Some warning signs here — pay attention. excerpted from Psychiatric Times
There is a clinically identified emotional “trigger state” that puts individuals with suicidal ideation at increased risk of acting on their ideations.
60% of the completed suicides are successful on the first attempt.
“We can identify those individuals with highest risk for potential suicide, but we can’t identify those who will commit suicide in the near future. In part, this is because the duration between the suicidal thought and attempt is usually only about 10 minutes,”
Suicide risk factors, Galynker said, include psychiatric disorders, chronic physical illness, suicidal ideation, a history of suicide attempts, and poor social supports.
- suicidal ideation is a thinking process
- but the “suicidal act itself is not a thinking proces
- Rather, it is a [highly confused] affective [emotional] state.”
There are identified repeated themes. These include:
- fear of entrapment
- distorted and confused thinking
A distinct psychopathologic state or syndrome related to panic and psychosis:
- “marked by ‘ruminative flooding’ (a confusing, uncontrollable and overwhelming profusion of negative thoughts)
- Coupled with an acute ‘frantic hopelessness,
- ’In which not only is there a fatalistic conviction that life cannot improve
- But also an oppressive sense of entrapment and imminent doom.”
All of this builds, they added, to an intolerable, confused state in which patients feel:
- That suicidal action is the only conceivable route of escape
- In this state of severe distressMany patients have also reported the experience of “near-psychotic somatization”
- Characterized by feeling as if their thoughts are creating head pressure (eg, feeling as if the head was going to explode)
- As well as some somatic distortions (eg, change in body size or shape).