Fast Five Quiz: Can You Answer These Challenging Psychiatry Questions?

Stephen Soreff, MD

Disclosures

March 13, 2017

Adolescents aged 15-19 years with adjustment disorder are at highest risk for suicide. What makes this population particularly vulnerable is their lack of perspective: A teen may never have experienced a broken romantic relationship, lost a job, or failed a test. As a result, the adolescent may catastrophize the event and choose suicide. Age affects treatment outcomes as well: After adjustment disorder, adults without previous mental disorders generally remain free of disorders, whereas children and adolescents are more likely to develop serious mental illnesses.

Suicidal ideation and behavior are as common and as dangerous in patients with adjustment disorder as in patients with a major depressive episode. Moreover, the suicidal process seems to evolve more quickly in persons with adjustment disorder, with a median interval of only 1 month from the first suicidal communication to the suicide. Patients should be monitored closely for suicidal or self-harming thoughts or behavior.

For more on the prognosis for adjustment disorder, read here.

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