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Suicide and suicidal behavior - Treatment

Treatment:

A person may need emergency treatment after a suicide attempt. They may need first aid, CPR, or mouth-to-mouth resuscitation.

People who try to commit suicide may need to stay in a hospital for treatment and to reduce the risk of future attempts. Therapy is one of the most important parts of treatment.

The condition that may have caused the suicide attempt should be treated. This includes:

  • Bipolar disorder
  • Borderline personality disorder
  • Drug or alcohol dependence
  • Major depression

People who are at risk for suicidal behavior may not get treated for many reasons, including:

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

If you or someone you know is thinking about suicide, there are numbers that you can call from anywhere in the United States, 24 hours a day, 7 days a week: 1-800-SUICIDE or 1-800-999-9999.

As with any other type of emergency, call the local emergency number (such as 911) right away if someone you know has attempted suicide. Do not leave the person alone, even after you have called for help.

Expectations (prognosis):

Always take suicide attempts and threats seriously. About one-third of people who try to commit suicide will try again within 1 year. About 10% of people who threaten or try to commit suicide will eventually kill themselves.

The person needs mental health care right away. Do not dismiss the person as just trying to get attention.

Complications:

Complications depend on the type of suicide attempt.

Calling your health care provider:

Call a health care provider right away if you or someone you know is having thoughts of suicide.

  • Reviewed last on: 3/7/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, Unviersity of Washington, School of Medicine; and David B. Merrill, MD, Assistant Clinical Professor of Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. 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.

Gelenberg AJ, Freeman MP, Markowitz JC, et al. Practice guideline for the treatment of patients with major depressive disorder. Am J Psychiatry. 2000; 157(4 Suppl):1-45.

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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