@article{ref1,
title="Rethinking suicidal behavior disorder",
journal="Crisis",
year="2019",
author="Obegi, Joseph H.",
volume="40",
number="3",
pages="209-219",
abstract="BACKGROUND: It is a peculiar fact that the deadliest psychiatric disturbance - suicidality - cannot be formally diagnosed. Suicidal behavior disorder (SBD), a condition for further study in the DSM-5, is the field's first attempt to capture suicidality in a diagnosis. AIMS: To provoke discussion about the standing of suicidality as a diagnosable psychiatric condition. <br><br>METHOD: I present pragmatic and conceptual rationales for why a diagnosis of suicidality is clinically useful but conclude that SBD does little to aid clinicians in assessing suicidality's symptoms, planning treatment, or monitoring progress. <br><br>RESULTS: To improve the clinical utility of SBD, I re-conceptualize it from the vantage point of descriptive psychiatry. I hypothesize that this revised SBD is an independent, episodic, and frequently co-occurring condition and propose new cognitive, affective, and behavioral criteria that more completely capture the phenomenology of suicidality. <br><br>CONCLUSION: The revised SBD is a starting place for dialogue about whether a clinically significant presentation of suicidality is a mental illness and, if it is, what its defining features should be.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000543",
url="http://dx.doi.org/10.1027/0227-5910/a000543"
}