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An unexpected suicide impulse: What are invasive thoughts and how do they affect us?
Suicide ideation, that is, suicide thought, is a process of thinking or reflection on the possible end of one's own life.This is not a definite diagnosis, but a symptom of certain psychological disorders, which may also occur due to the use of certain psychotropic drugs, or in the absence of psychological disorders, due to adverse life events.According to the Suicide Risk Assessment Scale, suicide ideation ranges from short-lived thoughts to detailed plans.Passive suicidal ideation refers to thinking about not wanting to live or imagining that one is dead; while active suicidal ideation involves the process of preparing for suicide or making plans.Although most people with suicide thoughts do not actually commit suicide, suicide thoughts are still seen as a risk factor.
Between 2008 and 2009, an estimated 8.3 million U.S. adults aged 18 and older reported suicide thoughts over the past year, accounting for 3.7% of the total U.S. adult population.And 2.2 million people said they had planned suicide plans in the past year.
According to a 2019 report, about 12 million American adults have seriously considered suicide, 3.5 million have planned suicide, 1.4 million have tried suicide, and more than 47,500 have died from suicide.Suicide thoughts are also common among teenagers.Note that suicidal ideation is associated with depression and other mood disorders, but many other mental disorders, life events and family events can also increase the risk of suicidal ideation.
Mental health researchers note that medical systems should provide treatment for people with suicidal intentions, regardless of diagnosis, as they are at risk of suicide behavior and repetitive problems associated with suicide thoughts.
Definition
According to the International Classification of Diseases, 11th Edition (ICD-11), suicide ideation is described as “the idea, concept or reflection on ending one’s life, ranging from thinking that one would be better off dying to making detailed plans”.The American Diagnostic and Statistical Manual of Mental Illnesses, 5th Edition (DSM-5), defines it as "the idea of consciously considering or planning self-harm."The Centers for Disease Control and Prevention defines it as "thinking, thinking, or planning suicide."
Terms
Another expression of suicide ideation is suicide idea.When a person who has never had suicidal idea in the past suddenly appears with a strong suicidal idea, psychologists call it an invasive idea.A common example is the cliff phenomenon, the sudden urge to jump off when high.
Risk Factors
Risk Factors for Suicide Idea can be divided into three categories: mental illness, life events and family history.
Mental Diseases
Suicide Thoughts are symptom of many mental illnesses and can occur due to adverse life events without psychological disorders.Certain mental illnesses are comorbidly related to suicide ideation, which significantly increases the risk of suicide ideation.For example, many patients with borderline personality disorder experience recurring suicide behaviors and suicide thoughts.One study found that 73% of patients with borderline personality disorder had attempted suicide, with an average of 3.4 attempts per patient.
Study shows that suicide ideation after borderline personality disorder is related to the following mental illnesses: major depression, anxiety disorder, bipolar disorder, post-traumatic stress syndrome (PTSD), and substance use disorders.
Life Events
Life Events are important predictors that increase the risk of suicide ideation.These events include unemployment, chronic illness, loss of relatives or friends, end of relationships, major life changes, etc.In addition, social isolation and bullying incidents also show an association with suicidal ideation.
Family History
Children with a history of depression in the family are more likely to have suicidal ideas.Research has found that children who experience abuse, as well as domestic violence and instability during adolescence, can increase the risk of future suicide ideation.
Prevention
Early detection and treatment are the best ways to prevent suicide ideation and suicide behavior.If certain signs and risk factors are detected early, individuals may seek treatment and help before committing suicide.Studies have pointed out that about 91% of the people who die from suicide have had one or more mental illnesses.However, only 35% of people are treated.This emphasizes the importance of early discovery.
Management
There are many problems with the treatment of suicidal ideation because the side effects of many drugs are related to enhancing suicidal ideation.Psychological therapy, inpatient treatment, outpatient treatment and drug therapy are all common treatment options at present.It should be noted that prescription drugs need to be used with caution, as they sometimes raise energy levels before improving mood, increasing the risk of suicide behavior.
Ultimately, no matter what the situation is facing, the discussion of suicide ideation not only involves mental health issues, but also reflects the necessity of social support.This makes us have to think about how to effectively establish a caring and inclusive environment in modern society to help those in trouble?
