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Chapter 43. Suicide

Robert I. Simon, M.D.
DOI: 10.1176/appi.books.9781585623402.318736

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There are two kinds of clinical psychiatrists: those who have had patient suicides, and those who will have patient suicides. Every patient suicide is also a tragedy for the clinician and for the suicide survivors. Patient suicide is an occupational hazard of psychiatric practice, accompanied by increased malpractice liability exposure (see Figure 41–1 in Chapter 41, "Psychiatry and the Law," by Simon and Shuman). The only way to avoid patient suicide attempts or patient suicides is to not treat patients.

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CME Activity

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Sample questions:
1.
Suicide statistics help to give the clinician a sense of the extent of this clinical problem, and, when put into context, may guide clinical risk assessment and decision making. Which of the following statements regarding suicide in the United States is false?
2.
Differentiating short-term from long-term risk factors for suicide may be important, because modifying just a few short-term risk factors may significantly reduce a patient's risk for suicide. Among the suicide risk factors identified in a 10-year prospective study of patients with affective disorders (Fawcett et al. 1990), which of the following was considered to be a long-term suicide risk factor rather than a short-term one?
3.
The rates of suicide associated with different psychiatric illnesses must be considered in clinical care. Which of the following statements about suicidality in various psychiatric disorders is false?
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Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
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