Name of the Condition

• Suicide Attempt, Sequela
• ICD-10 code: T14.91XS

Summary

A "sequela" refers to the aftereffects experienced following a suicide attempt. Patients may continue to deal with physical or psychological consequences resulting from their actions.

Causes

• The initial causes of a suicide attempt can be varied and complex, including mental disorders like depression, anxiety, or bipolar disorder; substance abuse; traumatic experiences; or overwhelming stress.

Risk Factors

• History of mental illness
• Substance abuse history
• Personal or family history of suicide
• Exposure to trauma or abuse
• Lack of social support

Symptoms

• Physical injuries from the attempt (e.g., traumatic brain injury, organ damage)
• Psychological issues such as heightened depression or PTSD
• Social withdrawal and ongoing distress

Diagnosis

• Physical examination to identify injuries
• Psychological evaluation to assess mental health status
• Imaging or lab tests to evaluate physical damage

Treatment Options

• Physical rehabilitation for injuries sustained
• Counseling or psychotherapy to address emotional and psychological trauma
• Medications such as antidepressants or antianxiety drugs to stabilize mood

Prognosis and Follow-Up

• Prognosis varies depending on the severity of injuries and the effectiveness of psychological interventions.
• Regular follow-ups for both physical and mental health are critical for full recovery.

Complications

• Chronic physical disabilities
• Worsening of pre-existing mental health conditions
• Increased risk for subsequent suicide attempts

Lifestyle & Prevention

• Encouragement of a healthy lifestyle, including regular exercise and balanced nutrition to support overall well-being.
• Strong support systems, including friends, family, or support groups, to provide emotional strength.
• Monitoring and regular mental health check-ups to prevent future crises.

When to Seek Professional Help

• If experiencing thoughts of self-harm or suicide, immediate assistance from medical professionals or a suicide prevention hotline is crucial.
• Observing severe changes in mental status or physical decline after a suicide attempt.

Additional Resources

• National Suicide Prevention Lifeline: 1-800-273-TALK (USA)
• American Foundation for Suicide Prevention
• Mental Health America

Tips for Medical Coders

• Ensure the sequela is clearly documented as a result of a previous suicide attempt.
• Be precise in distinguishing between recent suicide attempts and long-term sequelae.
• Avoid coding errors by confirming the sequela is related to a prior attempt and not a new incident.