Why it fits
Depression with agitation, irritability, racing thoughts
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Depression with agitation, irritability, racing thoughts
Sustained wish to die or escape, often with cognitive constriction and pessimism.
Separates the Suicidal Ideation / Suicide Attempt / Self-Harm group. It is not specific to Bipolar depression.
Applies to the Suicidal Ideation / Suicide Attempt / Self-Harm group — not specific to Bipolar depression
Rows marked “Whole group”: Applies to the Suicidal Ideation / Suicide Attempt / Self-Harm group — not specific to Bipolar depression
Depression with agitation, irritability, racing thoughts
Mixed features, recent antidepressant activation, psychosis, substance use.
Applies to the Suicidal Ideation / Suicide Attempt / Self-Harm group.
Sustained wish to die or escape, often with cognitive constriction and pessimism.
Applies to the Suicidal Ideation / Suicide Attempt / Self-Harm group.
Quiet, organised suicidality is often higher risk than dramatic expression Mixed states are easy to miss and carry very high suicide risk Ask about content, controllability, and compliance, not just presence of voices Do not dismiss recurrent self-harm as low risk Focus on intent, lethality, acute change, dissociation, substance use Dissociated acts can be impulsive yet highly dangerous
Applies to the Suicidal Ideation / Suicide Attempt / Self-Harm group.
None listed
Applies to the Suicidal Ideation / Suicide Attempt / Self-Harm group.
None listed
Clinical reference — not validated decision support. Review before use.