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Suicide, Risk Evaluation, Emergency Medicine


Basics


Description


  • The intentional taking of ones own life
  • Suicidal ideation:
    • Passive: A conscious desire not to live
    • Active: Intention to die with or without a plan
  • Parasuicidal behavior: Self-injury not intended to cause death (e.g., superficial cutting, cigarette burns, head banging)
  • Reckless behavior: Not taking prescribed medications, taking too much of prescribed medications, running into traffic
  • Risk-to-rescue ratio " ”lethality of plan compared with likelihood of rescue:
    • High risk-to-rescue ratio indicates increased severity of attempt.
  • Occult presentation:
    • Many individuals at risk for suicidal behavior seek care in the ED for nonbehavioral complaints
    • Improved suicide screening practices may be needed to capture this population.

Etiology


  • 36,891 suicides in US (CDC 2009)
  • 12 " “25 attempts per every completed suicide
  • 25.4 per 100,000 males (CDC 2009)
  • 7.4 per 100,000 females
  • 11.1 per 100,000 general population
  • 2 peaks in age group most at risk for suicide:
    • Age 15 " “24 yr (3rd leading cause of death in this age group)
    • Age >60 yr (highest rates of any age group, increasing incidence with age)

Risk Factors for Suicidal Behavior
  • Depression (bipolar or unipolar)
  • Alcohol or drug abuse
  • History of physical or sexual abuse
  • Unemployment
  • Incarceration
  • History of head injury or neurologic disorder
  • Firearms in the home
  • Cigarette smoking
  • Positive family history of suicide attempt
  • Psychiatric or medical comorbidities
  • Gender:
    • Women 3 times more likely to attempt suicide.
    • Men 3 times more likely to complete suicide.
  • Psychological:
    • Impulsivity/aggression
    • Depression
    • Anxiety
    • Hopelessness
    • Self-consciousness/social disengagement
    • Poor problem-solving abilities
    • Lack of social supports
    • Widowed
    • Divorced
    • Separated
    • Lack of social supports
    • Recent loss of relationship
    • Anniversary of loss
  • Environmental
  • Rural areas:
    • Access to firearms
    • Poverty
    • Unemployment

Risk Factors for Completed Suicide
  • Male
  • Age >60 yr
  • White or Native American
  • Widowed/divorced
  • Living alone
  • Unemployment/poverty
  • Past suicide attempt

Methods of Suicide (CDC 2009)
  • Firearms (most common among men and 2nd most common in women)
  • Overdose (Most common among women); most common means of suicide attempt (70% of failed attempts are by overdose)
  • Hanging
  • Suffocation

Populations at Highest Risk for Completing Suicide
  • >90% of patients who commit suicide have a psychiatric diagnosis.
  • Depression " ”especially psychotic depression
  • Anxiety and panic disorder
  • Alcohol or drug intoxication
  • Schizophrenia
  • Adolescents

Others at Risk for Completing Suicide
  • Recent discharge from psychiatric facility
  • History of suicidal ideation or suicide attempt
  • Serious physical illness present in up to 70% of all suicides, particularly in elderly patients.
  • History of incarceration
  • Physicians
  • Victims of violence/abuse

Interventions that Lower Risk
  • Patients with mood disorders (major depression and bipolar disorder) treated with lithium
  • Patient with major depression treated with electroconvulsive therapy
  • Patients with schizophrenia treated with clozapine
  • NOT shown to decrease suicide rates: Treatment with selective serotonin reuptake inhibitors (SSRIs) for major depression

Protective factors
  • Strong social supports
  • Family cohesion
  • Peer group affiliation
  • Good coping and problem-solving skills
  • Positive values and beliefs
  • Ability to seek and access help

Diagnosis


Signs and Symptoms


  • Depressed mood
  • Verbalization of suicidal ideation with or without plan
  • Hopelessness
  • Helplessness
  • Anger/aggression
  • Impulsivity
  • Psychotic symptoms (i.e., paranoia, command auditory hallucinations)

History
  • Obtain history to assess risk:
    • Asking about suicide does not increase risk for attempt
  • Degree of suicidal ideation
  • Plan immediate risk of self-injury?
    • Means available to complete plan
    • Activity toward initiating plan
    • Patients expectations of lethality of plan
  • Intent: Reasons, goal
  • Risk-to-rescue ratio
  • Plan or intent to harm others?
  • Presence of acute precipitants:
    • Recent losses, lack of social supports
  • Risk factors:
    • History of past suicide attempts
    • Psychiatric review of symptoms: Depression, psychosis, panic/anxiety
    • Chronic medical illness
    • Alcohol or drug abuse
  • Serial assessment of mental status, consistency of responses
  • Factors preventing suicide

Physical Exam
  • As needed to address acute medical issues
  • Look for evidence of injuries and signs of self-neglect.

Scoring Systems
  • Modified SAD PERSONS Score:
    • Sex: Male 1 point
    • Age <19 or >45 yr 1 point
    • Depression or hopelessness 2 points
    • Previous attempts or psychiatric care 1 point
    • Excessive alcohol or drug use 1 point
    • Rational thinking loss 2 points
    • Separated/divorced/widowed 1 point
    • Organized or serious attempt 2 points
    • No social supports 1 point
    • Stated future intent 2 points
    • Data suggests that patients with a score of <5 can safely be managed as an outpatient

Essential Workup


  • Collateral information from outpatient care givers, family, friends
  • Safety plan:
    • Would the patient immediately seek help if suicidal ideation recurred?
    • Elimination of means of suicide
    • Access to other means of suicide
    • Support and supervision in the outpatient setting
    • Prompt outpatient follow-up with psychiatric therapy
    • Patient investment in not attempting suicide
    • Identifying reasons for living
    • Safety contracts are no guarantee that individuals will not attempt suicide.

Diagnosis Tests & Interpretation


Lab
  • Blood " “alcohol level
  • Serum toxicology screen: Aspirin, acetaminophen, and other medications
  • Urine drug screen:
    • Many psychiatric facilities require toxicology screen before placement.
  • Carbon monoxide (as indicated)

Imaging
Not routinely indicated ‚  
Diagnostic Procedures/Surgery
ECG " “ as indicated ‚  

Differential Diagnosis


  • Normal despondency
  • Bereavement
  • Adjustment disorder with depressed mood
  • Major depressive disorder
  • Bipolar disorder
  • Organic mental disorder (head injury, dementia, delirium)
  • Schizophrenia
  • Panic and anxiety disorders
  • Alcohol or drug abuse
  • Borderline personality disorder
  • Antisocial personality disorder
  • Accidental death
  • Attempted homicide

  • Suicide is a leading cause of death among young people 15 " “24 yr of age.
  • More than 4,000 adolescents commit suicide every year (CDC 2009)
  • Rapidly increasing in young black males ages 10 " “14 yr
  • Less evidence available to link suicide in youth to overt psychiatric illness
  • Stresses:
    • Prior attempts
    • Family disruption
    • History of psychiatric disorder
    • Depression
    • Disciplinary crisis
    • Broken romance
    • School difficulties
    • Bereavement
    • Rejection
    • History of physical or sexual abuse
  • Early warning signs:
    • Progressive declining schoolwork
    • Multiple physical complaints
    • Substance abuse
    • Disrupted family relations
    • Social withdrawal
    • Anhedonia

  • Suicide rates highest in age >65 yr
  • Completed suicide: 83% men
  • Risk factors: Divorced, widowed, male, social isolation
  • Tend to use more lethal methods
  • Lower ratio of attempts to completions

Treatment


Pre-Hospital


  • For potentially dangerous patient who refuses transport to treatment facility; involve police and impose restraint.
  • Risk to medics on the scene in cases of firearms or other weapons
  • Know state and local laws, availability of mobile crisis units, and when to involve the police.

Initial Stabilization/Therapy


  • Prevent ability to elope
  • Ensure patient safety:
    • Remove sharp objects, belts, shoelaces, and other articles that could be used for self-injury
  • Provide safe environment
  • Appropriate supervision

Ed Treatment/Procedures


  • Confer with patients outpatient therapist or physician if possible
  • Voluntary admission to psychiatric facility
  • Involuntary admission if patient refuses voluntary
  • For involuntary psychiatric admission, patient must have psychiatric disorder and 1 of the following:
    • Risk for danger to self
    • Risk for danger to others
    • Inability to care for self

Medication


Treat underlying psychiatric disorder. ‚  

Follow-Up


Disposition


Admission Criteria
  • If patient endorses suicidal ideation with plan and intent, admission may be needed for safety.
  • If impulsivity, anger, or aggression hinder ability to control behavior

Discharge Criteria
  • Patient has no suicidal ideation.
  • Patient agrees to return to ED immediately or seek psychiatric help if suicidal ideation recurs.
  • Patient has passive suicidal ideation without plan or intent.
  • Patient has good support network or placement in appropriate crisis housing
  • Appropriate outpatient psychiatric follow-up is ensured.
  • In some cases, patients who express suicidal ideation while intoxicated may be discharged if no longer suicidal once they are sober.
  • Some patients with borderline personality disorder and chronic suicidal ideation are discharged after careful psychiatric evaluation in consultation with long-term outpatient caregivers.

Followup Recommendations


Close psychiatric follow-up for those with acute illness who do not require admission ‚  

Pearls and Pitfalls


  • A careful history will identify risk factors for suicide.
  • Access collateral sources of information about patients recent thoughts and behavior.
  • Maintain patient safety during evaluation
  • Hospital admission may be required if patient endorses suicidal ideation and plan.

Additional Reading


  • Ali ‚  A, Hassiotis ‚  A. Deliberate self harm and assessing suicidal risk. Br J Hosp Med (Lond).  2006;67(11):M212 " “M213.
  • Cooper ‚  JB, Lawlor ‚  MP, Hiroeh ‚  U, et al. Factors that influence emergency department doctors ' assessment of suicide risk in deliberate self-harm patients. Eur J Emerg Med.  2003;10(4):283 " “287.
  • Miller ‚  M, Hemenway ‚  D. The relationship between firearms and suicide: A review of the literature. Clin Neurosci Res.  2001;1:310 " “323.
  • Nock ‚  MK, Borges ‚  G, Bromet ‚  EJ, et al. Suicide and suicidal behavior. Epidemiol Rev.  2008;30:133 " “154.
  • Ronquillo ‚  L, Minassian ‚  A, Vilke ‚  GM, et al. Literature-based recommendations for suicide assessment in the emergency department: A review. J Emerg Med.  2012;43(5):836 " “842.
  • Ting ‚  SA, Sullivan ‚  AF, Miller ‚  I, et al. Multicenter study of predictors of suicide screening in emergency departments. Acad Emerg Med.  2012;19(2):239 " “243.

See Also (Topic, Algorithm, Electronic Media Element)


Depression ‚  

Codes


ICD9


  • 311 Depressive disorder, not elsewhere classified
  • V17.0 Family history of psychiatric condition
  • V62.84 Suicidal ideation
  • 300.9 Unspecified nonpsychotic mental disorder

ICD10


  • R45.851 Suicidal ideations
  • Z81.8 Family history of other mental and behavioral disorders
  • Z91.5 Personal history of self-harm
  • F32.9 Major depressive disorder, single episode, unspecified
  • T14.91 Suicide attempt

SNOMED


  • 267073005 Suicidal (finding)
  • 247650009 Planning suicide (finding)
  • 425104003 suicidal behavior (finding)
  • 160333008 Family history: Suicide (situation)
  • 161474000 History of attempted suicide (situation)
  • 304594002 Suicidal intent (finding)
  • 35489007 Depressive disorder (disorder)
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