à lire sur http://www.psychomedia.qc.ca
L’American Psychiatric Association (APA) a rendu publique, sur son site internet, une version préliminaire des critères diagnostiques pour la 5e édition du Manuel diagnostique et statistique des troubles mentaux (Diagnostic and Statistical Manual of Mental Disorders), communément appelé DSM (DSM-V). Ce manuel constitue la référence la plus largement utilisée pour le diagnostic des troubles psychiatriques par les professionnels de santé dans plusieurs pays.
De nouvelles échelles de risque suicidaire pour les adultes et les adolescents sont ajoutées afin d’aider à identifier les personnes les plus à risque, avec pour but d’améliorer les interventions pour un large éventail de troubles mentaux; les échelles incluent des critères basés sur les recherches tels que le comportement impulsif et l’abus d’alcool chez les adolescents.
Voir aussi l’article sur ce sujet paru dans le huffington post:
The new guidebook, published in May, has a greater focus on suicidal ideation and behaviors as a cross-cutting issue of mental disorders and introduces new ways of interpreting and reacting to both.
First, chapters throughout DSM-5 now identify particular characteristics that make people more vulnerable to suicide. This risk is specifically recognized in diagnoses from anorexia nervosa to schizophrenia to post-traumatic stress disorder, a reflection of research that has shown elevated risk to be a concern not just with depressive or personality disorders. For example, the text notes that suicide rates of 12 per 100,000 annually are reported with anorexia and that comprehensive evaluation of individuals with this diagnosis should include assessment of suicide-related ideation and behaviors. By directing attention to the suicidal patterns associated with a range of diagnoses, DSM-5 helps clinicians provide the best patient care — and save lives.
In addition, a new component of the manual called Section III includes several assessment tools to assist clinicians in evaluating patients consistently and comprehensively. These cross-cutting symptom measures target more general mental function as well as severity measures that are disorder specific. They assess an individual in 13 different psychological domains, one of which is suicide. The measures are directed toward the diagnostic and treatment limitations of a strictly categorical construct. Symptoms, like suicidal behavior, often do not fit precisely into a single category.
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