Suicidal Communication

A person’s suicidal behaviour, or expression of suicidal ideation or intent to complete suicide
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Simply ignoring clients with a history of suicidal communication (i.e., placing the behavior on an extinction schedule, or nonreinforcement leading to elimination of the behavior) may lead to increasing intensity of client urges and action (i.e., an extinction burst), significantly increasing the risk of injury or death.
Along with intentional suicides, they are the most frequent manifestations of suicidal communication among the elderly (3,4).
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.
While abstractor agreement on recent suicidal communications was substantial, there is no standard requiring that it be assessed in these or other accidents.
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.
They cover a spectrum of thoughts, communications, and acts, ranging from the least common, completed suicide; to the more frequently occurring, attempted suicide and suicidal communications; to the most common, suicidal ideation and verbalizations.