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Suicidality and Eating Disorders: What you don’t want to know, but need to ask…. Melissa Freizinger, . Caroline Balz, MA, LMHC Who we are… Melissa Freizinger, . Caroline Balz, LMHC French philosopher Albert Camus (19131960) perhaps best explains the divergent views philosophers and theologians hold concerning suicide when he said, “What is called a reason for living is also an excellent reason for dying.” Objectives for Today Explore the facts Experiential exercise: What is your inner dialogue? Review risk factors and protective factors Case studies: Tanya and Kelly – Group Discussion Theory to practice – Commonly used interventions – Tools for Practice: Assessing safety Emergency plans for your practice Risk management for Therapists Self care for Therapists Qamp。A Exploring the facts: In 2022 there were 34,598 suicides in the . 900,875 annual attempts in . in 2022 Every day, approximately 99 Americans take their own life Suicide ranks 10th as a cause of death。 Homicide ranks 15th Rates of SI have increased 60% in the last 50 years Exploring the Facts Suicide is the most frequent mental health emergency Four out of five people who mit suicide have attempted to kill themselves at least once previously 1 out of 5 psychologists will lose a patient to suicide Suicide is a frequent cause of malpractice suits Exploring the Facts Clinicians are not expected to predict or prevent suicide Clinicians are expected to identify elevated suicide risks and take protective steps where possible Exploring the facts: Patients w/ED Suicide mortality rates among pts. with AN/BN are 23 times higher than that of the general population Suicide is the dominant cause of death in ED patients who die from nonnatural causes – Is more likely than medical plications AN has the highest mortality rate of all psychiatric disorders Exploring the facts: Rate of suicide in pt. with ED’s are 57 times the expected rate of a healthy woman