Psychiatry » Suicide & Suicide prevention

Evaluation and treatment of patients with suicidal ideation

Suicidal ideation is more common than completed suicide. Most persons who commit suicide have a psychiatric disorder at the time of death. The extent of suicidal ideation must be determined, including the presence of a suicide plan and the patient's means to commit suicide. Patients who do not respond to a trial of antidepressants or who exhibit symptoms of major depression with psychotic features, or for whom it is too risky to wait four to six weeks until the antidepressant is effective, should be referred to a psychiatrist.

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