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Chronic Suicide Risk

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Some patients (e.g. such as those with a diagnosis of personality disorder and attachment issues) may  often have an ongoing, chronic level of suicide ideation.


Recommendations for Chronic Risk

If chronic suicidal ideation…
  • Hospitalization has little value in preventing suicide and may have negative effects such as revolving door admissions (Paris, 2002)
  • Refer / (Re)connect with outpatient services
  • Partial hospitalization in a highly structured day program where possible (Bateman & Fonagy, 1999).
  • Dialectical behavioural therapy (DBT) shown effective for persons with recurrent suicidal behaviour (McMain, 2009).

Refer to psychiatry and/or consider admission if:
  • Acute psychosis
  • Marked increased in level of suicidality (i.e. acute on chronic suicidal ideation)
  • Following a serious suicide attempt


Reference: Suicide Assessment Five-step Evaluation and Triage (SAFE-T)


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