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DSM-5-TR diagnosis as a guide to suicide risk assessment
Behavioral Sciences & the Law ( IF 2.568 ) Pub Date : 2023-04-19 , DOI: 10.1002/bsl.2617
Alan R Felthous 1 , Neha Kulkarni 2 , Catalina Belean 1
Affiliation  

A specific mental disorder can itself constitute a risk factor for a completed suicide. Even more important, the disorder is typically a modifiable risk factor which informs its own treatment. Recent editions of the DSM have included “suicide subsections” for specific mental disorders and conditions in which the risks of suicidal thoughts and behaviors for the disorder are noted in the literature. The DSM-5-TR can therefore serve as a compendium to be referred to for initial guidance as to whether a specific disorder could contribute to the risk. Adding completed suicides and suicide attempts, also addressed in these subsections, the sections were examined individually for the four parameters of suicidality. Accordingly, the four parameters of suicidality examined here are: suicide, suicidal thoughts, suicidal behavior, and suicide attempts. After providing interpretive comments for each, the parameters for all disorders with a suicide subsection were tabulated for ease of reference. Because specific medical disorders are also associated with elevated rates of suicide, these disorders and the supporting research are tabulated and briefly acknowledged. Allowing for the limitations of the suicide subsections and their analysis, this exegesis is proposed to contribute to training in risk assessment for forensic psychiatry and psychology fellows and to highlight the potential referential value of the DSM-5-TR's suicide subsections for clinical practitioners and those who pursue research on suicide.

中文翻译:

DSM-5-TR 诊断作为自杀风险评估的指南

特定的精神障碍本身就可能构成自杀的危险因素。更重要的是,这种疾病通常是一种可改变的危险因素,可以指导其治疗。DSM 的最新版本包含了针对特定精神障碍和病症的“自杀小节”,其中文献中指出了该疾病的自杀想法和行为的风险。因此,DSM-5-TR 可以作为一个纲要,作为关于特定疾病是否会导致该风险的初步指导。添加已完成的自杀和自杀未遂(也在这些小节中讨论),分别检查了这些部分的自杀倾向的四个参数。因此,这里检查的自杀倾向的四个参数是:自杀、自杀想法、自杀行为和自杀企图。在对每种疾病提供解释性评论后,将所有具有自杀部分的疾病的参数制成表格,以便于参考。由于特定的医学疾病也与自杀率升高有关,因此将这些疾病及其支持研究制成表格并简要承认。考虑到自杀章节及其分析的局限性,本注释旨在有助于法医精神病学和心理学研究员的风险评估培训,并强调 DSM-5-TR 自杀章节对临床从业者和相关人员的潜在参考价值。从事自杀研究的人。
更新日期:2023-04-19
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