Abstract
The association of suicide with active physical illness is high, and the possibility of suicide is increased when symptoms of clinical depression, such as loss of appetite, sleep disturbance, or feelings of hopelessness are present as well. Additional alerting factors are previous history of affective illness, previous suicidal behavior, and limited interpersonal resources. Patients should be queried about suicidal thoughts, since they will frequently admit to such with relief of anxiety. Measures for protection of the patient should be instituted immediately until psychiatric evaluation and care can be obtained. Explanations of the relationship of suicidal impulses to depressive illness and the communication of a realistic attitude of therapeutic optimism will help to diminish anxiety in the patient and his family.
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