1997
DOI: 10.1002/(sici)1520-6394(1997)5:4<202::aid-da6>3.0.co;2-e
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Suicide: Risk factors and prevention in refractory major depression

Abstract: The literature regarding risk factors for suicidal behavior in the context of major depressive episode is reviewed. An organized framework for prevention strategies is provided. Risk factors for suicide in major depression can be organized according to whether their effect is on the threshold for suicidal acts or whether they serve mainly as triggers or precipitants of suicidal acts. For patients sufficiently depressed to present for evaluation and treatment, severity of depression is a poor guide to risk for … Show more

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Cited by 38 publications
(24 citation statements)
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References 55 publications
(80 reference statements)
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“…Insomnia symptoms are signifi cant predictors of nearlethal suicide attempts, 5 yet insomnia is often overlooked in review papers about risk factors for suicide and suicide prevention. 6 The need to broaden the search for modifi able risk factors is epitomized by this statement from a recent review of suicide prevention research: "nowhere is the lack of proven therapeutic methods greater than in the prevention of suicidal behavior." completed suicide in adults.…”
Section: -4mentioning
confidence: 99%
“…Insomnia symptoms are signifi cant predictors of nearlethal suicide attempts, 5 yet insomnia is often overlooked in review papers about risk factors for suicide and suicide prevention. 6 The need to broaden the search for modifi able risk factors is epitomized by this statement from a recent review of suicide prevention research: "nowhere is the lack of proven therapeutic methods greater than in the prevention of suicidal behavior." completed suicide in adults.…”
Section: -4mentioning
confidence: 99%
“…Recent findings suggest that suicide is the seventh leading cause of maternal death within 6 months of delivery (1.27 per 100,000 maternal deaths) (Lewis et al, 2011). Major depression, bipolar disorders, alcohol and substance use disorders, schizophrenia, and anxiety disorders contribute to the increased risk for suicide and suicidal behaviors (Hawton & van Heeringen, 2009) (Oquendo et al, 1997) (Rihmer et al, 1995) (Fawcett et al, 1990) (Cornelius et al, 1995) (Nepon et al, 2010) (Busch et al, 2003; Sareen et al, 2005). In the postpartum period, women with a psychiatric disorder, substance use disorder or both disorders were at significantly increased risk for suicide attempts by 27, 6 and 11-fold, respectively (Comtois et al, 2008).…”
Section: Introductionmentioning
confidence: 99%
“…The inadequate assessment of risk or illness severity (Lewis et al, 2011) plus low rates of seeking mental health treatment (15% of postpartum women with major mood disorders)(Vesga-López et al, 2008) likely compound the risk for suicide in postpartum women (Fawcett et al, 1990; Oquendo et al, 1997). Beyond risk to mothers themselves, maternal suicidality can undermine mother-infant interactions.…”
Section: Introductionmentioning
confidence: 99%
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“…Thus, triggers may be considered state-related. In this regard, risk factors for suicidal behavior may be categorized according to whether they affect the diathesis or the triggers (Oquendo, Malone, & Mann, 1997). This model helps to explain why, in the face of a stressor, one individual would commit suicide while another would not.…”
Section: Introductionmentioning
confidence: 99%