An overview and comparison of two proposed suicide-specific diagnoses: acute suicidal affective disturbance and suicide crisis syndrome
Abstract
Current psychological diagnostic classification systems do not fully capture the scope of suicidality, leading to recent advocacy for the inclusion of a suicide-specific diagnosable condition. We contend that a suicide-specific diagnosable condition should parsimoniously reflect acuity and characterize not only if, but also when, a person will engage in suicidal behavior. Two potential solutions to this diagnostic void have been proposed: (1) acute suicidal affective disturbance (ASAD) and (2) suicide crisis syndrome (SCS). This article provides an overview of the phenomenology and existing empirical evidence for ASAD and SCS, as well as a comparison between the two conditions. It also outlines a number of future research directions, including the need to examine both conditions prospectively in heterogeneous samples of people across the lifespan, as well as the necessity of comparing the reliability, validity, and clinical utility of these two syndromes directly within single studies. [ Psychiatr Ann . 2017;47(8):416–420.]
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Hyperarousal is a key diagnostic feature of both PTSD and the suicide crisis.
“Given that hyperarousal is a key diagnostic feature of both PTSD and the suicide crisis (Rogers et al., 2017; Rugo-Cook et al., 2021)”
From Clinical indicators of the suicide crisis and response to ketamine (2025) · cites this paper as Rogers et al., 2017
The suicide crisis has been linked to interrelated affective and cognitive symptoms, including SI, psychological pain, anxiety, agitation, and hopelessness.
“has been linked to a host of interrelated affective and cognitive symptoms, including suicidal ideation (SI), psychological pain, anxiety, agitation, and hopelessness (see (Rogers et al., 2017)).”
From Clinical indicators of the suicide crisis and response to ketamine (2025) · cites this paper as Rogers et al., 2017
These results are in line with current models of Suicide Crisis Syndrome and Acute Suicidal Affective Disturbance.
“These results are in line with current models of the Suicide Crisis Syndrome and Acute Suicidal Affective Disturbance, in which a host of interrelated affective symptoms are believed to co-occur at the time of the crisis (Rogers et al., 2017).”
From Clinical indicators of the suicide crisis and response to ketamine (2025) · cites this paper as Rogers et al., 2017
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- Authors
- Rogers, M. L., Galynker, I., Yaseen, Z., DeFazio, K., & Joiner, T. E.
- Venue
- Psychiatric Annals
- Publisher
- SLACK, Inc.
- Published
- 2017-08
- Volume
- 47
- Issue
- 8
- Pages
- 416-420
- ISSN
- 0048-5713 (ISSN-L)
- 1938-2456
- OpenAlex
- W2743011957
- Cited by
- 66
- References
- 25
- Citations by year
- 2026: 10 · 2025: 5 · 2024: 10 · 2023: 7 · 2022: 11 · 2021: 10 · 2020: 4 · 2019: 4 · 2018: 5
- FWCI
- 4.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Annals (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- suicide crisis syndrome, suicidality, diagnostic classification, suicidal behavior, phenomenology, reliability and validity, clinical utility, lifespan
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