Suicide & Non-Suicide Self-Injury

Aggression turned inward

Freud

- Wish to kill - Wish to be killed - Wish to die

Menninger's 3 parts to suicide hostility

- Have you ever felt that life was not worth living? - Have you been thinking about death recently? - Did you ever think about suicide? - Have you ever attempted suicide? - Do you have a plan for completing suicide? - If so, what is your plan for suicide?

Questions you could ask to assess for suicide ideation?

Combination of suicidal fantasies & significant loss

Diathesis-stress-model

Self-injury directed to the surface of the body to induce relief from a negative feeling/cognitive state or to achieve a positive mood state

Nonsuicidal Self-Injury

Thinking about killing oneself

Suicidal Ideation

Central emotional factor is hopelessness

Aaron Beck

A person with which psychiatric problem is most likely to complete suicide? A.Personality disorder B.Major depression C.Substance abuse D.Schizophrenia

B. Major depression

Suicide successfully resulting in death

Completed Suicide

Which method of suicide has the highest lethality? A.Ingesting pills B.Cutting one's wrists C.Inhaling natural gas D.Self-inflicted gunshot wound

D. Self-inflicted gunshot wound

Intentional act of killing oneself by any means

Suicide