Suicide is a major cause of death worldwide, and its impact has only been fully appreciated in the past few decades. Historically it was viewed from a religious and moral perspective, but that gave way to broad sociological and biological theories, which sometimes seemed to be mutually exclusive. There is now a wealth of knowledge which has allowed an integration of these perspectives, which have varying importance in different contexts. Part of the Oxford Psychiatry Library, this pocketbook provides a review of the diverse theories about suicide and places them in perspective - not all theories have the same weight in different settings, and there is no one management for all those who may be suicidal. However, there is now persuasive data that there are a range of suicide prevention initiatives which are effective, and that it is reasonable to expect that the suicide rate worldwide will be reduced in coming years.
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4 Contributing factors to suicide
5 Mental disorders and the biological substrate of suicide
6 Psychosocial influences on suicidal behaviour
7 An evidence based management approach
8 Initial assessment and management
9 Nonpharmacological approaches
10 Pharmacological approaches
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access to means adolescents alcohol antidepressants antipsychotic assessment and management associated with suicidal attempted suicide beneﬁt Bereavement after suicide bipolar disorders borderline personality disorder CHAPTER 10 Pharmacological clinical clinicians clozapine Cognitive Behaviour Therapy Cognitive Therapy cohort contributing factors countries Crisis death Deﬁnitions demonstrated died by suicide drug effective enquiry evidence factors to suicide feelings ﬁndings ﬁrst ﬁve follow-up Goldney Haddon Matrix important increased inﬂuence initial assessment interpersonal interventions lethality lithium major depression means of suicide mental disorders method of suicide mood disorders Non-pharmacological approaches particularly patients pesticides programme Psychiat Psychol psychosocial randomized controlled trials rate of suicide reducing suicide reduction in suicide reported risk factors risk of suicide schizophrenia self-harm serotonin social speciﬁc SSRI statistically signiﬁcant studies substance abuse suicidal behaviour suicidal ideation suicidal intent suicidal person suicide attempts Suicide Life Threat suicide prevention suicide prevention initiatives suicide rates suicide risk therapist treatment