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Understanding Suicide Across the Lifespan: A United States Perspective of Suicide Risk Factors,Assessment & Management
Authors:Ian H. Steele M.D.  Natasha Thrower M.D.  Paul Noroian M.D.  Fabian M. Saleh M.D.
Affiliation:1. Harvard Longwood Psychiatry Resident Training Program Beth Israel Deaconess Medical Center, Department of Psychiatry, Rabb‐2, Boston, MA 02215;2. Harvard Longwood Psychiatry Resident Training Program Brigham and Women's Hospital, Department of Psychiatry 221 Longwood Ave, Boston, MA 02115;3. Forensic Psychiatry Fellowship, Law and Psychiatry Program, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655;4. Harvard Medical School, Boston, MA 02115;5. Sexual Violence Prevention and Risk Management Program, Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA 02215
Abstract:Suicide is a troubling, preventable phenomenon. Prior to attempts, individuals often seek help, prompting practitioners to perform risk assessments that ideally use evidence‐based risk management strategies. A literature review was performed using Harvard Countway Library of Medicine, Google Scholar, PubMed. Key words used were “Forensic Science,” “Suicide Risk Management,” “Pediatric Suicide Risk Factors,” “Adult Suicide Risk Factors,” “Geriatric Suicide Risk Factors,” “Suicide Risk Assessment.” Parameters limited articles to studies/reviews completed in the past twenty years in the United States. Results indicated predictors of suicide in juveniles were insomnia, burdensomeness, and recent conflicts with family or a romantic partner. Adults had greater risk if male, substance abusing, with marital/job loss. Elderly individuals with multiple medical comorbidities, hopelessness, and isolation were at higher risk. Everyone evaluated should be screened for access to firearms. Management of suicide risk involves providing the least restrictive form of treatment which maintains an individual's safety.
Keywords:forensic science  suicide  suicide risk factors  suicide risk management  suicide risk assessment  adolescent suicide  geriatric suicide
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