Suicide and violence assessment in psychiatry

General Hospital Psychiatry
D H Hughes

Abstract

Psychiatrists are increasingly expected to predict and prevent the suicidal and violent/homicidal impulses of their clients. This article reviews the current literature and research in these areas. While the debate continues on whether the clinician can successfully predict either violence or suicidal behavior in their patients, the preponderance of studies weighs in that predicting suicide and violence in the individual may not be possible currently given present knowledge. To compensate for forecasting limitations, conservative clinicians deliberately overpredict suicide or violence to help insure the safety of their patients and the greater communities in which they reside. In addition, clinicians need to perform thorough assessments and make logical clinical decisions that are in line with the perceived risks. Preventive measures for violence remain complex, but clinicians can maximize treatment effects by following specific intervention guidelines. Minimally, documentation concerning violence needs to focus on the rationale for why treatment interventions were or were not implemented. The chart does not require lengthy notations but should include a reasonable assessment of risk and the delineation of a prudent course of a...Continue Reading

References

Apr 1, 1992·Journal of Clinical Psychopharmacology·S A MontgomeryD Baldwin
Jul 1, 1992·Pediatric Annals·D C Grossman
Feb 1, 1992·The American Journal of Psychiatry·D E McNielC Hatcher
Nov 1, 1991·The American Journal of Psychiatry·J C BeckB Gage
Mar 1, 1991·Psychiatry Research·E SaboS R Berman
Jul 1, 1990·Comprehensive Psychiatry·R Feinstein, R Plutchik
Nov 1, 1988·Annals of Emergency Medicine·F W LavoieR L Berg
Jan 1, 1988·Suicide & Life-threatening Behavior·D Lester
Jan 1, 1987·The American Journal of Psychiatry·M J MillsS Eth
Feb 1, 1987·The American Journal of Psychiatry·D E McNiel, R L Binder
Feb 1, 1986·Hospital & Community Psychiatry·F Engel, S Marsh
Mar 1, 1983·Archives of General Psychiatry·A D Pokorny
Jul 1, 1995·Journal of the American Academy of Child and Adolescent Psychiatry·I Fras, L F Major
Aug 1, 1995·Journal of Clinical Psychopharmacology·P CzoborR C Meibach
Feb 1, 1995·Psychiatric Services : a Journal of the American Psychiatric Association·D Phillips, K E Rudestam
Jun 1, 1995·The American Journal of Psychiatry·D E McNiel, R L Binder
Jul 1, 1994·Hospital & Community Psychiatry·K J BlackD Rastogi-Cruz
Jul 1, 1994·Journal of Affective Disorders·E IsometsäJ Lönnqvist
Jul 31, 1993·Lancet·M GoldacreK Hawton
Oct 23, 1993·Lancet·E IsometsäJ Lönnqvist
Apr 1, 1994·The American Journal of Psychiatry·E T IsometsäJ K Lönnqvist
Nov 1, 1993·International Clinical Psychopharmacology·S A Montgomery
Jun 1, 1993·The American Journal of Psychiatry·M D RuddM H Rajab

❮ Previous
Next ❯

Citations

May 1, 2001·Suicide & Life-threatening Behavior·D Hughes, P Kleespies
Apr 23, 2004·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·D A FishbainR Steele-Rosomoff
Jan 7, 2000·The Psychiatric Clinics of North America·J R Brasić, D Fogelman
Feb 11, 2015·Journal of Affective Disorders·Orla O'DonnellMitch Waterman
Feb 26, 2016·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Marina GarrigaEduard Vieta
Jan 1, 2016·EPJ Data Science·Ladislav KristoufekTobias Preis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.