Managing the Suicidal Patient

Linda M. Nicholas, MD, MS, Assistant Professor of Psychiatry, and Robert N. Golden, MD, Professor and Chair of Psychiatry, University of North Carolina School of Medicine Chapel Hill, North Carolina

[Clinical Cornerstone 3(3):47-57, 2001. © 2001 Excerpta Medica, Inc.]

Abstract

Suicide is a major public health problem. Worldwide, approximately 1% of deaths are due to suicide. In the United States, suicide is the eighth leading cause of death. More than 30,000 Americans commit suicide each year, and nearly 500,000 others make a serious suicide attempt warranting emergency medical attention. Suicide attempts account for 23% of psychiatric visits to emergency rooms.

Introduction

Death by suicide is the end point on a continuum that includes risk-taking behaviors and suicidal thoughts, gestures, and attempts. The element most common to suicide attempts and completions is the presence of a major psychiatric disorder. More than 90% of persons who complete suicide have a major psychiatric illness.

Seventy percent of persons who commit suicide see their primary care physician within 6 weeks of death. Of those who attempt suicide, 35% seek medical attention the week prior to the attempt. It is thus imperative that all physicians learn to recognize the risk factors for suicide, actively assess a patient's current risk, understand the differential diagnoses, and develop appropriate treatment approaches.

Assessment of Risk

Suicide is an act that has multiple determinants. A distinction is often made between suicide attempters (who are often referred to as "parasuicidal") and suicide completers. Attempters tend to be younger and female and to use less-lethal means, notify others of intent, and act in the presence of others. The distinction between "attempters" and "completers" should be tempered with the recognition that without appropriate intervention, many of the former eventually take their lives, sometimes years after an initial suicidal gesture.

The evaluation of the suicidal patient requires familiarity with both demographic and individual risk factors. Although demographic or population risk factors may give us clues to which groups of people are at risk, it is the individual factors that help us understand what may drive a person to such hopelessness and despair that he or she would attempt to end his or her life.

Epidemiologic Risk Factors

Age. In general, suicide risk increases with age, with the geriatric population at significantly increased risk. Suicide peaks in men aged >45 years and in women aged >55 years. Whereas average suicide rates in the United States in the 20th century have been 12.5 per 100,000, the rate for men aged >65 years is 40 per 100,000; the rate for persons aged >75 years is even higher. The elderly make up 10% of the population, but they account for 25% of suicides. Depression and alcoholism are the 2 psychiatric conditions most commonly associated with suicide in the geriatric population (Table I).

In the United States, suicide rates among adolescents have risen 3-fold in the past 30 years. In 15-to 19-year-olds, suicide is the third leading cause of death after accidents and homicides. Several factors put the adolescent at risk for self-inflicted death, including impulsive and high-risk behaviors, untreated mood disorders (especially major depression and bipolar disorder), access to lethal means (eg, firearms), and substance abuse. The use of firearms is the most common method of completed suicide in children and adolescents and accounts for about two thirds of suicides in boys and almost one half of suicides in girls.

Gender. Men of all ages commit suicide 2.5 to 4 times more frequently than do women, whereas women attempt suicide 2 to 3 times more often than do men. However, attempts by men may be masked as risk-taking behaviors or car accidents. The predominance of males in completed suicide is accounted for in part by their more lethal and violent means as well as an increased rate of substance abuse.

Ethnicity and community. In the United States, suicide rates are highest among whites, followed by American Indians, African Americans, Hispanics, and Asian Americans. Suicide rates have been increasing in young African American men, however. Suicide rates among inner-city youths exceed national rates. Immigrants are also at risk, as their suicide rates exceed those of both the population of their country of origin and their adopted country.

Marital status. Married persons have the lowest risk of suicide. Rates for single persons are twice those of married persons, whereas rates for divorced, separated, or widowed persons are 4 to 5 times higher.

Employment. Work appears to be a protective factor for suicide, probably due to increased feelings of usefulness as well as increased social interaction in the workplace. Suicide rates increase in times of economic depression and high unemployment. In the United States, the highest suicide rates in the 20th century were during the Great Depression.

Neurobiologic correlates. Biologic factors may play a role in setting the "threshold" for impulsive, violent behavior and suicide. Measures of reduced serotonin function have been consistently associated with suicidal behavior in various diagnostic groups. Low concentrations of the serotonin metabolite 5-hydroxy-indoleacetic acid (5-HIAA) in cerebral spinal fluid (CSF) as well as blunted prolactin response to fenfluramine challenge have been found in patients who have attempted suicide, and postmortem studies have found presynaptic and postsynaptic changes in serotonin receptor sites in suicide completers compared with controls who died of other causes. Furthermore, reduced CSF 5-HIAA has been shown to predict future suicidal behavior.

Low serum levels of total cholesterol have been associated with suicide and suicide attempts in multiple studies. Primary prevention trials designed to lower cholesterol in patients with coronary artery disease resulted in an increase in deaths by suicide.

Individual Risk Factors

Although epidemiologic risk factors are certainly useful in targeting suicide potential and prevention in certain groups, factors known to influence risk in the individual are the most crucial when assessing suicidality in a given patient. Determining the potential risk for actual suicide in any patient with suicidal thoughts calls for a careful, systematic evaluation of the patient's history, current mental status, and individual circumstances.

Current mental status. A thorough mental status examination is of utmost importance in the assessment of every patient with suicide potential. Special attention should be given to thought content, mood, affect, and factors that predispose to impulsive behavior.

Suicidal thoughts, intent, and plans. When assessing a patient's risk for self-harm or suicide, it is of utmost importance to directly inquire about thoughts of death or suicide. Suicidal thoughts may range from fleeting to persistent and intrusive. When suicidal thoughts are present, the clinician should question the patient's family and other associates with regard to communication of intent.

Intent may be expressed as putting one's affairs in order or saying good-bye to important people in one's life. When a patient admits to suicidal thoughts or intent, or both, the next step is to ask directly about the presence of a plan. The specificity and lethality of the plan must be evaluated, and a discussion regarding the patient's intent to act on it must be conducted. An important question to ask is, "Is the method of possible self-injury available?" Interestingly, the method used influences the success of the suicide attempt independent of the severity of the intent to die. Plans that are lethal and well thought out pose a particularly acute danger.

Affect/mood. Sadness, hopelessness, and withdrawal predispose a patient to suicide more so than anger. The degree of a patient's hopelessness must be assessed. Hopelessness is the symptom most associated with long-term suicide risk. Those patients who seem to have given up and can see no "light at the end of the tunnel" pose a significant risk. The degree of communication between physician and patient is also important. A patient who is withdrawn and noncommunicative should raise red flags for the clinician, more so than the patient who is responsive and warm. Also worrisome is the patient who expresses a desire to meet again with deceased loved ones.

The presence of severe anxiety, agitation, or insomnia greatly increases short-term risk of suicide. In one study, the presence of anxiety predicted 93% of suicides occurring within a year of diagnosis of major affective disorder, with the risk proportional to the severity of the anxiety. Sleep disturbance is a symptom of several psychiatric illnesses (particularly the mood and anxiety disorders) associated with increased suicide risk. Agitation is another state that appears to increase the risk of self-harm. Akathisia, a common side effect of certain psychotropic drugs, including conventional antipsychotics and some antidepressants, is another important form of agitation.

Impulsive behavior. Impulsive behavior is often seen in psychiatric disorders, particularly in bipolar disorder, some personality disorders, and substance use disorders. Impulsive behavior increases the risk for suicide. Some patients, especially women, may be hesitant to admit to such behaviors.

Inquiry as to how a patient handles stress or the breakup of a relationship and whether there is a history of domestic violence or abuse may give clues to potential for impulsive behavior. For example, an individual who responds to bad news or rejection by head banging, driving recklessly, binge drinking, or destroying property would be at high risk. Impulsive behavior is especially dangerous when combined with substance abuse or alcohol abuse.

Psychosis. The presence of psychotic symptoms is an important risk factor for suicide. Some patients with psychosis may have persecutory delusions from which they may wish to escape, or they may experience command hallucinations telling them to kill themselves.

Organic disease. Patients with a medical cause for a mood or psychotic disorder may be at increased risk for self-harm. In an acute delirium, insight and judgment are characteristically impaired. Brain injury due to illness (eg, stroke) or an accident may predispose to depression and at the same time may damage those parts of the brain needed for resourcefulness, judgment, and impulse control.

History. Evaluation of suicide risk must involve a careful patient history, including psychiatric or medical conditions, prior suicide attempts, as well as family and social histories.

Psychiatric and medical history. The greatest risk factor for suicide is the presence of a psychiatric disorder. The mental disorders most highly associated with suicide are the mood disorders (depression and bipolar disorder), schizophrenia, borderline and antisocial personality disorders, alcoholism, and drug abuse.

Mood disorders are the most common psychiatric disorders associated with suicide. In general population studies, 30% to 64% of persons who commit suicide have a primary depressive dis-order. Fifteen percent of depressed patients die by suicide. Comorbid psychiatric disorders (particularly alcohol or substance abuse) and medical illness further increase the risk of suicide in depressed persons. Depressed patients with delusions (eg, delusions of guilt, thought insertion, mind reading, or paranoia) are 5 times more likely to kill themselves than nondelusional depressed patients. Depressed patients are at especially increased risk of suicide in the 6 to 12 months following discharge from the hospital.

At some point in their lives, 25% to 50% of patients with bipolar disorder attempt suicide. Bipolar patients are more at risk during the rapid fluctuation in mood states at the beginning or end of a depressive episode and when there are simultaneous depressive and manic symptoms (mixed mood states). Irritability, poor sleep, recklessness, medication noncompliance, and comorbid sub-stance abuse increase the likelihood of suicide during hypomanic, manic, and mixed states.

Anxiety and panic are important short-term risk factors for suicide. National Institutes of Health Epidemiologic Catchment Area data indicate that 20% of persons with panic disorder have made a suicide attempt. Particularly worrisome is the combination of panic and hopelessness. In one study, patients with simple panic disorder without comorbidity had a lifetime rate of suicide attempts of 7%. When panic patients had comorbid depression, the risk rose dramatically to 19%. Assessment of suicide risk in patients with anxiety disorders therefore should include determination of superimposed depression. In patients with post-traumatic stress disorder, survivor guilt is associated with suicide.

Suicide is the leading cause of premature death (approximately 10%) in patients with schizophrenia. Suicide tends to occur in the first years of the illness, and patients with schizophrenia who commit suicide tend to be younger than other cohorts who commit suicide. Approximately one third of suicides in schizophrenic patients occur during the first few weeks following discharge from the hospital, and another approximately one third occur during inpatient hospitalization. Approximately 75% of schizophrenic persons who commit suicide are unmarried males. Although a small percentage may be actively psychotic with command hallucinations or delusions, risk is highest when symptoms are under control, possibly reflecting the painful recognition of their illness. Depressive symptoms are closely associated with suicide in schizophrenic patients.

The presence of either alcohol abuse or substance abuse increases the risk for suicide. The majority of alcohol abusers and substance abusers have suicidal thoughts, most commonly at the end of a binge. Alcohol abuse or dependence is associated with 25% to 50% of suicides and is second only to depression in its association with suicide. Comorbidity of alcohol or substance abuse with other psychiatric illnesses greatly increases the suicide risk.

Impulsive behavior, parasuicidality, and suicide characterize borderline and antisocial personality disorders. Many of these individuals use self-harm as a response to stress. Although persons with antisocial disorder or borderline disorder are more likely to be repeat attempters than completers, the death rates by suicide for these 2 groups are 5% and 8%, respectively.

Multiple studies have confirmed that the presence of physical illness increases the risk of a suicide attempt. In suicide completers aged >50 years, medical illness plays a role in the motivation to commit suicide in more than one half. Patients with AIDS have suicide rates up to 20% greater than those in the general population. Factors that may increase risk in patients with medical illness include any comorbid psychiatric disorder or sub-stance use disorder, chronic pain, threat of financial loss, and feelings of being a burden. Suicidal patients with a serious or terminal illness common-ly suffer from a treatable depressive disorder.

Often, particularly for adolescents, suicide occurs after a stressful event. There may have been a recent disapproval or rejection, disciplinary crisis,

or academic failure. However, healthy individuals adjust to these stresses and disappointments without thoughts of self-harm. Persons who react to these events with suicidal behavior need to be carefully evaluated for the presence of an underlying, treatable psychiatric disorder.

History of suicide attempts. A history of suicide attempt(s) significantly increases the lifetime risk for suicide completion. Sixty percent of completed suicides are preceded by attempts, and one third of patients who make a suicide attempt will repeat an attempt within 2 years. Eight times as many individuals attempt suicide as complete it. The methods previously used in attempts may give clues to the patient's intent and help to predict the lethality of future attempts.

Family history. Family history of suicide increases the risk of suicide attempts and completed suicide across diagnostic groups. Twin and adoption studies suggest a genetic transmission to suicidality that is independent of its relationship to mental illness. It may be that the genetic predisposition toward suicide and suicide attempts is related to an inability to control impulsive behavior.

Social history. Social factors that predispose to suicide include early death of a parent, childhood physical and social abuse, and social isolation. In a retrospective study, 30% of persons who completed suicide were found to have experienced a recent loss. Early parental loss is associated with chronic suicidality. The children of parents who are abusive, rejecting, or depressed demonstrate higher rates of suicidal behavior. Support systems always need to be assessed and maximized in any patient with suicidal thoughts because social withdrawal or isolation is a factor in half of suicides. A fall in socioeconomic status is sometimes a predisposing factor.

Management and Treatment Approaches

Suicide in psychiatric patients is often preventable, provided the risk factors are carefully assessed and an appropriate treatment plan is implemented. The 2 most important considerations when treating a suicidal patient are (a) ensuring safety and (b) diagnosing and treating the underlying psychiatric disorder.

Ensuring Safety

The first order of business when treating suicidal patients is to provide a safe environment. Unfortunately, there are no universal guidelines for determining which patients may be safely managed on an outpatient basis. For example, a patient with moderate depression and frequent suicidal thoughts, who has a very involved and intact family, may be safely managed with intensive and fre quent outpatient contact, while a more mildly depressed patient with less frequent thoughts of dying, but who lives alone with minimal social support, may require inpatient hospitalization.

When deciding whether to hospitalize the suicidal patient, consider not only individual factors, but also support systems, living arrangements, and the feasibility and safety of other alternatives such as intensive outpatient treatment (Table II). When possible, work with other mature, involved adults (eg, family, friends, roommates, clergy, other health professionals). However, always remember that the bottom line -- regardless of the patient's stated preference, the family's wishes, or managed care restrictions -- is that safety comes first. If necessary and indicated, consider involuntary hospitalization. Explore and modify the safety of the environment, restricting access to lethal means. Make arrangements to remove dangerous drugs or weapons from the home and other environments. Ensure that the patient does not have access to firearms. "No-suicide contracts" -- formal agreements between patient and caregiver that no attempt at suicide will be made and that the clinician will be contacted in the event that the patient has a suicidal intent or plan -- may be useful in some situations, particularly with patients with whom there is an established alliance, but do not overly rely on them. Often such contracts mainly serve to make the clinician feel better rather than being truly meaningful for the patient. Remember that suicide is most often an irrational act.

Addressing the Underlying Diagnosis

Underlying psychiatric disorders should be treated aggressively, always bearing in mind the therapeutic margin of any psychotropic agent prescribed.

Mood stabilizers. There is evidence that lithium may be prophylactic against suicide in bipolar depression and unipolar depression and in schizoaffective disorder. Lithium's antisuicidal effect may be secondary to its serotonergic activity and the stabilization of agitated and aggressive states. Lithium treatment must be monitored closely due to its low therapeutic margin and issues of compliance. Although anticonvulsant medications also have mood stabilizing and antiagitation effects, to date, they have not been shown to lower the risk of suicide.

Antidepressants. The selective serotonin reuptake inhibitors (SSRIs) are effective in the treatment of depression and certain anxiety disorders, and there is evidence that they may also improve impulsiveness and irritability. The SSRIs have an excellent safety profile, unlike the tricyclic antidepressants and monoamine oxidase inhibitors. However, bear in mind that initial side effects may include increased agitation and insomnia; therefore it may be wise to titrate slowly and to be prepared to add a temporary agent (eg, trazodone) to improve sleep at the onset of treatment. Remember that an antidepressant used alone may precipitate a switch into mania or the induction of rapid cycling in depressed patients with bipolar disorder.

In treating patients who are suicidally depressed, bear in mind that they may be at increased risk for self-harm during the transitional period of treatment, when neurovegetative symptoms such as low energy and lack of motivation start to improve but feelings of sadness, hopelessness, and low self-esteem are still severe.

Antipsychotics. Antipsychotic drugs clearly provide substantial benefit for patients requiring them, but their potential side effects should also be considered. Control of psychotic symptoms reduces suicide risk. Some of these agents, however, especially the older "typical" antipsychotics, may induce akathisia. The new-generation atypical antipsychotic medications such as clozapine, olanzapine, and quetiapine are preferable in this regard.

Psychologic and psychosocial interventions. Sometimes cognitive behavioral psychotherapy or crisis intervention therapy can be a useful adjunct to pharmacologic approaches. Providing psychosocial support such as housing and vocational rehabilitation is important for the patient with schizophrenia or other chronic psychiatric illness. These interventions may enable patients to avoid the despair associated with the chronicity and progression of their illness.

Suicide Prevention

Unfortunately, although epidemiologic data help to identify groups at risk for suicide, it remains impossible to predict suicide in individuals. Ad campaigns (including several aimed at adolescents), training of school personnel, and screening for depression and anxiety disorders are potentially useful preventive public health measures that may also serve to increase public awareness of risk factors and the signs of mental illness. Limiting access to firearms and alcohol is also important.

In addition to familiarity with the risk factors for suicide, the public and the medical community must understand that thoughts of self-harm and suicidal behaviors are intimately linked to major psychiatric illnesses. Physicians should recognize and promptly implement treatment for specific psychiatric disorders. Remember that the majority of persons who commit suicide have seen their primary care physician during the weeks prior to death. It is important to recognize the most serious danger periods, including: (a) when depression begins to improve; (b) when chronically medically ill patients receive discouraging news regarding prognosis; (c) when financial stresses secondary to psychiatric or medical illness begin to mount on the family; (d) when the patient enters the posthospitalization period; (e) when the family disperses after rallying around an acute problem; and (f) after any major loss or adverse life event.

Table I. Risk factors for suicide in the elderly

Depression
Alcoholism
~70% of elderly suicide victims
~20% of elderly suicide victims
Physical losses Medical problems, pain, increased vulnerability, helplessness
Financial losses Retirement, medical expenses, loss of security
Social losses Loss of home, death of spouse or friends, loss of work role, social isolation, loneliness
Emotional losses Hopelessness, dependence on others, despair
Cognitive losses Decreased self-concept and self-esteem

Table II. Considerations in whether to hospitalize the suicidal patient*

Strongly Consider Hospitalization May Consider Outpatient Management
Prior attempt of high lethality No history of potentially lethal suicide attempts
Well-thought-out plan Lack of plan/intent; cooperative family member or other adult
Access to lethal means Removal or lack of availability of lethal means
Uncommunicative Communicative
Recent major loss Availability of intensive outpatient care
Social isolation Good social support
Hopelessness Hopefulness
History of impulsive, high-risk behavior  
Active substance abuse or dependence
Untreated mood, psychotic, or personality disorder
*Remember, it is impossible to predict with certainty whether an individual will commit suicide.

Key Points

Dialogue Box

Suggested Reading

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  2. Goldney RD. The privilege and responsibility of suicide prevention. Crisis. 2000;21(1):8-15.
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  4. Jamison KR. Suicide and bipolar disorder. J Clin Psychiatry. 2000;61(suppl 9):47-51.
  5. Nilsson A. Lithium therapy and suicide risk. J Clin Psychiatry. 1999;60(suppl 2):85-88.
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