Pediatric suicide and depression clinical reference: MedTwitter
A clear and complete evaluation and clinical interview provide the information upon which to base a suicide intervention. Although risk factors offer major indications of the suicide danger, nothing can substitute for a focused patient inquiry. However, although all the answers a patient gives may be inclusive, a therapist often develops a visceral sense that his or her patient is actually going to commit suicide. The clinician's reaction counts and should be considered in the intervention.
Patients who have pursued a systematic pattern of behavior in which they engage in activities that indicate they are leaving life - This includes saying goodbye to friends, making a will, writing a suicide note, and developing a funeral plan Discharge from psychiatric hospitals - Patients are at suicide risk upon discharge from a psychiatric hospital, which is a very difficult time of transition and stress; the structure, support, and safety of the institution are no longer available to the patient; the patient feels apprehension and is confronted with the reality of change, which translates into fright and vulnerability.
The clinician should also assess for protective factors. Things that can serve to protect against suicide include the following: Having a pet, such as a dog or cat – pets need a human presence to take care of them, which offers the individual a reason for living. They also provide unconditional love and acceptance.
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