Citation

Nikdel S, Motamedi N, Gunturu S. Prim. Care Companion CNS Disord. 2022; 24(2): 21cr03178.

Copyright

(Copyright © 2022, Physicians Postgraduate Press)

DOI

10.4088/PCC.21cr03178

PMID

35421905

Abstract

Individuals with severe mental illness, which includes schizophrenia spectrum disorders and bipolar disorder, are at high risk for suicide. The risk of suicidal behavior in major mood disorders is an inherent phenomenon, and it strongly relates to the presence and severity of depressive episode. The risk of suicide in patients with schizophrenia is approximately 20 times higher than in the general population. In most patients, suicidal behavior is predictable and preventable. A careful and systematic exploration of suicide risk factors in patients with mood disorders helps clinicians identify those at high risk for suicide. Successful acute and long-term treatment of these patients substantially reduces the suicidal behavior, even in this high-risk population.

Assisted outpatient treatment (AOT) is an outpatient court-ordered treatment for people with severe mental illness whose care needs are often unmet in the community due in part to treatment nonadherence. Considerable evidence now supports the effectiveness of involuntary outpatient commitment. Supporters of outpatient commitment argue that lack of insight into mental illness necessitates coercion and that outpatient commitment improves psychiatric outcomes, social functioning, and quality of life, thereby reducing problems such as homelessness, incarceration, violence, and suicide...

Language: en