Abstract |
An assessment of suicidal behaviors in the dermatology patient may be necessary in several situations: (1) in the presence of psychiatric comorbidity ( major depressive disorder, body dysmorphic disorder, substance use disorder, posttraumatic stress disorder), encountered in up to 30% of dermatology patients; (2) when dermatologic symptoms ("dysmorphophobia," dermatitis artefacta) represent psychiatric pathologic conditions; (3) when psychosocial stressors (bereavement, interpersonal violence) increase the risk of suicidal behavior and exacerbate stress-reactive dermatoses ( psoriasis, acne); (4) in the presence of high disease burden (chronicity, increased disease severity); (5) in instances of significant pruritus or chronic sleep disruption; (6) in the presence of facial lesions or facial scarring; (7) when social exclusion or feelings of alienation arise secondary to the skin disorder; (8) with use of medications ( retinoids, biologics) for which suicidal behavior has been implicated as a possible side effect; and (9) when treating psychiatric patients experiencing a serious reaction to psychotropic medications (eg, Stevens-Johnson syndrome and anticonvulsants). Suicide risk must be assessed within a demographic context because suicide rates rise rapidly in adolescents and young adults, among whom the prevalence of skin disorders associated with suicidal behaviors ( acne, psoriasis, atopic dermatitis) is also high, and suicide rates are increasing among white men, who tend to be overrepresented in dermatology clinical trials.
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Authors | Madhulika A Gupta, Daiana R Pur, Branka Vujcic, Aditya K Gupta |
Journal | Clinics in dermatology
(Clin Dermatol)
2017 May - Jun
Vol. 35
Issue 3
Pg. 302-311
ISSN: 1879-1131 [Electronic] United States |
PMID | 28511829
(Publication Type: Journal Article)
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Copyright | Copyright © 2017 Elsevier Inc. All rights reserved. |
Topics |
- Adolescent
- Adult
- Age Factors
- Comorbidity
- Depressive Disorder, Major
(psychology)
- Dermatology
- Female
- Humans
- Life Change Events
- Male
- Risk Factors
- Sex Factors
- Skin Diseases
(psychology)
- Suicidal Ideation
- Suicide
(psychology)
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