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The Potential Perils of a Suicide-specific Diagnosis
Hal S Wortzel1, Sarra Nazem, Nazanin H Bahraini
1WORTZEL: Michael K. Cooper Professor of Neurocognitive Disease, Director of Neuropsychiatry, Associate Professor in Psychiatry, Neurology, and Physical Medicine and Rehabilitation, and Faculty for the Forensic Psychiatry Fellowship at the University of Colorado, Denver, and Director of Neuropsychiatric Services for the Rocky Mountain MIRECC, Denver VA, Denver, CO NAZEM: Clinical Research Psychologist with the Rocky Mountain MIRECC and Assistant Professor in the Departments of Psychiatry and Physical Medicine and Rehabilitation at the University of Colorado School of Medicine, Denver, CO BAHRAINI: Director of Education for the Rocky Mountain MIRECC and Associate Professor in the Departments of Psychiatry and Physical Medicine and Rehabilitation at the University of Colorado School of Medicine, Denver, CO MATARAZZO: Director of Clinical Services for the Rocky Mountain MIRECC and Associate Professor in the Department of Psychiatry at the University of Colorado School of Medicine, Denver, CO SILVERMAN: Adjunct Clinical Assistant Professor of Psychiatry, Medical College of Wisconsin, Milwaukee, WI.
Abstract:
The clinical and scientific challenges inherent in treating and investigating suicide warrant novel approaches to this public health issue of paramount importance. The implementation of suicide-specific diagnoses has been proposed as one possible way to address this problem and was described in the first column of this special 2-part series. This second column explores potential unintended consequences related to such proposed diagnoses and alternative solutions that might afford greater benefits. The idea of suicide-specific diagnoses represents a novel approach, and one worthy of further discussion and consideration; the debate featured in this series represents a joint effort to advance the dialogue about suicide and to promote innovation.
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