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Is it time to abandon suicide risk assessment?

  • Declan Murray (a1)
Summary

Suicide risk assessment includes estimating the likelihood of suicide in words such as ‘low, medium or high’. A ‘high suicide risk’ rating can trigger a powerful urge to eliminate risk immediately. But it is far from clear what ‘high suicide risk’ actually means. In the current state of knowledge, suicide reduction measures should apply to all psychiatric patients, irrespective of an individual patient's perceived risk. For patients presenting with suicidal thoughts, feelings and behaviour, assessment and management should focus on reducing or tolerating emotional pain.

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This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/).
References
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1 Simon, RI. Suicide risk assessment: gateway to treatment and management. In The American Psychiatric Publishing Textbook of Suicide Assessment and Management (2nd edn) (eds Simon, RI, Hales, RE): 328. American Psychiatric Association, 2012.
2 Linehan, M. Cognitive-Behavioral Treatment Borderline Personality Disorder. Guilford Press, 1993: 97119.
3 Nordentoft, M, Mortensen, PB, Pedersen, CB. Absolute risk of suicide after first hospital contact in mental disorder. Arch Gen Psychiatry 2011; 68: 1058–64.
4 Pokorny, AD. Prediction of suicide in psychiatric patients report of a prospective study. Arch Gen Psychiatry. 1983; 40: 249–57.
5 Kahneman, D. Thinking, Fast and Slow. Allen Lane (Penguin), 2011: 209–33, 363–73.
6 Palmer, BS, Bennewith, O, Simkin, S, Cooper, J, Hawton, K, Kapur, N, et al. Factors influencing coroners' verdicts: an analysis of verdicts given in 12 coroners' districts to researcher-defined suicides in England in 2005. J Public Health (Oxf) 2015; 37: 157–65.
7 National Institute for Health and Care Excellence. Self-Harm in Over 8s: Long-Term Management (Clinical Guideline CG133). NICE, 2011.
8 The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. Annual Report 2014: England, Northern Ireland, Scotland and Wales. University of Manchester, 2014.
9 Jobes, DA. Managing Suicidal Risk: A Collaborative Approach. The Guilford Press, 2006: 17.
10 Stanley, B, Brown, G. Safety planning intervention: a brief intervention to mitigate suicide risk. Cogn Behav Prac 2012: 19: 256–64.
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BJPsych Open
  • ISSN: -
  • EISSN: 2056-4724
  • URL: /core/journals/bjpsych-open
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Is it time to abandon suicide risk assessment?

  • Declan Murray (a1)
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