T14.91XD Suicide attempt, subsequent encounter

ICD10CM code

#### Name of the Condition
- Suicide Attempt, Subsequent Encounter (ICD-10 Code: T14.91XD)

#### Summary
- A suicide attempt subsequent encounter refers to a follow-up medical visit or treatment after an individual has previously attempted to take their own life. This code is used to document ongoing care and management after an initial suicide attempt.

#### Causes
- Suicide attempts can be the result of various factors, including mental health disorders (e.g., depression, anxiety, schizophrenia), substance abuse, overwhelming stress, or major life changes. Feelings of hopelessness and extreme emotional distress are often underlying causes.

#### Risk Factors
- Mental health disorders, previous suicide attempts, family history of suicide, chronic illness or pain, substance abuse, trauma or abuse, social isolation, and major life changes or losses.

#### Symptoms
- Signs preceding a suicide attempt can include withdrawal from social interaction, drastic mood changes, talking about wanting to die, increased substance use, and giving away possessions.

#### Diagnosis
- Psychological evaluations and interviews are key methods. Medical professionals assess mental health history and any physical injuries incurred during the attempt.

#### Treatment Options
- Treatment often involves psychiatric interventions such as cognitive-behavioral therapy (CBT), medication management (e.g., antidepressants, anxiolytics), and follow-up counseling sessions aimed at addressing underlying issues and preventing future attempts.

#### Prognosis and Follow-Up
- Prognosis varies based on underlying mental health conditions and effectiveness of interventions. Regular follow-up appointments are critical for ongoing mental health assessment and support.

#### Complications
- Untreated conditions and repeated attempts can lead to serious physical harm, worsened mental health conditions, and increased risk of completed suicide.

#### Lifestyle & Prevention
- Encouraging open communication about feelings, establishing a strong support network, routine mental health check-ups, and stress management techniques can help prevent future attempts.

#### When to Seek Professional Help
- Immediate medical attention should be sought if someone expresses suicidal thoughts, gives away possessions, or engages in risky behaviors. It's crucial to take any mention of suicidal thoughts seriously and seek professional help promptly.

#### Additional Resources
- National Suicide Prevention Lifeline (1-800-273-TALK), American Foundation for Suicide Prevention, local mental health services and support groups.

#### Tips for Medical Coders
- Ensure correct application of 'subsequent encounter' as it relates to follow-up care. Be cautious not to confuse with initial encounter coding, which is for the immediate response after the attempt.

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