The practical suicide management based on risk factors management

Step 1

Survey for suicide risk:

請填上因子時盡可能加註出處 再將reference 列於下方

Immediate Short term Long term

可處置或可 1.‘At risk mental status​’, for 1.​withdrawing 1.No purpose or reason for living​2,3
改變因子 example, from friends, 2.​People with sexual identity
hopelessness, despair, family, and conflicts​4
agitation, society?​2
shame, guilt, anger, 2​.Victims of A chronic course of
psychosis, domestic psychiatric disroder
psychotic thought processes violence​4
2,4
4.Difficulty
(建議列出重要疾病 accessing help
schizophrenia, anxiety due to language
disorders, and substance barriers, lack of
abuse, and symptoms such information or
as insomnia) support, or
2.​Suicidality​2,3 negative
(​include​ ​direct threats to experiences with
harm or kill themselves; mental health
actively looking for ways to services prior to
kill themselves; and talking or immigration​4
writing about death, dying, or
suicide.​)2​
3.Emotional turmoil Psychiatric
(hopelessness,rage,
disorder:
impulsive or reckless actions,
anxiety or agitation, dramatic Poor compliance
mood change; ​include
symptoms of depression, or episodic attack
anxiety, panic attacks, Ex psychotic, or
anhedonia, hopelessness,
decreased concentration, and depressive
insomnia. )​ 2,3,4
​ episode,
4.No purpose or reason for
living​2,3
5.Increase or decrease of
Medical disorder
sleep​2,3
6.Increase alcohol or drug course:
use​2,3
7.Victims of domestic Pain, deteriorated
violence​4 course, Cancer
8..Alcohol intoxication​4
 9..Drug withdrawal state​4 progression, C/T
​ ccess to a
10.​ a
complication.
firearm/weapon/medication​2,
3

11.Family breakdown,
child custody issues​4

難處置或不 1.​Unemployment​1,2,4 1.​Unemployment​1, 1.​Chronic pain or illness: epilepsy​1​,

2
易改變因子 2​.Recent major loss​ or pain​4
trauma​4 2.​History of a 2.Significant medical problems​2,4
3.​Anniversary of major loss​ or mental illness​, (​declining health or physical
trauma​4 particularly illness​2​)
depression, 3.​Personality traits​: hopelessness,
4.​Financial difficulties​4 schizophrenia, neuroticism, extroversion​1,4​;
5​.Lack of social support other psychotic borderline personalitydisorder​2
network​4 illness, personality 4.Unemployment​1
6.Unwillingness to accept disorder​2,4 5.Mental illness​2,4
help​4 3.​Alcohol and
other substance 6.Impulsivity,​2,4
abuse​ 1,2,4
7.Smoker​3
​ elationship
3​.R 11. ​Poor social support​2
problems​ 2​ 13.​ Alcohol or drug use​2
4​.Legal 14.Living in ural area​4
problems​2,4
5.​Living alone​2 16.Immigrants, refugees, asylum
6.​Previous history seeker​4
of attempts 17.​Victims of domestic violenc​e4​
or self-harm​2,4 19.​History of sexual or physical
7.Cultural or abuse or neglect​2,3,4
religious conflicts​4 21.Cultural or religious conflicts​4
22.Difficulty accessing help due to
language barriers​4
24. ​ lower socio-economic status​2

不能或不需 1​.Impending legal 1.Gender-male​2,3,4

處理 prosecution​4 2.Race-white​2,3​, native american​2
3.Age​2,3,4
4.Prior suicide attempts​2,3,4
5.Family history of suicide​2,3
6..History of psychiatric admission​3
7.​ Marriage state: being
single​(include widowed,
Divorced​2,3​, never been married)​2
9.Occupation: Physicians​3
10. Prisoners​3,4
1. McLean, J, Maxwell, M, Platt, S, Harris, F, and Jepson, R. ​Risk and Protective Factors

for Suicide and Suicidal Behaviour: a Literature Review​. Scottish Government Social

Research. Edinborough. 2008.

2. Welton, R. S. (2007). The management of suicidality: Assessment and intervention.

Psychiatry (Edgmont),​ ​4(​ 5), 24.

3. McDowell, A. K., Lineberry, T. W., & Bostwick, J. M. (2011, August). Practical suicide-risk

management for the busy primary care physician. In ​Mayo Clinic Proceedings​ (Vol. 86, No.

8, pp. 792-800). Elsevier.

4. New South Wales Department of Health. (2004). Framework for suicide risk assessment

and management for NSW health staff. ​Sydney: New South Wales Department of Health.​

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