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Approaching the suicidal patient
Jeffrey Stovall1, Frank J Domino
1Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts 01610, USA. jstovall@communityhealthlink.org
American Family Physician
|November 19, 2003
Summary
Physicians can prevent patient suicide by identifying risk factors and implementing tailored interventions. This guide offers strategies for assessment and management, including post-suicide support for physicians.
Area of Science:
- Medical Practice
- Psychiatry
- Public Health
Background:
- Patient suicide profoundly impacts families and physicians, potentially causing professional and legal repercussions.
- Physician confidence and willingness to treat patients with mental illness can be negatively affected by suicide.
Purpose of the Study:
- To assist family physicians in preventing patient suicide.
- To review known suicide risk factors and provide an assessment strategy.
- To outline risk-appropriate interventions and post-suicide management guidance.
Main Methods:
- Review of established suicide risk factors.
- Development of a strategy for assessing these factors in patients.
- Outlining interventions based on identified risk levels.
Main Results:
- Identification of key patient suicide risk factors.
- A structured approach for physicians to assess suicide risk.
- Recommendations for interventions and physician support following a completed suicide.
Conclusions:
- Proactive identification and management of suicide risk factors are crucial for family physicians.
- A systematic approach to risk assessment and intervention can aid in suicide prevention.
- Support strategies are needed for physicians following patient suicide.