The adult suicide-prone patient: a review of the medical literature and implications for oral and maxillofacial surgeons.
Identifieur interne : 000276 ( Main/Exploration ); précédent : 000275; suivant : 000277The adult suicide-prone patient: a review of the medical literature and implications for oral and maxillofacial surgeons.
Auteurs : Arthur H. Friedlander [États-Unis] ; Susan C. Rosenbluth ; Robert T. RubinSource :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 1531-5053 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Chirurgie stomatologique (spécialité) (MeSH), Facteurs de risque (MeSH), Humains (MeSH), Idéation suicidaire (MeSH), Psychoanaleptiques (usage thérapeutique), Relations dentiste-patient (MeSH), Stress psychologique (psychologie), Suicide (prévention et contrôle), Suicide (psychologie), Troubles mentaux (psychologie), Événements de vie (MeSH).
- MESH :
- prévention et contrôle : Suicide.
- psychologie : Stress psychologique, Suicide, Troubles mentaux.
- usage thérapeutique : Psychoanaleptiques.
- Adulte, Chirurgie stomatologique (spécialité), Facteurs de risque, Humains, Idéation suicidaire, Relations dentiste-patient, Événements de vie.
English descriptors
- KwdEn :
- Adult (MeSH), Dentist-Patient Relations (MeSH), Humans (MeSH), Life Change Events (MeSH), Mental Disorders (psychology), Psychotropic Drugs (therapeutic use), Risk Factors (MeSH), Stress, Psychological (psychology), Suicidal Ideation (MeSH), Suicide (prevention & control), Suicide (psychology), Surgery, Oral (MeSH).
- MESH :
- chemical , therapeutic use : Psychotropic Drugs.
- prevention & control : Suicide.
- psychology : Mental Disorders, Stress, Psychological, Suicide.
- Adult, Dentist-Patient Relations, Humans, Life Change Events, Risk Factors, Suicidal Ideation, Surgery, Oral.
Abstract
PURPOSE
Suicide is the 11th most common cause of death among American adults. Some individuals who commit suicide may have been treated by oral and maxillofacial surgeons in the days preceding the event. Because suicide often is preventable, in this report we review methods that are useful in identifying individuals at risk of imminent suicide and give suggestions for obtaining interventional assistance.
METHODS
A Medline search using the key terms "suicide," "adult," and "oral surgery" was conducted. Articles selected were published in peer-reviewed journals.
RESULTS
Individuals who have told their surgeon they have no further reason to live, have developed a suicide plan, have secured a lethal device, and have previously made such an attempt are at extreme risk and require immediate intervention. Additional risk factors include being white, aged older than 45 years, and unemployed; living alone, with poor social supports; having a current mental illness or history of mental illness, including substance abuse; and having a family history of suicide. Specialty-specific patients at highest risk are those treated for oral cancer and cosmetic issues and those with adverse surgical outcomes. With regard to assessment of these individuals, the modified SAD PERSONS acronym can assist surgeons in documenting the presence of major risk factors associated with adult suicide and in facilitating communication with emergency personnel.
CONCLUSIONS
Suicide is a potentially preventable public health problem. Oral and maxillofacial surgeons can be key in elucidating clinically significant suicide potential in their patients and referring them for timely intervention.
DOI: 10.1016/j.joms.2011.02.024
PubMed: 21741743
Affiliations:
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Rosenbluth</name></author><author><name sortKey="Rubin, Robert T" sort="Rubin, Robert T" uniqKey="Rubin R" first="Robert T" last="Rubin">Robert T. 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Friedlander</name><affiliation wicri:level="2"><nlm:affiliation>VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA 90073, USA. arthur.friedlander@va.gov</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA 90073</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Rosenbluth, Susan C" sort="Rosenbluth, Susan C" uniqKey="Rosenbluth S" first="Susan C" last="Rosenbluth">Susan C. Rosenbluth</name></author><author><name sortKey="Rubin, Robert T" sort="Rubin, Robert T" uniqKey="Rubin R" first="Robert T" last="Rubin">Robert T. Rubin</name></author></analytic><series><title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title><idno type="eISSN">1531-5053</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Dentist-Patient Relations (MeSH)</term><term>Humans (MeSH)</term><term>Life Change Events (MeSH)</term><term>Mental Disorders (psychology)</term><term>Psychotropic Drugs (therapeutic use)</term><term>Risk Factors (MeSH)</term><term>Stress, Psychological (psychology)</term><term>Suicidal Ideation (MeSH)</term><term>Suicide (prevention & control)</term><term>Suicide (psychology)</term><term>Surgery, Oral (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Chirurgie stomatologique (spécialité) (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Humains (MeSH)</term><term>Idéation suicidaire (MeSH)</term><term>Psychoanaleptiques (usage thérapeutique)</term><term>Relations dentiste-patient (MeSH)</term><term>Stress psychologique (psychologie)</term><term>Suicide (prévention et contrôle)</term><term>Suicide (psychologie)</term><term>Troubles mentaux (psychologie)</term><term>Événements de vie (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Psychotropic Drugs</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Suicide</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Suicide</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Stress psychologique</term><term>Suicide</term><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mental Disorders</term><term>Stress, Psychological</term><term>Suicide</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Psychoanaleptiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Dentist-Patient Relations</term><term>Humans</term><term>Life Change Events</term><term>Risk Factors</term><term>Suicidal Ideation</term><term>Surgery, Oral</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Chirurgie stomatologique (spécialité)</term><term>Facteurs de risque</term><term>Humains</term><term>Idéation suicidaire</term><term>Relations dentiste-patient</term><term>Événements de vie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>Suicide is the 11th most common cause of death among American adults. Some individuals who commit suicide may have been treated by oral and maxillofacial surgeons in the days preceding the event. Because suicide often is preventable, in this report we review methods that are useful in identifying individuals at risk of imminent suicide and give suggestions for obtaining interventional assistance.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A Medline search using the key terms "suicide," "adult," and "oral surgery" was conducted. Articles selected were published in peer-reviewed journals.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Individuals who have told their surgeon they have no further reason to live, have developed a suicide plan, have secured a lethal device, and have previously made such an attempt are at extreme risk and require immediate intervention. Additional risk factors include being white, aged older than 45 years, and unemployed; living alone, with poor social supports; having a current mental illness or history of mental illness, including substance abuse; and having a family history of suicide. Specialty-specific patients at highest risk are those treated for oral cancer and cosmetic issues and those with adverse surgical outcomes. With regard to assessment of these individuals, the modified SAD PERSONS acronym can assist surgeons in documenting the presence of major risk factors associated with adult suicide and in facilitating communication with emergency personnel.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Suicide is a potentially preventable public health problem. Oral and maxillofacial surgeons can be key in elucidating clinically significant suicide potential in their patients and referring them for timely intervention.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21741743</PMID><DateCompleted><Year>2012</Year><Month>07</Month><Day>19</Day></DateCompleted><DateRevised><Year>2012</Year><Month>10</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-5053</ISSN><JournalIssue CitedMedium="Internet"><Volume>70</Volume><Issue>5</Issue><PubDate><Year>2012</Year><Month>May</Month></PubDate></JournalIssue><Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title><ISOAbbreviation>J Oral Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>The adult suicide-prone patient: a review of the medical literature and implications for oral and maxillofacial surgeons.</ArticleTitle><Pagination><MedlinePgn>1253-60</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2011.02.024</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Suicide is the 11th most common cause of death among American adults. Some individuals who commit suicide may have been treated by oral and maxillofacial surgeons in the days preceding the event. Because suicide often is preventable, in this report we review methods that are useful in identifying individuals at risk of imminent suicide and give suggestions for obtaining interventional assistance.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A Medline search using the key terms "suicide," "adult," and "oral surgery" was conducted. Articles selected were published in peer-reviewed journals.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Individuals who have told their surgeon they have no further reason to live, have developed a suicide plan, have secured a lethal device, and have previously made such an attempt are at extreme risk and require immediate intervention. Additional risk factors include being white, aged older than 45 years, and unemployed; living alone, with poor social supports; having a current mental illness or history of mental illness, including substance abuse; and having a family history of suicide. Specialty-specific patients at highest risk are those treated for oral cancer and cosmetic issues and those with adverse surgical outcomes. With regard to assessment of these individuals, the modified SAD PERSONS acronym can assist surgeons in documenting the presence of major risk factors associated with adult suicide and in facilitating communication with emergency personnel.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Suicide is a potentially preventable public health problem. Oral and maxillofacial surgeons can be key in elucidating clinically significant suicide potential in their patients and referring them for timely intervention.</AbstractText><CopyrightInformation>Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Friedlander</LastName><ForeName>Arthur H</ForeName><Initials>AH</Initials><AffiliationInfo><Affiliation>VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA 90073, USA. arthur.friedlander@va.gov</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosenbluth</LastName><ForeName>Susan C</ForeName><Initials>SC</Initials></Author><Author ValidYN="Y"><LastName>Rubin</LastName><ForeName>Robert T</ForeName><Initials>RT</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>07</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8206428</NlmUniqueID><ISSNLinking>0278-2391</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D011619">Psychotropic Drugs</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Oral Maxillofac Surg. 2012 Sep;70(9):2023</RefSource><PMID Version="1">22771097</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003812" MajorTopicYN="Y">Dentist-Patient Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008016" MajorTopicYN="N">Life Change Events</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011619" MajorTopicYN="N">Psychotropic Drugs</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059020" MajorTopicYN="N">Suicidal Ideation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013405" MajorTopicYN="N">Suicide</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013515" MajorTopicYN="Y">Surgery, Oral</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>11</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>02</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21741743</ArticleId><ArticleId IdType="pii">S0278-2391(11)00217-5</ArticleId><ArticleId IdType="doi">10.1016/j.joms.2011.02.024</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Rosenbluth, Susan C" sort="Rosenbluth, Susan C" uniqKey="Rosenbluth S" first="Susan C" last="Rosenbluth">Susan C. Rosenbluth</name><name sortKey="Rubin, Robert T" sort="Rubin, Robert T" uniqKey="Rubin R" first="Robert T" last="Rubin">Robert T. Rubin</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Friedlander, Arthur H" sort="Friedlander, Arthur H" uniqKey="Friedlander A" first="Arthur H" last="Friedlander">Arthur H. Friedlander</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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