Treatment Suicidal ideation

1 treatment

1.1 therapy
1.2 hospitalization
1.3 outpatient treatment
1.4 medication

treatment

treatment of suicidal ideation can puzzling due fact several medications have been linked increasing or causing suicidal ideation in patients. therefore, several alternative means of treating suicidal ideation used. main treatments include: therapy, hospitalization, outpatient treatment, , medication/other modalities.

therapy

in psychotherapy person explores issues make them feel suicidal , learns skills manage emotions more effectively.

hospitalization

hospitalization allows patient in secure, supervised environment prevent suicidal ideation turning suicide attempts. in cases, individuals have freedom choose treatment see fit themselves. however, there several circumstances in individuals can hospitalized involuntarily. these circumstances are:

hospitalization may best treatment if individual:

has access lethal means (e.g., firearm or stockpile of pills)
does not have social support or people supervise him/her
has suicide plan
has symptoms of psychiatric disorder (e.g., psychosis, mania, etc.)

outpatient treatment

outpatient treatment allows individuals remain @ place of residence , receive treatment when needed or on scheduled basis. being @ home may improve quality of life patients, because have access books , computer, , able come , go freely. before allowing patients freedom comes outpatient treatment, physicians evaluate several factors of patient. these factors include patient s level of social support, impulse control , quality of judgment. after patient passes evaluation, asked consent no-harm contract . contract formulated physician , family of patient. within contract, patient agrees not harm themselves, continue visits physician, , contact physician in times of need. there debate whether no-harm contracts effective. these patients checked on routinely assure maintaining contract , avoiding dangerous activities (drinking alcohol, driving fast without wearing seat belt, etc.).

medication

prescribing medication treat suicidal ideation can difficult. 1 reason many medications lift patients energy levels before lifting mood. puts them @ greater risk of following through attempting suicide. additionally, if person has co-morbid psychiatric disorder, may difficult find medication addresses both psychiatric disorder , suicidal ideation.

antidepressants may effective. ssris used instead of tcas latter typically have greater harm in overdose.

antidepressants have been shown effective means of treating suicidal ideation. 1 correlational study compared mortality rates due suicide use of ssri antidepressants within counties. counties had higher ssri use had lower number of deaths caused suicide. additionally, experimental study followed depressed patients 1 year. during first 6 months of year, patients examined suicidal behavior including suicidal ideation. patients prescribed antidepressants 6 months following first 6 observatory months. during 6 months of treatment, experimenters found suicide ideation reduced 47% of patients down 14% of patients. thus, appears current research antidepressants have helpful effect on reduction of suicidal ideation.

although research largely in favor of use of antidepressants treatment of suicidal ideation, in cases antidepressants claimed cause of suicidal ideation. upon start of using antidepressants, many clinicians note sudden onset of suicidal ideation may accompany treatment. has caused food , drug administration (fda) issue warning stating use of antidepressants may increase thoughts of suicidal ideation. medical studies have found antidepressants treat cases of suicidal ideation , work psychological therapy.

lithium reduces risk of suicide in people mood disorders. tentative evidence finds clozapine in people schizophrenia reduces risk of suicide.