2559 words.

The presumed relative importance of broad psycho-social influences as opposed to individual interpersonal factors and mental disorders has fluctuated over time. Diverse developmental...

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Useful links

Robert D. Goldney.

in Suicide Prevention

April 2013; p ublished online May 2013 .

Chapter. Subjects: Psychiatry. 404 words.

With increasing recognition of suicide as a major health and social issue, many organizations have been established, locally, nationally, and internationally. A number of these are referred...

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