Riassunto
La suicidologia è concorde nel descrivere il comportamento suicidale come un continuum comprendente diverse manifestazioni che, partendo dall’ideazione, arrivano al suicidio vero e proprio, passando attraverso minacce suicidarie e TS di maggiore o minore gravità (Moscicki, 1995). È proprio sul riconoscimento di questi fattori predittivi che verte l’ampio capitolo della prevenzione secondaria, volta a individuare e a prendere in carico le persone a rischio, e quello della prevenzione terziaria, rivolta invece ai soggetti che abbiano già tentato il suicidio: l’obiettivo è, quindi, quello di ridurre eventuali recidive.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliografia
Ahrens B, Müller-Oerlinghausen B (2001) Does lithium exert an independent antisuicidal effect? Pharmacopsychiatry 34:132–136
Andersen UA, Andersen M, Rosholm JU et al (2000) Contacts to the health caresystem prior to suicide: a comprehensive analysis using registers for general attempted suicide. John Wiley and Sons, Chichester
Angst J, Angst F, Gerber-Werder R et al (2005) Suicide in 406 mood-disorder patients with and without long-term medication: a 40 to 44 years’ follow-up. Archives in Suicide Research 9:279–300
Arsenault-Lapierre G, Kim C, Turecki G (2004) Psychiatric diagnoses in 3275 suicides: a metaanalysis. BMC Psychiatry 4:37
Baconcini C (1994) Le psicoterapie nelle condotte suicidarie. In: De Leo D, Pavan L (eds) Suicidio: verso nuove strategie preventive. Kendall, Deer Park, pp 213–219
Baldessarini RJ, Pompili M, Tondo L, Tsapakis E, Soldani F, Fedda GL, Hennen J (2005) Antidepressants and suicidal behavior: Are we hurting or helping? Clinical Neuropsychiatry 2:73–75
Baldessarini RJ, Tondo L, Davis P et al (2006) Decreased suicidal risk during long-term lithium treatment: meta-analysis. Bipolar Disorder 8:625–639
Cavanagh, JTO, Carson AJ, Sharpe M et al (2003) Psychological autopsy studies of suicide: a systematic review. Psychological Medicine 33:395–405
Cipriani A, Pretty H, Hawton K et al (2005) Lithium in the prevention of suicidal behaviour and all cause mortality in patients with mood disorder: a systematic review of randomised trials. American Journal of Psychiatry 162:1805–1819
Cukrowicz KC, Duberstein PR, Vannoy SD et al (2009) Course of suicide ideation and predictors of change in depressed older adults. Journal of Affective Disorders 113:30–36
Deisenhammer EA, Huber M, Kemmler G et al (2007) Psychiatric hospitalizations during the last 12 months before suicide. Gen Hosp Psychiatry 29:63–65
De Leo D, Padoani W, Lonnqvist J et al (2002) Repetition of suicidal behaviour in elderly Europeans: a prospective longitudinal study. Journal of Affective Disorders 72:291–295
Dhossche DM, Ulusarac A, Syed W (2001) A retrospective study of general hospital patients who commit suicide shortly after being discharged from the hospital. Archives of Internal Medicine 161:991–994
Goldman LS, Nielsen NH, Champion HC (1999) Awareness, diagnosis, and treatment of depression. Journal of General Internal Medicine 14:569–580
Hammad TA, Laughren T, Racoosin J (2006) Suicidality in pediatric patients treated with antidepressant drugs. Archives of General Psychiatry 63:332–339
Hawton K, van Heeringen C (2000) International handbook of suicide and attempted suicide. John Wiley and Sons, Chichesler
Healy D (2006) Did regulators fail over selective serotonin reuptake inhibitors? BMJ 333:92–95
Hennen J, Baldessarini RJ (2005) Suicidal risk during treatment with clozapine: a meta-analysis. Schizophrenia Research 73:139–145
Hirschfeld RM, Keller MB, Panico S et al (1997) The National Depressive and Manic-Depressive Association consensus statement on the undertreatment of depression. JAMA 277:333–340
Hirschfeld RM, Russell JM (1997) Assessment and treatment of suicidal patients. New England Journal of Medicine 337:910–915
Høyer EH, Licht RW, Mortensen PB (2009) Risk factors of suicide in inpatients and recently discharged patients with affective disorders. A case-control study. European Psychiatry 24:317–321
Høyer EH, Olesen AV, Mortensen PB (2004) Suicide risk in patients hospitalised because of an affective disorder: a follow-up study, 1973–1993. Journal of Affective Disorders 78:209–217
Houston K, Hawton K, Shepperd R (2001) Suicide in young people aged 15-24: a Psychological autopsy study. Journal of Affective Disorders 63:159–170
Isacsson G (2000) Suicide prevention a medical breakthrough? Acta Psychiatrica Scandinavica 102:113–117
Kessing LV, Søndergård L, Kvist K et al (2005) Suicide risk in patients treated with lithium. Archives of General Psychiatry 62:860–866
Khuri R, Akiskal HS (1983) Suicide prevention: the necessity of treating contributory psychiatric disorders. Psychiatric Clinics of North America 6:193–207
King EA, Baldwin DS, Sinclair JMA et al (2001) The Wessex recent in-patient suicide study. I. Case-control study of 234 recently discharged psychiatric patient suicides. British Journal of Psychiatry 178:531–536
Klein DF (2006) FDA post-marketing safety decisions. Journal of Clinical Psychiatry 67:1305–1306
Lecrubier Y (1998) Is depression under-recognised and undertreated? International Clinical Psychopharmacology 13:S3–S6
Luoma JB, Martin CE, Pearson JL (2002) Contact with mental health and primary care providers before suicide: a review of the evidence. American Journal of Psychiatry 159:909–916
Mann JJ, Emslie G, Baldessarini RJ et al (2006) ACNP Task Force report on SSRIs and suicidal behavior in youth. Neuropsychopharmacology 31:473–492
Marzuk PM, Tardiff K, Leon AC, et al (1995) Use of prescription psychotropic drugs among suicide victims in New York City. American Journal of Psychiatry 152:1520–1522
Meehan J, Kapur N, Hunt IM et al (2006) Suicide in mental health in-patients and within 3 months of discharge. British Journal of Psychiatry 188:129–134
Meltzer HY, Alphs L, Green AI et al (2003) Clozapine treatment for suicidality in schizophrenia: International Suicide Prevention Trial (InterSePT). Archives of General Psychiatry 60:82–91
Möller HJ (1992) Attempted suicide: efficacy of different aftercare strategies. International Clinical Psychopharmacology 6:58–69
Möller HJ (2006) Evidence for beneficial effects of antidepressants on suicidality in depressive patients: systematic review. European Archives of Psychiatry and Clinical Neuroscience 256: 329–343
Montgomery A, Montgomery DB, Green M et al (1992) Pharmacotherapy in the prevention of suicidal behaviour. Journal of Clinical Psychopharmacology 12:27S–31S
Moscicki EK (1995) Epidemiology of suicidal behavior. Suicide and Life-Threatening Behavior 25:22–35
Motto JA, Bostrom AG (2001) A randomised controlled trial of postcrisis suicide prevention. Psychiatric Services 52:828–833
Müller-Oerlinghausen B, Ahrens B, Felber W (2006) The suicide-preventive and mortality-reducing effect of lithium. In: Bauer M, Grof P, Müller-Oerlinghausen B (eds), Lithium in Neuropsychiatry. Informa Healthcare, London, pp 179–192
Oquendo MA, Malone KM, Ellis SP et al (1999) Inadequacy of antidepressant treatment for patients with major depression who are at risk for suicidal behavior. American Journal of Psychiatry 156:190–194
Pfeffer CR (1986) Suicide prevention. Current efficacy and future promise. Annals of the New York Academy of Science 487:341–350
Reid WH (2009) Prognosis after suicide attempt: standard of care and consequences of not meeting it. Journal of Psychiatry Practice 15:141–144
Rihmer Z (1996) Strategies of suicide prevention: focus on health care. Journal of Affective Disorders 39:83–91
Rihmer Z (1997) Recognition of depression and prevention of suicide: the role of general practitioners and general physicians. International Journal of Psychiatry Clinical Practice 1:131–134
Rihmer Z, Barsi J, Arato M et al (1990) Suicide in subtypes of primary major depression. Journal of Affective Disorders 18:221–225
Rihmer Z, Kiss K (2002) Bipolar disorders and suicidal behaviour. Bipolar Disorder 4:21–25
Rihmer Z, Rutz W, Pihlgren H (1995) Depression and suicide on Gotland. An intensive study of all suicides before and after a depression-training programme for general practitioners. Journal of Affective Disorders 35:147–152
Rutz W (2001) Preventing suicide and premature death by education and treatment. Journal of Affective Disorders 62:123–129
Schou M (1999) Perspectives on lithium treatment of bipolar disorder: action, efficacy, effect on suicidal behaviour. Bipolar Disorder 1:5–10
Sinclair JM, Harriss L, Baldwin DS et al (2005) Suicide in depressive disorders: a retrospective case-control study of 127 suicides. Journal of Affective Disorders 87:107–113
Tondo L, Hennen J, Baldessarini RJ (2001) Lower suicide risk with long-term lithium treatment in major affective illness: a meta-analysis. Acta Psychiatrica Scandinavica 104:163–172
US Food And Drug Administration (2003) FDA public-health advisory: reports of suicidality in pediatric patients being treated with antidepressant medications for major depressive disorder. htpp://www.fda.gov/cder/drug/advisory/mdd.htm
Waern M, Beskow, J, Runeson B et al (1999) Suicidal feelings in the last year of life in elderly people who commit suicide. Lancet 354: 917–918
Walinder J, Rutz W (2001) Male depression and suicide. International Clinical Psychopharmacology 16:S21–S24
Whittington CJ, Kendall T, Fonagy P et al (2004) Selective serotonin reuptake inhibitors in childhood depression: systematic review of published versus unpublished data. Lancet 363:1341–1345
Rights and permissions
Copyright information
© 2013 Springer-Verlag Italia
About this chapter
Cite this chapter
Ronzitti, S., Ornaghi, A., Chiesa, M., Romanato, S., Giampieri, E., Clerici, M. (2013). Prevenzione secondaria e terziaria. In: Il suicidio oggi. Springer, Milano. https://doi.org/10.1007/978-88-470-2715-2_27
Download citation
DOI: https://doi.org/10.1007/978-88-470-2715-2_27
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2714-5
Online ISBN: 978-88-470-2715-2
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)