A suicide-specific diagnosis: The case for

Suicide has been and continues to be a major concern, accounting for over 700,000 deaths worldwide in 2019 and being the fourth leading cause of death among people aged 15–29 (World Health Organization, 2021). In the United States, nearly 48,000 people died from suicide in 2019 (Centers for Disease Control and Prevention, 2019). Additionally, the […]

A suicide-specific diagnosis: The case against

First and foremost, we applaud Dr. Cohen and her  colleagues for developing the suicide crisis syndrome (SCS) and its attendant focus on high and acute suicide risk, in particular that of high and acute suicide risk that is not dependent upon the patient’s  communicated suicide ideation (SI) as a gateway to its assessment. In several […]

DSM-V and the future of suicidology

In the United States, preparation of the next edition of the DSM has been accompanied by a number of criticisms, even from scholars instrumental in the delivery of its current edition.

Suicidal behavior on Axis VI: Clinical data supporting a sixth Axis for DSM-V

Background: Oquendo and colleagues (Oquendo, Baca-García, Mann, & Giner, 2008; Oquendo & Currier, 2009) recommend that DSM-V emphasize suicide risk assessment on a sixth axis, thereby increasing regularity of suicide risk assessments. Aims: We propose that evidence of nonredundancy with Axis V – Global Assessment of Functioning (GAF) is one piece of data that can serve as […]

Characteristics of patients who complete suicide and suicide attempts while undergoing treatment in Norway: Findings from compensation claim records

The aim of this study was to identify characteristics that differentiate patients who complete suicide (SC) from patients with suicide attempts (SA) while undergoing treatment in Norway. We examined data from the Norwegian System of Patient Injury Compensation (Norsk Pasientskade Erstatning—NPE). Data were extracted from NPE case records from a 10-year period (2009–2019) for 356 […]

Risk of suicide after diagnosis of severe physical health conditions: A retrospective cohort study of 47 million people

Background The diagnosis of a severe physical health condition can cause psychological distress and lead to severe depression. The association between severe physical health conditions and the risk of suicide, and how the risk of suicide changes in the months following diagnosis, are not clear. Methods We estimated whether a diagnosis of severe physical health […]

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 exact […]

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 past year […]

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 suicide […]

Understanding mental disorders: Your guide to DSM-5.


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


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 […]

Five ethical and clinical challenges psychiatrists may face when treating patients with borderline personality disorder who are or may become suicidal.

This article discusses five core ethical and clinical questions psychiatrists should consider when they treat patients with borderline personality disorder who are or may be suicidal. These questions include whether psychiatrists should tell patients their diagnosis, what they should tell them about their suicide risk, whether they should be “always” available by phone, when they […]

Comparison of the Composite International Diagnostic Interview (CIDI-Auto) with clinical diagnosis in a suicidal population.

The objective was to examine agreement between routine clinician diagnoses of DSM-IV Anxiety, Depressive, Substance-Use disorders with diagnoses generated by CIDI-Auto Version 2.1, administered by trained interviewers. Subjects were 329 deliberate self poisoning patients at a tertiary referral center in Australia. Tests of agreement were: percentage agreement, sensitivity, specificity, positive and negative predictive values, positive […]

Immediate Risk of Suicide and Cardiovascular Death After a Prostate Cancer Diagnosis: Cohort Study in the United States

A cohort study of 342,497 American patients diagnosed with prostate cancer from January 1979-December 2004 was conducted. Follow-up started from the date of diagnosis to the end of the first 12 calendar months after diagnosis. The relative risks of suicide & cardiovascular death were calculated as standardised mortality ratios. During the follow-up, 148 men died […]

Re: Immediate Risk of Suicide and Cardiovascular Death After a Prostate Cancer Diagnosis: Cohort Study in the United States

In this letter to the editor, the authors comment on Fang et al’s 2010 study & report on their own study of the risk of suicide & cardiovascular death in Swedish males diagnosed with prostate cancer. Men diagnosed with advanced or metastatic prostate cancer are at increased risk of suicide, including posttraumatic stress symptoms & […]

Acute Stress Reaction and Completed Suicide

File copy includes a correction to this article.

Suicide Ideation in Older Adults: Relationship to Mental Health Problems and Service use

Data from the Canadian Community Health Survey was used to estimate the prevalence of suicide ideation & the prevalence of major psychiatric disorder & service use among suicide ideators versus nonideators. Multivariate models considered the sociodemographic, social, & mental health correlates of suicide ideation & mental health care use. More than 2% of the sample […]

Gender Differences in Healthcare Service Utilisation 1 Year Before Suicide: National Record Linkage Study

All 12,497 suicides in Taiwan, 2001-2004, were identified from mortality records retrived from the National Health Insurance Database. 95.1% of females & 84.9% of males had been in contact with health care services in the year before their death. Females received significantly more diagnoses of psychiatric disorders & major depression than did males. Such differences […]