Guidelines from the Brazilian Psychiatric Association for the management of suicidal behavior: screening and assessment

revised and expanded translation of: https://doi.org/10.1590/1516-4446-2020-0994 and https://doi.org/10.1590/1516-4446-2020-1108

Authors

  • Leonardo Baldaçara Professor, Universidade Federal do Tocantins, UFT, Palmas, TO, Brasil https://orcid.org/0000-0002-5201-8515
  • Elie Leal de Barros Calfat Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Irmandade da Santa Casa de São Paulo, São Paulo, SP, Brasil
  • Cintia de Azevedo-Marques Périco Faculdade de Medicina do ABC, Santo André, SP, Brasil https://orcid.org/0000-0002-2664-5101
  • Flavia Ismael Pinto Faculdade de Medicina do ABC, Santo André, SP, Brasil
  • Gislene Alves da Rocha Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, MG, Brasil; Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil
  • Verônica da Silveira Leite Universidade Federal do Tocantins, Palmas, TO, Brasil; Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0002-2919-3219
  • Deisy Mendes Porto Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0001-9671-358X
  • Roberta Rossi Grudtner Secretaria Estadual de Saúde do Estado do Rio Grande do Sul, Porto Alegre, RS; Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0003-4873-6706
  • Alexandre Paim Diaz Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
  • Alexandrina Maria Augusto da Silva Meleiro Associação Brasileira de Psiquiatria, Rio de Janeiro, RJ, Brasil
  • Humberto Corrêa da Silva Filho Professor Titular, Psiquiatria, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil
  • Teng Chei Tung Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, USP, SP, Brasil
  • João Quevedo Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA
  • Antônio Geraldo da Silva Pós-Doutor em Medicina Molecular, Presidente, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0003-3423-7076

DOI:

https://doi.org/10.25118/2763-9037.2024.v14.1260

Keywords:

suicide, completed suicide, suicide attempt, mental disorders, guidelines

Abstract

This article details the guidelines for the screening and assessment of suicidal behavior. Screening involves the use of instruments or protocols to identify individuals with suicidal behaviors, which can be applied independently or as part of a broader health assessment. This can be done manually or electronically and can be applied selectively or universally to the entire target population. The assessment of suicide risk should be conducted by a physician and include structured questionnaires and open-ended conversations with the patient, family, and friends to obtain a comprehensive view of behavior, risk and protective factors, and mental health care history. The effectiveness of screening and assessment is enhanced when combined with intervention strategies, such as the Safety Plan, which integrates risk assessment and the creation of an individualized therapeutic plan.

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Author Biographies

Leonardo Baldaçara, Professor, Universidade Federal do Tocantins, UFT, Palmas, TO, Brasil

Elie Leal de Barros Calfat, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Irmandade da Santa Casa de São Paulo, São Paulo, SP, Brasil

Cintia de Azevedo-Marques Périco, Faculdade de Medicina do ABC, Santo André, SP, Brasil

Flavia Ismael Pinto, Faculdade de Medicina do ABC, Santo André, SP, Brasil

Gislene Alves da Rocha, Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, MG, Brasil; Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Verônica da Silveira Leite , Universidade Federal do Tocantins, Palmas, TO, Brasil; Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Deisy Mendes Porto, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Roberta Rossi Grudtner, Secretaria Estadual de Saúde do Estado do Rio Grande do Sul, Porto Alegre, RS; Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Alexandre Paim Diaz, Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA

Alexandrina Maria Augusto da Silva Meleiro, Associação Brasileira de Psiquiatria, Rio de Janeiro, RJ, Brasil

Humberto Corrêa da Silva Filho, Professor Titular, Psiquiatria, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Teng Chei Tung, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, USP, SP, Brasil

João Quevedo, Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA

Antônio Geraldo da Silva, Pós-Doutor em Medicina Molecular, Presidente, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

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Published

2024-07-07

How to Cite

1.
Baldaçara L, Calfat EL de B, Périco C de A-M, Pinto FI, Rocha GA da, Leite V da S, et al. Guidelines from the Brazilian Psychiatric Association for the management of suicidal behavior: screening and assessment: revised and expanded translation of: https://doi.org/10.1590/1516-4446-2020-0994 and https://doi.org/10.1590/1516-4446-2020-1108. Debates em Psiquiatria [Internet]. 2024 Jul. 7 [cited 2025 Oct. 5];14:1-12. Available from: https://revistardp.org.br/revista/article/view/1260

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