In most mental‑health settings, clinicians depend heavily on patients to voluntarily share any thoughts of self‑harm or suicide. This self‑report model, while essential, often leaves clinicians without objective data when a patient is reluctant or unable to articulate their risk.
A growing coalition of psychiatrists, psychologists, and emergency‑room physicians argues that the lack of a specific diagnostic category for imminent suicide risk hampers early intervention. They suggest creating a provisional diagnosis—tentatively called Suicidal Risk Syndrome—that would allow providers to document and treat high‑risk states even when patients do not meet criteria for a traditional mood or anxiety disorder.
Proponents say the new diagnosis could:
Critics caution that adding another diagnostic label might pathologize normal emotional distress and lead to over‑medication. They also warn that without clear, evidence‑based criteria, the label could be applied inconsistently, undermining its intended purpose.
The coalition has submitted a formal proposal to the American Psychiatric Association and is gathering testimonies from patients, families, and advocacy groups. If the proposal gains approval, the new diagnostic code could appear in the next edition of the DSM, reshaping how clinicians assess and respond to suicide risk across the United States.