Suicidal behaviors in the dermatology patient

Clinics in Dermatology
Madhulika A GuptaA K Gupta

Abstract

An assessment of suicidal behaviors in the dermatology patient may be necessary in several situations: (1) in the presence of psychiatric comorbidity (major depressive disorder, body dysmorphic disorder, substance use disorder, posttraumatic stress disorder), encountered in up to 30% of dermatology patients; (2) when dermatologic symptoms ("dysmorphophobia," dermatitis artefacta) represent psychiatric pathologic conditions; (3) when psychosocial stressors (bereavement, interpersonal violence) increase the risk of suicidal behavior and exacerbate stress-reactive dermatoses (psoriasis, acne); (4) in the presence of high disease burden (chronicity, increased disease severity); (5) in instances of significant pruritus or chronic sleep disruption; (6) in the presence of facial lesions or facial scarring; (7) when social exclusion or feelings of alienation arise secondary to the skin disorder; (8) with use of medications (retinoids, biologics) for which suicidal behavior has been implicated as a possible side effect; and (9) when treating psychiatric patients experiencing a serious reaction to psychotropic medications (eg, Stevens-Johnson syndrome and anticonvulsants). Suicide risk must be assessed within a demographic context becaus...Continue Reading

Citations

Oct 14, 2018·Dermatologic Therapy·Sydney E LiangRoger S Ho
Nov 7, 2019·Journal of Cosmetic Dermatology·Maria BeisertMariola Pawlaczyk
Jan 26, 2018·International Journal of Dermatology·Mohammed Al AlawiSamir Al-Adawi
Sep 11, 2019·The British Journal of Dermatology·M GaufinA M Secrest
May 13, 2018·Non-coding RNA·Gabriel A CipollaDaniela F Gradia
Nov 7, 2019·BMC Genomics·Pavel AbaffyRadek Sindelka
Nov 13, 2020·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·Felix-Wilhelm KösterStefan W Schneider
Jun 16, 2021·Medicine·Shuangyan XuDanqi Deng
Aug 20, 2021·JAAD International·John S BarbieriJoel M Gelfand
Apr 7, 2020·Dermatology : International Journal for Clinical and Investigative Dermatology·Laura LukaviciuteChristos C Zouboulis

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