Presentation
Pham will present "Relative Risks of Depression and Suicidal Tendency among Victims of School- and Electronic-Bullying With Co-Risk Factors" as a platform presentation on Monday, April 27. [sciencedaily.com]
A case of Cushing disease, who presented with suicidal depression as the main complaint is reported. [ncbi.nlm.nih.gov]
At least (1) depressed mood or (2) loss of interest or pleasure must be present. Symptoms are present most of the day, nearly daily for at least 2 weeks. [gulfbend.org]
It is scored on a 3-point Likert scale from 0=not present to 2=maximum severity of suicidal ideation. [intechopen.com]
Entire Body System
- Pain
According to Chiles and Strosahl, pain is viewed as intolerable if it exceeds one’s defined threshold; pain is viewed as inescapable if one does not see any solutions to the problem causing the pain; and pain is viewed as interminable if one believes [intechopen.com]
It really saddens me to hear about anyone who has committed suicide since I know there is a way out of the hopelessness and pain. Whatever you do, never give up! [axelg.com]
But to anyone who has experienced the suicidal pain of depression, the explanation is so simple, so self-evident, that it requires neither psychiatric nor psychological jargon. [healingfromdepression.com]
Although it might seem as if your pain and unhappiness will never end, it’s important to realize that the pain is usually temporary. Solutions are often found, feelings change, unexpected positive events occur. [headsupguys.org]
Usually, suicidal thoughts occur when a person is in intense emotional pain and doesn’t see a way out. The things that cause this type of pain are different for everyone. [familydoctor.org]
- Family History of Suicide
According to the American Foundation of Suicide Prevention, those with a history of depression, bipolar disorder, family history of suicide, and substance dependence are at a higher risk of attempting suicide. [onemedical.com]
or to graphic or sensationalized accounts of suicide Previous suicide attempts Family history of suicide Childhood abuse, neglect or trauma [afsp.org]
In addition to depression, other risk factors include: family history of suicide attempts exposure to violence impulsivity aggressive or disruptive behavior access to firearms bullying feelings of hopelessness or helplessness acute loss or rejection Children [aacap.org]
Your doctor will ask you about your medical history, family history, and personal history. They’ll also ask you about your suicidal thoughts and how often you experience them. [healthline.com]
The following risk factors may have an impact on the probability of someone experiencing suicidal ideation: a family history of mental health issues a family history of substance abuse a family history of violence a family history of suicide a feeling [medicalnewstoday.com]
- Falling
Their terror of falling from a great height is still just as great as it would be for you or me standing speculatively at the same window just checking out the view; i.e., the fear of falling remains a constant. [everydayhealth.com]
Changes that are assumed to be symptoms of the 'breakdown of society' are associated with a rising suicide rate (examples include the rising divorce rate and falling church attendances). [netdoctor.co.uk]
Suicide rates, however, do differ significantly, and are nearly three times higher among white people: ( American Foundation for Suicide Prevention ) 9) Most suicides are committed with guns While the share is falling, in 2010 50.5 percent of suicides [vox.com]
- Family History of Depression
Some of the leading factors that increase the risk of suicide among children and teens are: Family history of depression or suicide Psychological disorder, especially depression, bipolar disorder and/or alcohol and drug abuse disorder Previous suicidal [cincinnatichildrens.org]
A family history of depression increases the chances that a child will suffer the same by a factor of 11. But families (and friends) can also play a significant role in preventing suicide. Strong social support is known to lower suicide risk. [yahoo.com]
Etiology of Depression and Suicidality The cause of depression is multifactorial. A family history of depression is common among persons with the disorder, as is a family history of suicides. [emedicine.medscape.com]
- Dentist
"Stress-Related Suicide by Dentists and Other Health Care Workers: Fact or Folklore?" Journal of the American Dental Association 132.6 (2001): 786-794. Aliferis, L. "California to permit medically assisted suicide as of June 9." [medicinenet.com]
Certain professions, such as physicians and dentists, may be more at risk for suicide. It is not clear if this is due to job stresses, knowledge of and access to lethal means, or other factors. [emedicinehealth.com]
Gastrointestinal
- Vomiting
Headaches, nausea and vomiting, drowsiness, vision problems and seizures are signs of increased pressure on the brain. [dailymail.co.uk]
Common side effects include stomach issues such as nausea, constipation, and vomiting. [drugs.com]
After I swallowed the pills, I felt like I was going to vomit at lunch and I felt weak, so a friend of mine called my mom on her cell. My mother was furious and embarrassed. [romper.com]
Skin
- Alopecia
[…] measured by the Carroll Rating Scale for Depression, CRSD), wishes to be dead and acute suicidal ideation among 480 patients with dermatological disorders that may be cosmetically disfiguring, i.e. non-cystic facial acne (n = 72; 5.6% suicidal ideation), alopecia [ncbi.nlm.nih.gov]
In the 1 mg dose (Propecia), it is indicated for the treatment of male pattern hair loss (androgenetic alopecia). In the 5 mg dose (Proscar), it is indicated for the treatment and control of benign prostatic hyperplasia. [gov.uk]
Musculoskeletal
- Back Pain
Depression does hurt and may be the cause of many unexplained physical problems, including headaches, digestive issues and back pain, among others. [today.com]
Psychiatrical
- Suicidal Ideation
Suicidal ideation was also evaluated during the interviews. To confirm the diagnosis of suicidal ideation, interviewees underwent additional independent interviews that specifically focused on suicidal ideation. [bmjopen.bmj.com]
Thorough risk assessment may reveal active suicide ideation The commonly held belief that passive suicidal ideation poses less risk for suicide than active suicidal ideation is steeped in the lore of psychiatric practice. [mdedge.com]
Participants were divided into 2 groups: patients without symptoms of suicidal ideation (n=691) and patients with 1 or more symptom of suicidal ideation (n=228). [psychiatryadvisor.com]
[…] facial acne (n = 72; 5.6% suicidal ideation), alopecia areata (n = 45; 0% suicidal ideation), atopic dermatitis (n = 146; 2.1% suicidal ideation) and psoriasis (79 outpatients, 2.5% suicidal ideation and 138 inpatients, 7.2% suicidal ideation). [ncbi.nlm.nih.gov]
ideation and anger (**0.37), and of suicidal ideation and experience of shame (**0.27). [search.emarefa.net]
- Anger
[…] ideation and anger (**0.37), and of suicidal ideation and experience of shame (**0.27). [search.emarefa.net]
Crisis Services Counseling Services Let's Talk Concerned Others/Referrals Consultation and Outreach Inner Resources Room Self-Help Apps for Smartphones Abusive Relationships/Domestic Violence Academic and Career Issues Alcohol and Other Drug Issues Anger [ucc.nd.edu]
Suicidal Tendencies Lyrics "Depression And Anguish" Travels thru my veins poisoning my soul Makes me hate myself, makes my anger blow Suffocates the hope - eats away my will Traps in all the hate - depression And I don't wanna feel this way - but I can't [azlyrics.com]
Repressed Anger I n psychological terms, he repressed his anger for his mother and ended up turning his frustration against himself. The proverb “Don’t bite the hand that feeds you” sums this up nicely. It’s a terrible bind for a child. [guidetopsychology.com]
- Social Isolation
Homelessness itself can trigger a mental illness or worsen an existing condition, without even considering other factors such as poverty, personal conflicts, death of a loved one, serious medical condition, social isolation and other personal issues. [homelesshub.ca]
With every depression-related suicide, celebrity or otherwise, we are forced to recognize that there are some people who — due to social isolation, stigma, substance abuse, or other factors — are beyond our current medical reach. [refinery29.com]
You may be at risk of suicide if you: Attempted suicide before Feel hopeless, worthless, agitated, socially isolated or lonely Experience a stressful life event, such as the loss of a loved one, military service, a breakup, or financial or legal problems [mayoclinic.org]
Another common trigger for suicidal thoughts is the feeling of being isolated or not being accepted by others. Feelings of isolation can be caused by sexual orientation, religious beliefs, and gender identity. [healthline.com]
- Withdrawn
"Patterns of irritability, anger and acting withdrawn can also signal depression." [news.stanford.edu]
Becomes withdrawn. The person avoids close friends and family, loses interest in activities and social events, and becomes isolated. Shows despair. The person may talk openly about unbearable pain, or feeling like they’re a burden on others. [webmd.com]
Retracting into a shell, withdrawn 5. Talks about death, afterlife 6. Social media posts on topics like death, end, sadness 7. Dislike towards things they liked earlier 8. Disturbed sleep 9. [hindustantimes.com]
Things to look out for are: • Statements like ‘It would have been better if I had died’ • Making threats about committing suicide • If they become very withdrawn or depressed. [autism-help.org]
- Psychomotor Retardation
Signs of depression may include the following: Psychomotor retardation or agitation, such as slowed speech, sighs, and long pauses Slowed body movements, even to the extent of motionlessness or catatonia Pacing, hand wringing, and pulling on hair Appearance [emedicine.medscape.com]
Neurologic
- Irritability
Some of the symptoms may include: Irritability, restlessness Persistent sad, anxious, or "empty" feelings Feelings of hopelessness or pessimism Feelings of guilt, worthlessness, or helplessness Increased sensitivity or vulnerability to criticism Fatigue [thenanproject.org]
You may experience irritability during the required two-week period of symptoms. Or, you may experience your depression as physical pain. [gulfbend.org]
Signs of depression: Sleep changes, weight changes, apathy, loss of interest in activities, withdrawal from friends and family, irritability, or sadness. Expressions of hopelessness: “Things will never get better,” “What’s the point?” [onemedical.com]
Irritability, mood swings or constant complaining; nothing seems to make the person happy. Talk of worthlessness, not being needed anymore, excessive and unwarranted guilt. [save.org]
"Patterns of irritability, anger and acting withdrawn can also signal depression." [news.stanford.edu]
- Confusion
It’s normal to feel lost, lonely, confused, anxious, inadequate and stressed at times during this stage of life. When these feelings persist, they may develop into depression. [umass.edu]
They may be associated with feelings of sadness, confusion, anger, or problems with attention and hyperactivity. [aacap.org]
If you are feeling suicidal, you might be scared or confused by these feelings. But you are not alone. Many people think about suicide at some point in their lifetime. I couldn't see past the pain. It was a different reality for me. [mind.org.uk]
- Neglect
Stressful life events, like rejection, divorce, financial crisis, other life transitions or loss Exposure to another person’s suicide, or to graphic or sensationalized accounts of suicide Previous suicide attempts Family history of suicide Childhood abuse, neglect [afsp.org]
[…] others desperate, as if you have no other choice like everyone would be better off without you cut off from your body or physically numb poor sleep with early waking change in appetite, weight gain or loss no desire to take care of yourself, for example neglecting [mind.org.uk]
Unhealthy family relationships, family breakdown, poverty, physical, emotional and sexual abuse, histories of domestic violence and neglect are known factors that impact this population. [homelesshub.ca]
- Apathy
Signs of depression: Sleep changes, weight changes, apathy, loss of interest in activities, withdrawal from friends and family, irritability, or sadness. Expressions of hopelessness: “Things will never get better,” “What’s the point?” [onemedical.com]
The apathy and hopelessness brought on by the depression can cause someone not to even be able to think rationally anymore. [mental-health-matters.com]
As lethargy and apathy deepen during bouts of depression, a person may seem to lose all interest in cleanliness or personal appearance. [bridgestorecovery.com]
An overall sadness or apathy, withdrawal; inability to find pleasure in anything. Irritability, mood swings or constant complaining; nothing seems to make the person happy. [save.org]
For example, some depressed individuals seem to withdraw into apathy, while others may become irritable or even agitated. Eating and sleeping patterns can be exaggerated to either extreme, either becoming excessive or being almost eliminated. [emedicine.medscape.com]
- Seizure
Headaches, nausea and vomiting, drowsiness, vision problems and seizures are signs of increased pressure on the brain. [dailymail.co.uk]
[…] anxiety and agitation Effects Effects of Suicidal Ideation The long-term effects of suicidal thoughts and behaviors are tremendously challenging, often devastating, and may include: Severe injury Damage to all organ systems Brain damage Brain death Seizures [valleybehavioral.com]
Heart rhythm disturbances, seizures, and depressed breathing are serious overdose complications. [drugs.com]
Some of the diagnoses shown to have a higher risk include cancer, kidney failure, rheumatoid arthritis, epilepsy (seizure disorder), AIDS, and Huntington's disease. [emedicinehealth.com]
Treatment
CONCLUSIONS: The results require replication but suggest a pathway by which selective serotonin reuptake inhibitor treatment may exert a stronger effect compared with norepinephrine-dopamine reuptake inhibitor treatment on reduction of suicidal thoughts [ncbi.nlm.nih.gov]
In addition, there should be studies of whether more intensive treatment involving increased pharmacological and/or psychological treatment may lead to a better response in patients who don't respond to the medicine within the first few weeks," says Ole [eurekalert.org]
As with all CBT treatments, the final phase of treatment focuses on relapse prevention. [intechopen.com]
Whatever you call it, the treatment doesn't come cheap. [edition.cnn.com]
Prognosis
Combined treatment which addresses both the mental and somatic components of the illness significantly improves the overall prognosis. [mentalhealthandillness.com]
Clinical depression commonly occurs concurrently with, or can be precipitated by, injury or other medical illnesses and worsens the prognosis for these illnesses. [emedicine.medscape.com]
"Prognosis after suicide attempt: Standard of care and the consequences of not meeting it." Journal of Psychiatric Practice 15.2 March 2009: 141-144. Reinherz, H.Z., Tanner, J.L. and Berger, S.R. [medicinenet.com]
The goal is not just to find biological markers of risk, but to tailor care accordingly—sometimes by reaching beyond psychiatry's usual armamentarium—and improve the prognosis of Moe and others like him. [sciencemag.org]
Etiology
Etiology of Depression and Suicidality The cause of depression is multifactorial. A family history of depression is common among persons with the disorder, as is a family history of suicides. [emedicine.medscape.com]
[…] set out to determine a course of early detection for suicidal ideation in teens stating that "risks associated with suicidality require an immediate focus on diminishing self-harming cognitions so as to ensure safety before attending to the underlying etiology [en.wikipedia.org]
Epidemiology
Epidemiology of youth suicide and suicidal behavior. Curr Opin Pediatr. 2009; 21: 613-619. 17. Mendelson T, Kubzansky LD, Datta GD, Buka SL. [aaem.pl]
Epidemiology According to the CDC, general statistics on suicide include the following: Every day, approximately 105 Americans die due to suicide Over the past 10 years, suicide rates have increased 12.1 per 100,000 One person dies by suicide every 12.3 [psycom.net]
It has also been noted that monitoring of these patients did not increase following the warnings. [14, 15, 16, 17] Epidemiology of Depression and Suicide Occurrence in the United States An estimated 6-12% of the US population will experience depression [emedicine.medscape.com]
Prevention
Read this next Find help for yourself or someone you care about Sources Mental Health America Centers for Disease Control and Prevention Adapted with permission from the National Suicide Prevention Lifeline [findyourwords.org]
Helpguide.org Depression Self-Evaluator Ulifeline.org About Light Treatment for Depression Observer Article Bright Light Therapy for Notre Dame Students, Faculty and Staff Suicide: Helping Someone in a Suicidal Crisis Assessing the risk of suicide Suicide prevention [ucc.nd.edu]
National Suicide Prevention Lifeline – Suicide prevention telephone hotline funded by the U.S. government. Provides free, 24-hour assistance. 1-800-273-TALK (8255). [onemedical.com]
Only five out of 69 depression and suicide prevention apps offered all six evidence-based suicide prevention strategies. [bmcmedicine.biomedcentral.com]
Understanding and preventing suicide: A psychological perspective. [mentalhealth.org.uk]