Suicide: A Transdiagnostic Phenomenon: April 2020
AKH Inc., Advancing Knowledge in Healthcare and Psychiatric Annals
Table of Contents
Management of Suicidality with Borderline and Narcissistic Features
Brandon T. Unruh, MD
Suicide in Schizophrenia Spectrum Disorders
Abigail L. Donovan, MD; Julia Browne, PhD; Oliver Freudenreich, MD, FACLP; and Cori Cather, PhD
Suicide Risk in Mixed States: Clinical and Preventive Perspectives>
Alberto Forte, MD; Benedetta Montalbani, MD; Martina Mastrangelo, MD; Gaia Anibaldi, MD; Gabriele Pasquale De Luca, MD, PhD; Benedetta Imbastaro, MD; and Maurizio Pompili, MD, PhD
Suicide and Substance Use Disorder
Hilary S. Connery, MD, PhD; Francesca M. Korte, BA; and R. Kathryn McHugh, PhD
Sponsorship Statement: This CME activity is jointly sponsored by AKH Inc., Advancing Knowledge in Healthcare and Psychiatric Annals.
Support Statement: There is no commercial support for this activity.
- Describe key principles for monitoring and managing shifting levels of suicide risk according to borderline personality disorder phenomenology (of interpersonal hypersensitivity) and narcissistic personality disorder phenomenology (of self-esteem dysregulation).
- Describe the risk and mitigating factors that influence the assessment of suicidality in schizophrenia and guide treatment interventions.
- Describe the main clinical features of mixed states associated with an increased risk of suicide and the available therapeutic strategies to prevent these conditions.
- Describe multiple risk factors contributing to elevated suicide risk in substance use disorders.
Author names and affiliations: See authors above
Guest Editors: Mark A. Schechter, MD; and Mark J. Goldblatt, MD
Reviewer names: Andrew A. Nierenberg, MD, Editor, and Lenard A. Adler, MD, CME Coordinator, Psychiatric Annals
Disclosure statement: In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears at the beginning of each CME-accredited article in this issue and also on this page.
Faculty members report the following financial relationships: Andrew A. Nierenberg, MD, has disclosed the following relevant financial relationships: Appliance Computing Inc. (Mindsite); Astra Zeneca; Brain Cells, Inc.; Brandeis University; Bristol Myers Squibb; Clintara, Dianippon Sumitomo/Sepracor; Eli Lilly and Company; EpiQ, Forest; Johnson and Johnson; Labopharm; Merck; Methylation Science; Novartis; PamLabs; PGx Health; Shire; Schering-Plough; Sunovion; Takeda/Lundbeck Pharmaceuticals; Targacept; Teva: Consultant. APSARD; Belvoir Publishing; Boston Center for the Arts; University of Texas Southwestern Dallas; Hillside Hospital; American Drug Utilization Review; American Society for Clinical Psychopharmacology; Bayamon Region Psychiatric Society; Baystate Medical Center; Canadian Psychiatric Association; Columbia University; Douglas Hospital/McGill University; IMEDEX; International Society for Bipolar Disorders; Israel Society for Biological Psychiatry; John Hopkins University; MJ Consulting; Massachusetts Association of College Counselors; Medscape; MBL Publishing; Physicians Postgraduate Press; Ryan Licht Sang Foundation; Slack Publishing; SUNY Buffalo; University of Florida; University of Miami; University of Wisconsin; University of Pisa; SciMed: Honoraria / travel expenses. Appliance Computing, Inc.; Brain Cells, Inc.: Stock options. AHRQ; Cephalon; Forest; Mylan; NIMH; PamLabs; Pfizer Pharmaceuticals; Takeda; Elan; Shire: Grant / research support.
Lenard A. Adler has disclosed the following relevant financial relationships: research grants paid to New York University (NYU) on Dr. Adler’s behalf from Sunovion Pharmaceuticals, Shire Pharmaceuticals, Lundbeck, Enzymotec, Purdue Pharma; personal fees for consulting or advisory boards from Sunovion Pharmaceuticals, Enzymotec, Shire Pharmaceuticals, the National Football League, Major League Baseball, Shire Pharmaceuticals, Otsuka Pharmaceuticals, Alcobra Pharmaceuticals; and royalty fees from NYU School of Medicine for license of Adult ADHD rating scales and training materials.
Authors report the following financial relationships: Mark A. Schechter has no relevant financial relationships to disclose. Mark J. Goldblatt has no relevant financial relationships to disclose. Brandon T. Unruh has no relevant financial relationships to disclose. Abigail L. Donovan has no relevant financial relationships to disclose. Julia Browne has no relevant financial relationships to disclose. Oliver Freudenreich discloses royalties from Wolters-Kluwer and UpToDate; consultation for Alkermes, Neurocrine, Janssen, Novartis, and Roche; contracted research for Avanir, Janssen, Otsuka, and Saladax; and continuing medical education talks and medical editing for Medscape, Elsevier, Neurocrine, and Global Medical Education. Cori Cather discloses consultation for Charles River Analytics, Department of Mental Health, Maine Medical Health Center, and the New England Research Institute. Alberto Forte has no relevant financial relationships to disclose. Benedetta Montalbani has no relevant financial relationships to disclose. Martina Mastrangelo has no relevant financial relationships to disclose. Gaia Anabaldi has no relevant financial relationships to disclose. Gabriele Paquale De Luca has no relevant financial relationships to disclose. Benedetta Imbastaro has no relevant financial relationships to disclose. Maurizio Pompili has lectured, served on advisory boards, received honoraria, or engaged in clinical trial activities with Angelini, Lundbeck, Janssen, Otsuka, and Allergan. Hilary S. Connery has no relevant financial relationships to disclose. Francesca M. Korte has no relevant financial relationships to disclose. R. Kathryn McHugh has no relevant financial relationships to disclose.
Accreditation statement(s): This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and SLACK Incorporated. AKH Inc., Advancing Knowledge in Healthcare is accredited by the ACCME to provide continuing medical education for physicians.
Credit designation: AKH Inc., Advancing Knowledge in Healthcare designates this enduring material for a maximum of 3.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Release date: April 1, 2020. Expiration Date: May 1, 2023.
How to participate: To participate in this CME activity, you must read the learning objectives, read the articles, complete the CME posttest, and complete the evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 70% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, AKH Inc., Advancing Knowledge in Healthcare will issue an AMA PRA Category 1 Credit(s)™ certificate.
Target audience: This CME activity is primarily targeted to patient-caring psychiatrists, physicians specializing in psychiatry, and others allied to the field. There are no specific background requirements for participants taking this activity.
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