Suicidal ideation, Suicide threat and Suicide gestur

Q: Suicidal ideation, Suicide threat, and Suicide gesture are different synonyms of the same concept.

A) True

B) False

Answer: B

Self-injurious thoughts may be honest, an innocent (or nocent) form of manipulation, or a form of verbalization. 

Suicidal ideation is thoughts about killing oneself; these thoughts may include a plan.

Suicide attempt is a self-injurious behavior that is intended to kill oneself, but is nonfatal.

Suicide threat is thoughts of engaging in self-injurious behavior that are verbalized and intended to lead others to think that one wants to die, despite no intention of dying.

Suicide gesture is self-injurious behavior that is intended to lead others to think that one wants to die, despite no intention of dying.

#psychiatry

References:

1. Nock MK, Favazza A. Nonsuicidal self-injury: Definition and classification. In: Understanding Non-Suicidal Self-Injury: Origins, Assessment, and Treatment, Nock MK (Ed), American Psychological Association, Washington, DC 2009.

2. Brown RC, Plener PL. Non-suicidal Self-Injury in Adolescence. Curr Psychiatry Rep 2017; 19:20.

3. Nock MK, Boccagno CE, Kleiman EM et al. Suicidal and nonsuicidal self-injury. In: Treatment of Childhood Disorders (in press), Fourth Edition, Prinstein MJ, Youngstrom EA, Mash EJ, and Barkley RA (Eds), Guilford Publications, New York.

4. McCullumsmith C. Laying the groundwork for standardized assessment of suicidal behavior. J Clin Psychiatry 2015; 76:e1333.