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The majority of depressed persons do not attempt suicide,but the majority of suicide attempters have depression.Suicide is the most significant risk of untreated depression.Typically,suicide is not a sudden thought and action;rather,it undergoes development over time.There may initially be only fleeting thoughts of death or wishes of dying.These thoughts can progress to fantasies of methods of killing oneself and later to stages of planning actual self-harm.The time frame of this progression can take as long as weeks to months to as little as within minutes.Someone with poor impulse control may be more apt to attempt suicide within the shorter time period.Anyone with plans to kill oneself or who has made an attempt requires emergency psychiatric evaluation.In some situations,a family member finds out that someone has tried to kill himself or herself but does not take him or her to an emergency room because he or she assures the family member that it was a mistake and that he or she will be okay.It is best,however,if a
professional evaluates the situation to determine the most appropriate course of action.
Suicide is the most serious risk of depression.Clinicians assess suicide risk based on many factors,including the patient’s current mental status,personal history,family history,use of substances,and more.As stated,suicidal thinking tends to fall on a continuum from morbid thoughts of death to passive thoughts of wishing to be dead to an actual plan to carry out the suicide,a continuum that is assessed by the clinician. Clinicians will ask direct questions about suicidal thoughts.Direct questions do not put ideas in a person’s mind;rather,they invite the individual to speak openly about the issue.Most patients want help and want to let someone know how they are feeling.Also
in this light,if you have reason to believe a family member is contemplating suicide,it is best to speak openly and frankly about your concerns.Doing so will not put new thoughts of suicide into the person’s mind;instead,it will give an opportunity to help him or her get the treatment that may be needed.
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