Suicidal Communication

A person’s suicidal behaviour, or expression of suicidal ideation or intent to complete suicide
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Suicides UD N=186 Reclassified N<6* Reclassified N (%) N (%) Indicators Across Reported recent Death Factors suicidal communication in month prior to death 16 (8.
Evidence of pre-suicidal behaviour: Evidence of any suicidal communications in month prior to death, including verbal, written or other communication (e.
recent suicidal communications (10,11,19)) and for specific death factors (e.
Nevertheless, the finding that half of the nondisorder group did communicate their intentions suggests that overt suicidal communication, whether or not concurrent with evident psychopathology, should be viewed as a clinical warning sign.
By contrast, those close to individuals contemplating suicide often respond to a suicidal communication with fear, denial, avoidance, and passivity.
Called QPR, the intervention consists of three bold steps: questioning the meaning of possible suicidal communications, persuading the person in crisis to accept help, and referring the person to the appropriate resource.
In comparing patients who committed suicide in year 1 with those who didn't, the investigators discovered that the two groups did not differ in severity of suicidal ideation, prior suicide attempts, suicidal communications by the patient, or degree of hopelessness.
Fawcett cited four other "stark facts" about suicide that aren't widely recognized, even within the suicidology community: Suicide isn't predictable in individuals; preventive efforts aren't very effective; suicidal communications aren't often made by patients to physicians or mental health professionals prior to the act; and denial of suicidal intent doesn't mean a patient won't do it.
The issue of suicidal communications warrants special emphasis, he continued.