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The Suicidal Patient: Evaluation and Management.

David R Norris1, Molly S Clark1

  • 1The University of Mississippi Medical Center, Jackson, MS, USA.

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Summary
This summary is machine-generated.

Family physicians can improve patient outcomes by asking high-risk individuals about suicidal intent. This direct approach is safe and effective for managing suicide risk in clinical practice.

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Area of Science:

  • Medicine
  • Psychiatry
  • Public Health

Background:

  • Suicide rates in the U.S. rose significantly between 2005 and 2015.
  • Family physicians require evidence-based strategies to address rising suicide concerns.
  • Direct inquiry about suicidal intent is crucial for at-risk patients.

Purpose of the Study:

  • To provide family physicians with evidence-based resources for suicide risk management.
  • To outline key historical elements and management strategies for patients with suicidal ideation.

Main Methods:

  • Review of clinical evidence regarding suicide risk assessment and management.
  • Identification of critical patient history components (intent, plan, means, social support, past attempts, comorbidities).
  • Description of inpatient and outpatient management protocols, including safety, stabilization, support activation, and therapy initiation.

Main Results:

  • Asking high-risk patients about suicidal intent improves outcomes and does not increase suicide risk.
  • Routine screening lacks sufficient evidence for widespread implementation.
  • Comprehensive patient history is vital for accurate risk assessment.

Conclusions:

  • Family physicians play a critical role in suicide prevention through direct patient assessment and management.
  • Effective care plans involve safety, support systems, and psychiatric treatment.
  • Support for families after a completed suicide is essential, alongside risk management activation.