Feeling ill at ease with a new disease: Labeling suicide-related behaviors as DSM-5 diagnosis

Several prominent suicide investigative teams have independently advocated for a medical diagnosis of suicide-related behaviors. All have conducted studies that indicate their diagnoses meet criteria for diagnostic validity and stability, are well-described, and can be clearly distinguished from other diagnoses. This editorial discusses potential problems with a DSM-5 suicide-specific diagnosis. The authors conclude that all[…]

Investigating the DSM-5 criteria for non-suicidal self-injury disorder in a community sample of adolescents

Background
Non-suicidal self-injury (NSSI) is a serious public health concern in adolescents. In 2013, DSM-5 recognized NSSI as a distinct clinical phenomenon and made a call for more systematic research by including Non-Suicidal Self-Injury-Disorder (NSSI-D) as a condition requiring further research. Yet, few studies have examined the prevalence of NSSI-D in adolescents using the[…]

Digital phenotyping of suicidal thoughts.

BACKGROUND:
To examine whether there are subtypes of suicidal thinking using real-time digital monitoring, which allows for the measurement of such thoughts with greater temporal granularity than ever before possible. METHODS:
We used smartphone-based real-time monitoring to assess suicidal thoughts four times per day in two samples: Adults who attempted suicide in the[…]

Posttraumatic stress disorder symptom clusters and acquired capability for suicide: A reexamination using DSM-5 criteria.

This study used the interpersonal–psychological theory of suicide to explore the relationships among DSM‐5 posttraumatic stress disorder (PTSD) symptom clusters derived from the six‐factor anhedonia model and facets of acquired capability for suicide (ACS). In a sample of 373 trauma‐exposed undergraduates, most PTSD symptom clusters were negatively associated with facets of ACS in bivariate correlations, but the[…]

Descriptive characteristics and initial psychometric properties of the non-suicidal self-injury disorder scale.

Non-suicidal self-injury (NSSI) is highly prevalent and associated with tissue damage, emotional distress, and psychiatric disorders. While often discussed in the context of Borderline Personality Disorder and suicide, research demonstrates that NSSI is distinct from these constructs and should be viewed as an independent diagnostic category. Recently, Non-Suicidal Self-Injury Disorder (NSSID) was included in the[…]

Case report of body dysmorphic disorder in a suicidal patient.

Few reports exist about the treatment of body dysmorphic disorder (BDD) in patients who
are suicidal. This case report describes a 19-year-old male with BDD who had delusional-intensity beliefs about facial disfigurement that had gradually intensified over a 2-year period. However, he was initially misdiagnosed with depression partly because he was admitted immediately after a[…]

Understanding mental disorders: Your guide to DSM-5.

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Diagnostic and statistical manual of mental disorders(5th. ed.).

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The European Psychiatric Association (EPA) guidance on suicide treatment and prevention.

An underlying psychiatric disorder is present in up to 90% of people who completed suicide. Comorbidity with depression, anxiety, substance abuse and personality disorders is high. In order to achieve successful prevention of suicidality, adequate diagnostic procedures and appropriate treatment for the underlying disorder are essential. Contact us for a copy of this article, or[…]

Psychological autopsy studies as diagnostic tools: are they methodologically flawed?

One of the most established ÒtruthsÓ in suicidology is that almost all (90% or more) of those who kill themselves suffer from one or more mental disorders, and a causal link between the two is implied. Psychological autopsy (PA) studies constitute one main evidence base for this conclusion. However, there has been little reflection on[…]