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Suicide and suicidal behavior - Treatment

Treatment:

Adolescents may fail to seek help for suicidal thoughts, for all of the following reasons:

  • They believe nothing will help
  • They are reluctant to tell anyone they have problems
  • They think it is a sign of weakness to seek help
  • They do not know where to go for help

Emergency measures may be necessary after a person has attempted suicide. First aid, CPR, or mouth-to-mouth resuscitation may be required.

Hospitalization is often needed to treat a suicide attempt and to prevent future attempts. Mental health intervention is one of the most important aspects of treatment.

Expectations (prognosis):

Suicide attempts and threats should always be taken seriously. About one-third of people who attempt suicide will repeat the attempt within 1 year, and about 10% of those who threaten or attempt suicide eventually do kill themselves.

Mental health care should be sought immediately. Dismissing the person's behavior as attention-seeking can have devastating consequences.

Complications:

Complications vary depending on the type of suicide attempt.

Calling your health care provider:

A person who threatens or attempts suicide MUST be evaluated immediately by a mental health professional. NEVER IGNORE A SUICIDE THREAT OR ATTEMPT!

  • Reviewed last on: 1/15/2009
  • Christos Ballas, MD, Attending Psychiatrist, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Zuckerbrot RA, Cheung AH, Jensen PS, Stein RE, Laraque D. GLAD-PC Steering Group. Guidelines for Adolescent Depression in Primary Care (GLAD-PC):I. Identification, assessment, and initial management. Pediatrics. 2007;120:e1299-e1312.

Institute for Clinical Systems Improvement. Health Care Guidelines: Major Depression in Adults in Primary Care. 10th edition. May 2007.

Bridge JA, Iyengar S, Salary CB, et al. Clinical response and risk for reported suicidal ideation and suicide attempts in pediatric antidepressant treatment: a meta-analysis of randomized controlled trials. JAMA. 2007;297:1683-1696.

Cheung AH, Zuckerbrot RA, Jensen PS, Ghalib K, Laraque D, Stein RE. GLAD-PC Steering Group. Guidelines for Adolescent Depression in Primary Care (GLAD-PC):II. Treatment and ongoing management. Pediatrics. 2007;120:e1313-e1326.

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