Chapter 8.Suicidality
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Excerpt
Common requests received by all psychiatrists, including psychosomatic medicine specialists, are suicidality evaluations. Suicidal ideation, ubiquitous in medical settings, challenges psychiatrists to discern what drives patients’ suicidal statements. Compared with suicidal ideation, completed suicide is rare in psychiatric patients and rarer still in the medically ill. Many risk factors are recognized, but none has shown high positive predictive value (Mann 1987). Given suicide’s low base rate, suicide risk screening yields a high rate of false-positive results. Demographic risk factors alone will identify many more subjects who are potentially at risk than who are imminently in danger of dying (Goldberg 1987).
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