-: Suicide-Intentional termination of life
-It is common cause of death among psychiatric patient
-Suicidal gesture is attempted Suicide where the person performing
the action never intended to die by act.
-: Common themes in suicide *
1-Crisis that cause intense suffering with feeling of hopelessness and
2-Conflict between intolerable stress and survival.
3-Narrowing of person perceived options.
4-Wish to escape rather than going -toward
5-Often wishing to punish self and or punishing significant with guilt
-Suicide is among top (10) cause of death
-The official suicidal rate is 10/100.000 population/year
-Male to female ratio is 6:3
-General world ratio range from 5 -30 /100.000
-1million death due to suicide in the world
-: Risk Factor of suicide *-Age > 40 year .
-Male gender .
-Staying single .
-Previous suicide attempt .
-Depression (risk about 25 time than usual )
●Presence of guilt, accusation, nihilistic.
●Risk usually higher in the beginning or to word the end of depressive
●Increase risk in first week after discharge from psychiatric unit
-Suicidal preoccupation(for example a written suicide note and details
plan of suicide).
-Alcohol or drug dependence.
-Sever disability, painful untreatable syndrome.
-Recent serous loss or major stressful event.
-Higher degree of impulsivity.
-: Examples Of Risk And Protective Factor For SuicideSocial Psychological
-Children, elderly parent and moral values-Good engagement with treatment
-: Management of suicide
-Once suicide committed it is obviously no longer treatable. So we have :
●Establish of suicide prevention center
●Crisis intervention center
●Psychiatric emergency service
●Medical emergency center
●Social welfare center like
-home to patients
-: Importat preventive measures of suicide1-Take all suicidal threats, gesture, seriously.
2-Psychiatrist should qualify seriousness of situation (proper risk
3-Acute psychiatric emergencies interview.
4-Councelling and Guidance.
●to deal with attempted suicide.
●to deal with life stressor, teach patient to cope with.
5-Treatment of psychiatric disorders for patient with major depressive
disorder with suicidal risk, also treatment of suicide associate
Common Misconception About Suicide
Facts MisconceptionNearly 80/person who
commit suicide give definite
warning and/or clue about
1-people who talk about
suicide, don't commit suicide.
2-Suicide happen without
Most suicidal undecided
about dying or Living.
3-Suicidal persons are fully
intent or dying.
Suicidal person is suicidal for
only a limited period of time
4-Once person is suicidal he is
Although suicide common
among depressive or
psychotic but patient is not
5-All suicidal ar e ill or