Suicide Risk Assessment: A Review of Risk Factors for Suicide in 100 Patients Who Made Severe Suicide Attempts
Abstract
A study of 100 patients who made a severe suicide attempt suggested that the managed care criteria often applied for approving admission to hospitals for potentially suicidal patients were not, in fact, predictive of features seen in patients who actually made such attempts. Severe anxiety, panic attacks, a depressed mood, a diagnosis of major affective disorder, recent loss of an interpersonal relationship, recent abuse of alcohol or illicit substances coupled with feelings of hopelessness, helplessness, worthlessness, global or partial insomnia, anhedonia, inability to maintain a job, and the recent onset of impulsive behavior were excellent predictors of suicidal behavior. The presence of a specific suicide plan or suicide note were not. Patients with managed care were overrepresented by 245% in the study.
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In the reactive group, suicide attempts are equally lethal as in those with stable and severe suicidal ideation.
“The suicidal behavior in this reactive group is just as lethal as in patients with stable but pronounced suicidal ideation (257).”
From A brain-centric model of suicidal behavior (2020) · cites this paper as [257]
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- Authors
- Hall, R. C. W., Platt, D. E., & Hall, R. C. W.
- Affiliations
- University of Florida (US)
- AdventHealth (US)
- Johns Hopkins University (US)
- Corresponding author
- Hall, Richard C.W.
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 1999-01
- Volume
- 40
- Issue
- 1
- Pages
- 18-27
- ISSN
- 0033-3182 (ISSN-L)
- OpenAlex
- W1572045941
- Cited by
- 326
- References
- 43
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 7 · 2023: 6 · 2022: 10 · 2021: 12 · 2020: 14 · 2019: 11 · 2018: 11 · 2017: 16 · 2016: 19 · 2015: 21 · 2014: 28 · 2013: 13 · 2012: 12
- FWCI
- 10.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicide risk assessment, suicide attempts, risk factors, managed care, hospital admission criteria, anxiety, panic attacks, depression, major affective disorders, interpersonal loss, alcohol abuse, substance abuse, hopelessness, insomnia, anhedonia, job loss, impulsive behavior, suicide planning, suicide notes
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Aged, Aged, 80 and over, Dangerous Behavior, Female, Humans, Male, Managed Care Programs, Middle Aged, Patient Admission, Personality Assessment, Psychiatric Department, Hospital, Suicide, Comorbidity, Risk Assessment
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