Suicide

Description Suicide is the act ...

Description

Suicide is the act of killing oneself. Suicide and suicidal thoughts are the result of psychiatric illnesses such as depression, bipolar disorder and schizophrenia; but can also occur after a major life stress event such as loss of a loved one or job. Suicide is often an impulsive act and can be prevented if intervention occurs. Suicide rates increase with age and are highest in patients greater than 75 years old. Women attempt suicide more often but men commit suicide much more frequently.

Symptoms

Depression, feeling guilty, feeling helpless, impulsive behavior, sudden change in behavior, withdrawing from friends and family. Warning signs include: giving away belongings, attempts to "get one's affairs in order", direct or indirect threats to commit suicide, direct attempts to commit suicide.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Tests will be done to determine what self-harm has been committed and the damage caused.

Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Troponin, Urinalysis (UA), X-ray

Other Specific Tests: Urine and serum drug screens, acetaminophen (Tylenol) level, salicylate (aspirin) level

Specialists:
Psychiatry, Pediatric and Adolescent Psychiatry

Treatment

The goals of therapy are to treat any immediate life threats caused by the suicide attempt, and then address the underlying cause of the suicide attempt. Treatment may include: forced hospitalization, medications, and psychotherapy. Electroconvulsive therapy may be recommended for severe cases.