SSSuuuiiiccciiidddeee PPPrrreeevvveeennntttiiiooonnn A Practical Guide for the Practitioner Tatiana Falcone Jane Timmons-Mitchell Editors 123 Suicide Prevention Tatiana Falcone · Jane Timmons-Mitchell Editors Suicide Prevention A Practical Guide for the Practitioner Editors Tatiana Falcone Jane Timmons-Mitchell Epilepsy Center/ Psychiatry Department Begun Center for Violence Prevention Neurological Institute - Cleveland Clinic Research and Education Cleveland, OH Jack, Joseph, and Morton Mandel School of USA Applied Sciences School of Medicine Case Western Reserve University Cleveland, OH USA ISBN 978-3-319-74390-5 ISBN 978-3-319-74391-2 (eBook) https://doi.org/10.1007/978-3-319-74391-2 Library of Congress Control Number: 2018936523 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Funding for this project was made possible (in part) under grant number SM062894 from the Substance Abuse and Mental Health Services Administration (SAMHSA). The views expressed in written training materials or publications and by speakers and moderators do not necessarily reflect the views, opinions, or policies of CMHS, SAMHSA, or HHS; nor does mention of trade names, commercial practices, or organizations imply endorsement by the US Government in conjunction with the Ohio Suicide Prevention Foundation. Acknowledgments We acknowledge our gratitude to Seungjong Cho, M.S.W., for assistance in prepar- ing citations for all of the chapters, and to Migle Staniskyte for assistance in compil- ing chapter manuscripts. vii Contents Part I Introduction 1 Neurobiology of Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Tatiana Falcone, Migle Staniskyte, Fernando Espi Forcen, and Jaime Vengoechea 2 Mood Disorders and Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Mariela Herrera 3 Psychosis and Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Tatiana Falcone, Migle Staniskyte, and Jane Timmons-Mitchell Part II Special Populations 4 Suicide in Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Elizabeth C. Lanzillo, Lisa M. Horowitz, and Maryland Pao 5 Substance Abuse and Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Youssef Mahfoud and Michael Ignatowski 6 Suicide in Children and Adults with Epilepsy: A Complex Relationship . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Jana E. Jones and Jessica M. Bordenave 7 Suicide in Chronic Pain Patients: Risk Factors and Clinical Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 Jennifer K. Lehmann and Xavier F. Jimenez Part III Medical Services 8 Primary Care Behavioral Health (PCBH) Model and Suicide . . . . . . 155 Alexander D. Smith, Meghan D.M. Fondow, and Elizabeth A. Zeidler Schreiter 9 Suicide Risk Assessment Tools and Management in Emergency Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Karolina Mlynek, Christopher Sola, and Naveed Khokhar ix x Contents 10 The Darkness at the End of Life: Suicide in Palliative Care Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 Fernando Espi Forcen and Juan R. Jaramillo Part IV Prevention 11 Suicide Prevention: A Primer for Healthcare Professionals . . . . . . . . 205 Michael F. Hogan 12 Preventing Suicide in Hospital-Based Care . . . . . . . . . . . . . . . . . . . . . 217 Clare C. Mitchell and Jeanne M. Lackamp 13 Gatekeeper Training to Prevent Suicide in the Emergency Department and in Primary Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229 Glenn Albright, Jane Timmons-Mitchell, and Jeremiah McMillan 14 Medical Student Suicide: An Assessment of Risk Factors and Prevention Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 Carol Swetlik and Kathleen N. Franco 15 Teaching Psychiatry Residents About Suicide Prevention and Postvention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265 Farah Munir, Sarah Nagle-Yang, and Cathleen Cerny 16 Understanding Risk Factors and Warning Signs for Suicide: A Primer for Preventing Suicide in Physicians . . . . . . . . . . . . . . . . . . 285 Ruby C. Castilla-Puentes Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303 Contributors Glenn  Albright, Ph.D. Department of Psychology, Baruch College, City University of New York, New York, NY, USA Kognito, New York, NY, USA Jessica M. Bordenave, Psy.D. Department of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA Ruby C. Castilla-Puentes, M.D., Dr.P.H., M.B.A. Board of Directors American Society of Hispanic Psychiatry, Medical Safety at Johnson and Johnson, Philadelphia, PA, USA Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA Cathleen Cerny University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA Tatiana  Falcone, M.D., M.P.H. Epilepsy Center/ Psychiatry Department, Neurological Institute - Cleveland Clinic, Cleveland, OH, USA Meghan D.M. Fondow, Ph.D. Access Community Health Centers, Madison, WI, USA Fernando Espi Forcen, M.D., Ph.D. Department of Psychiatry, Rush University Medical Center, Chicago, IL, USA Kathleen N. Franco, M.D. Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA Department of Psychiatry and Psychology, Cleveland Clinic, Cleveland, OH, USA Mariela Herrera, M.D. Billings Clinic, Billings, MT, USA Michael  F.  Hogan, Ph.D. National Action Alliance on Suicide Prevention, Washington, DC, USA Case Western Reserve University School of Medicine, Cleveland, OH, USA Lisa M. Horowitz, Ph.D., M.P.H. Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA xi xii Contributors Michael Ignatowski, D.O. CWRU School of Medicine, Cleveland Louis Stokes VA Medical Center, Cleveland, OH, USA Juan R. Jaramillo, M.D. Department of Psychiatry, Owensboro Health Regional Hospital, Owensboro, KY, USA Xavier F. Jimenez, M.D., M.A. Chronic Pain Rehabilitation Section, Center for Neurological Restoration, Cleveland Clinic Lerner College of Medicine, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA Jana E. Jones, Ph.D. Department of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA Naveed Khokhar, M.D. Department of Psychiatry, Cleveland Clinic, Cleveland, OH, USA Jeanne M. Lackamp, M.D. University Hospitals Cleveland Medical Center, Cleveland, OH, USA Elizabeth C. Lanzillo, B.A. Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA Jennifer K. Lehmann, M.A. Case Western Reserve University, Cleveland, OH, USA Youssef  Mahfoud, M.D., F.A.P.A., F.A.S.A.M. Opioid Treatment Program, CWRU School of Medicine, Cleveland Louis Stokes VA Medical Center, Cleveland, OH, USA Jeremiah McMillan, B.A. University of Georgia, Athens, GA, USA Clare  C.  Mitchell, Ph.D. University Hospitals Cleveland Medical Center, Cleveland, OH, USA Karolina Mlynek, M.D., M.B.A. Department of Psychiatry, Cleveland Clinic, Cleveland, OH, USA Farah  Munir University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA Sarah Nagle-Yang University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA Maryland Pao, M.D. Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA Alexander D. Smith, Psy.D. Access Community Health Centers, Madison, WI, USA Christopher Sola, D.O. Department of Psychiatry, Cleveland Clinic, Cleveland, OH, USA