SUICIDALITY – mau mati kah?

Approach to the patient – rapport, empathy

Degree of preparation
Planning
Suicide note
Last acts

Circumstances of OD
Alone
Intervention unlikely
Precautions against discovery

After the act
Didn’t seek help
Stated wish to die
Believed act would result in death
Regrets its failure

Recent history of depressive symptoms

Current mental state

Relevant past psychiatric history
Past history of self-harm
Past psychiatric history
Current medication
Social history (alcohol/drug misuse)



RISK FACTORS OF SUICIDE
Living alone
Immigrant status
Recent bereavement/separation/divorce
Unemployment/retirement
Male sex
Older age
Family or previous history (affective disorder, suicide, alcohol abuse)
Previous suicide attempt
Drug/alcohol addiction
Severe depression/early dementia
Incapacitating, painful physical illness

DELIBERATE SELF HARM
Reason
Method
Suicidal intent
Risk factors for suicide
Psychiatric disease
Drug/alcohol abuse