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Suicide Behaviours

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Suicidal ideation is more common than completed suicide. Many people faced with suicidal ideation do not commit suicide but may have suicidal behavior or make suicide attempts. Most persons who commit suicide have a psychiatric disorder at the time of death. Suicidal behavior can be characterized as a spectrum that ranges from fleeting suicidal thoughts to completed suicide. Suicidal ideation is more common than suicide attempts or completed suicide. Findings from psychological autopsy studies have consistently indicated that more than 90 percent of completed suicides in all age groups are associated with psychiatric disorders. It is not the psychiatric disorder itself that increases the risk of completed suicide, but the combination of the psychiatric disorder and a stressor, such as the death of a loved one, separation, divorce or recent unemployment, symptoms of depression, hopelessness, severe anxiety, insomnia, or panic attacks. It is important to note that not all people who are diagnosed with a medical or mental health condition experience suicidal ideation and that all suicidal ideation and behavior should be taken seriously.

Patients with schizophrenia are more likely to commit suicide during periods of remission, when they are apt to feel depressed and hopeless, than when they are frankly psychotic.7 Patients with panic disorder and borderline personality disorder who commit suicide also have comorbid major depression or substance abuse.

SYNTHESIS
Suicide is difficult to accurately predict. First, it is a relatively rare event, so the rate of false-positive prediction is high. Second, the risk factors mentioned previously represent chronic risks and refer to groups of patients rather than to individuals. Finally, no risk factor can be used exclusively to accurately predict suicidality.

Predicting short-term risk of a

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