1. Previous Suicidal Attempt:
Repetition of attempts is common, with 15 to 25 percent repeating suicidal acts within a year, and is associated with a greater risk of
eventual suicide. Prevention of repetition of suicidal behaviour and especially of suicide is a major aim in treating suicide attempters.
2. Psychiatric and personality disorders:
A range of psychiatric disorders are found in suicide attempters. DEPRESSION and ALCOHOL ABUSE are particularly common. In addition, substantial proportions of patients have PERSONALITY DISORDERS.
3. Life events and difficulties:
Life events, especially disruption in a relationship with a partner, frequently precede suicidal acts. Employment problems & financial difficulties particularly in males play an important role in depression which can ultimately lead to suicide.
4. Poor problem-solving skills:
Many suicide attempters have difficulties in problem-solving, particularly in dealing with difficulties in interpersonal relationships.
5. Impulsivity and aggression:
There is a strong link between suicidal behaviour and both impulsivity and aggression.
6. Low self-esteem:
Pessimistic attitude about the future, has been shown to be a key factor linking depression with suicidal acts. There is likely a link between low self-esteem and a tendency to experience hopelessness when faced by adverse circumstances.
7. Poor compliance with treatment:
Psychiatric Patients with previous history of suicidal ideation or attempts should take his treatment properly with regular follow-ups. Family members, friends and doctors should always motivate patient with encouraging words. Never try to show him his weaknesses.
- New Oxford Textbook of Psychiatry(2nd edition).
- ICD-10 Classification of Mental and Behavioural Disorders.
- Diagnostic & Statistical Manual of Mental Disorders DSM-4