By Cheryl A. King, Cynthia Ewell Foster, Kelly M. Rogalski
Winner (First Place)--American magazine of Nursing publication of the 12 months Award, baby wellbeing and fitness Category
Read Online or Download Teen Suicide Risk: A Practitioner Guide to Screening, Assessment, and Management PDF
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Extra info for Teen Suicide Risk: A Practitioner Guide to Screening, Assessment, and Management
Sample text
I n the previous chapter, we reviewed the current evidence regarding risk factors for suicidal behavior and suicide among teenagers. Armed with this knowledge, the next step is to identify teens who may be at elevated risk. In this chapter, we review the basic principles of suicide risk screening and provide information about how to develop and implement a screening strategy. We discuss 37 T EEN S UICI D E R I S K general guidelines for outpatient mental health clinics, emergency departments, and schools.
In a community sample, approximately 50% of adolescents who engaged in NSSI also reported at least one suicide attempt (Muehlenkamp & Gutierrez, 2007). , 2006). , 2011; Wilkinson, Kelvin, Roberts, Dubicka, & Goodyer, 2011). Among adolescents who engage in NSSI, indicators of increased risk of suicide attempt may include a negative attitude toward life (Muehlenkamp & Gutierrez, 2004), lower self-esteem, less parental support, and greater suicidal ideation (Brausch & Gutierrez, 2010). , 2006). These findings underscore the importance of further assessing all self-harmful behaviors and conducting comprehensive risk assessments, whether suicidal intent is present.
Schizophrenia is relatively rare among adolescents and does not account for a significant percentage of suicides in this age group. Nevertheless, the early course of illness in schizophrenia has been conceptualized as a deterioration phase, and several studies have reported a particularly high risk for suicide among young adults with schizophrenia (early in the course of illness; Palmer, Pankratz, & Bostwick, 2005). Reporting on a nationwide psychological autopsy study of 92 suicide victims with schizophrenia in Finland, Heila and colleagues (1997) noted that 7% of the overall group of individuals who died by suicide had suffered with schizophrenia.