Medical Conditions Associated with Suicide Risk: Breast Augmentation and Suicide
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About this ebook
This ebook discusses the suicide risks associated with breast augmentation as demonstrated by recent research studies. The authors explore the risks of suicide among patients with particular types of preoperative and postoperative expectations. The ebook describes how health-care professionals are learning about factors that result in self-destructive behavior. Practical recommendations for caregivers are included.
Written by:
David B. Sarwer, Ph.D., Associate Professor of Psychiatry and Surgery, and The Edwin and Fannie Gray Hall Center for Human Appearance and the Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia PA
Edited by:
Alan L. Berman, Ph.D., Executive Director, American Association of Suicidology, President, International Association for Suicide Prevention
Maurizio Pompili, M.D., Ph.D., Department of Psychiatry, Sant’ Andrea Hospital, Sapienza University of Rome, Italy and McLean Hospital, Harvard Medical School, MA
Dr. Alan L. Berman
Alan L. Berman, Ph.D., Executive Director, American Association of Suicidology, President, International Association for Suicide Prevention
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Book preview
Medical Conditions Associated with Suicide Risk - Dr. Alan L. Berman
Medical Conditions Associated with Suicide Risk:
Breast Augmentation and Suicide
Edited by Alan L. Berman, PhD and Maurizio Pompili, MD, PhD
American Association of Suicidology
www.suicidology.org
Copyright 2011 by the American Association of Suicidology
All rights reserved
ISBN: 9781301386369
Cover photo copyright iStockphoto.com/Sebastian Kaulitzki
The American Association of Suicidology, Washington, DC 20015
Published at Smashwords
Introduction
Alan L. Berman, Ph.D., Executive Director, American Association of Suicidology, President, International Association for Suicide Prevention
Maurizio Pompili, M.D., Ph.D., Department of Psychiatry, Sant’ Andrea Hospital, Sapienza University of Rome, Italy and McLean Hospital, Harvard Medical School, MA
Deaths by suicide and suicidality (thoughts, nonfatal attempts, and a range of self-injurious behaviors) are tragic consequences of psychiatric disorders—an association strongly supported by research, notably psychological autopsy studies that, on average, find 90% or more of those who die by suicide to have had one or more psychiatric and/or substance abuse disorder diagnoses (Maris, Berman, & Silverman, 2000; Bertolote & Fleischmann, 2002). Rarely are suicide and suicidality thought to be associated independently with medical conditions (Juurlink, Herrmann, Szalai, Kopp, & Redelmeier, 2004); yet, for more than half a century, medical conditions have been identified as risk factors for suicide, with but scant attention to this fact in the non-psychiatric, medical world.
Some medical conditions heighten risk for major depression, perhaps the single most associated chronic and acute risk factor for suicide. That said, this association is not a given, nor is depression a necessary condition for suicide among those medical conditions with heightened odds for suicidality. Perhaps for this reason, iatrogenesis has some part to play in the suicidal deaths of those with medical conditions, in that medical caregivers too often pay scant attention to the risk of suicide when a patient does not show signs of depression. Moreover, even when depression is in evidence, medical caregivers still may not explore suicide risk. As but one illustration of this, Feldman and colleagues (2007) presented 152 primary care physicians with unannounced standardized depressed patients and found