THE MANAGEMENT OF THE SUICIDAL PATIENT

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Abstract
The suicidal attempt should be viewed in its proper perspective as a symptom and not a disease in itself. It is the presenting sign of a serious underlying emotional difficulty, and may be found in affective disorders, schizophrenic illnesses, neurotic reactions and physiologic suicide. Forewarnings of possible suicidal potential may be frank expressions of intent, or subtle indications expressed in behavior, appearance, and selection of reading material. Estimation of suicidal potential is usually a matter of judgment based upon information available at the time of examination. The management of the suicidal attempt requires appropriate reparative and resuscitive measures. After these emergency measures, further attempts must be prevented. A psychiatric evaluation is necessary. This will include the formulation of necessary immediate and long term treatment plans. Somatic treatments and chemotherapy are helpful in the management of the acute phase of the illness but these treatments in themselves do not bring about a complete cure. Psychotherapy is necessary in most cases and is aimed at trying to resolve underlying emotional conflicts. The patient remains a suicidal risk until corrective emotional and personality changes have been effected.

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