Suicide risk in XXXX : learning from the past to change the future.

@entity1 @entity1032 @entity308 @entity161 @entity393 @entity204 @entity734
Suicide is a major cause of @entity204 among @entity1 with @entity161 . Research indicates that at least 5-13% of @entity161 @entity1 die by suicide, and it is likely that the higher end of range is the most accurate estimate. There is almost total agreement that the @entity161 @entity1 who is more likely to commit suicide is young, male, white and never married, with good premorbid function, @entity308 and a history of substance abuse and suicide attempts. Hopelessness, social isolation, hospitalization, deteriorating health after a high level of premorbid functioning, recent loss or rejection, limited external support, and family stress or instability are risk factors for suicide in @entity1 with @entity161 . Suicidal schizophrenics usually fear further @entity1032 , and they experience either excessive @entity734 or @entity393 in treatment. Awareness of illness has been reported as a major issue among suicidal @entity161 @entity1 , yet some researchers argue that insight into the illness does not increase suicide risk. Protective factors play also an important role in assessing suicide risk and should also be carefully evaluated. The neurobiological perspective offers a new approach for understanding self-destructive behavior among @entity1 with @entity161 and may improve the accuracy of screening schizophrenics for suicide. Although, there is general consensus on the risk factors, accurate knowledge as well as early recognition of @entity1 at risk is still lacking in everyday clinical practice. Better knowledge may help clinicians and caretakers to implement preventive measures. This review paper is the result of a joint effort between researchers in the field of suicide in @entity161 . Each expert provided a brief essay on one specific aspect of the problem. This is the first attempt to present a consensus report as well as the development of a set of guidelines for reducing suicide risk among @entity161 @entity1 .
