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Healthy and well-developed coping skills help buffer stressful live events and allow individuals to access internal and external resources during crises. Understanding Suicide Risk 49 In terms of personality, suicide risk may be associated with hostile, helpless, dependent and rigid personality traits. Individuals at higher risk of suicide may include those with rigid ‘all or none’ thinking. These individuals often have difﬁculty in problem-solving during times of stress. Even if they are ambivalent about suicide they may see suicide as their only option because they are unable to come up with alternative strategies.
There is no ‘suicidal’ personality, but a patient’s individual personality traits, ability to manage emotional and psychological pain, problem-solving skills, past responses to stress and ability to use internal and external resources during crises are important factors that may mitigate or increase risk for suicide. Individuals who are impulsive, reactionary, feel they are not able to make change (have a poor sense of self-efﬁcacy), have difﬁculty problem-solving and seeking alternative solutions, and lack healthy coping strategies to deal with life adversity may be at higher risk for suicide.
The presence of hopelessness, ranging from pessimism and negative expectation about the future to despairing about the future, has also been associated with increased suicide risk, particularly in later stages of the illness. When depression occurs concurrently with a chronic medical condition (such as pain or heart disease) or a life-threatening medical disorder (such as cancer) suicide risk may be substantially increased. 32 Suicide Risk Management By convention, clinical depression is diagnosed following syndromal criteria spelled out in one of two diagnostic classiﬁcation systems: the DSM or the ICD (International Classiﬁcation of Disease).