In those with major depression, the risk for suicide is increased 20-fold compared with the general population.
A history of major depression is present in about 60% of those who complete suicides. An estimated 8% of those with major depression attempt suicide at some time during their lifetime. This rate is increased in those with comorbid anxiety disorders (eg, 25% with comorbid panic disorder and 38% in those with comorbid posttraumatic stress syndrome disorder). About 31,000 people in the United States and 1 million worldwide die by suicide each year, and 650,000 people in the United States are treated emergently following a suicide attempt.
Physicians might be hesitant to inquire about suicidal thoughts, worried that inquiry might lead to suicide attempts. However, this has not been demonstrated. In contrast, patients with such thoughts often seek the opportunity to discuss them, but may not verbalize their concerns without being prompted. The initiation of an office visit might be the only clue of suicidality. Although patients may be reluctant to divulge their intent to commit suicide, if asked, patients with suicidal ideation usually will tell their physicians about such thoughts.
Les mer: Recognizing Suicide Risk Factors in Primary and Psychiatric Care (Krever gratis registrering og innlogging på Medscape.com)
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