engleski

Assessment of suicide risk

The purpose of assessing suicide risk is to consider risk and protective factors with focus on identifying treatment goals. More national guidelines offer recom-mendations for assessing suicide risk, but despite this there is still no „gold stand¬ard” for that assessment. Very often, suicide risk assessment is interpreted as a synonym for tools or scales for assessing suicide risk. Although there are over 20 scales for assessing suicide risk, there is no evidence that any of them is an effective suicide predictor. In clinical work, it is necessary to integrate all collected cinical data, evaluate data in terms of severity and degree of acute symptoms of patients and psychosocial stressors and offer a clinical assessment of the risk. Risk factors need to be considered cumulatively and synergistically and „distract¬ed”, i.e. countered, with patient protective factors that can reduce suicide risk. There are currently no clear systematized recommendations based on evidence to assess suicide risk in the emergency psychiatric unit. Clinical psychiatric eval-uation is an essential element in assessing suicide risk. When assessing suicide risk and in making a decision on further treatment it is also very important to «Jentify individual, relevant risk factors (especially those that may be affected) for die patient and guide the patient to that form of treatment that will contribute to their reduction. Accordingly, general classifications (e.g. „ suicide risk”) should be avoided because they do not have any diagnostic, prognostic and least of ail therapeutic value. Estimation of suicide risk: no risk, low risk, medium or high risk, is followed by ntervention in terms of decisions on modality of treatment and patient placement - decisions on the type of therapeutic intervention in relation to suicidal behaviour as well as major psychiatric disorders, personality disorders, psychosocial crisis and trauma as well as adaptation difficulties that may be present.

Assessment of suicide risk, treatment goals. clinical work, ipatients

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