| D |
|
| Danger signs |
See warning sign. |
| Death & dying |
Catch-all term for grief services, hospice, palliative care. |
| Death guilt |
See survivor guilt. |
| Decathexis |
Cognitive separation, e.g., detachment from deceased. |
| Decompensation |
Breakdown of individual psychic supports. |
| Decriminalization |
Eliminating criminal penalty for an act or behavior. |
| Delayed grief |
Bereavement occurring years or decades after the loss. |
| Delayed stress reaction |
Response to traumatic event after 6 months or more. |
| Deliverance |
See self-deliverance. |
| Denial |
Refusal to accept that a loss has occurred. |
| Departing drugs |
Euthnasia movement term for lethal medications used to bring about death. |
| Depression |
Disorder involving abnormal sadness and hopelessness. |
| Depressive episode |
Period in which an individual shows multiple signs of depression. |
| DHHS |
U.S. Department of Health and Human Services. |
| Diagnosis |
Clinical identification of cause and nature of a condition. |
| Diagnosable |
Refers to conditions meeting accepted criteria of a specific disease or disorder. |
| Dichotomous thinking |
Increasingly rigid thought processes and loss of ability to see options to death by a suicidal individual. |
Direct destructive
behavior |
Suicidal ideation, attempts, and completions. |
| Direct euthanasia |
Intentionally causing death to end individual suffering. |
| Disclosure |
Act of releasing information given in confidence by a client or patient. |
| Discounted grief |
Lack of nominal or negligible social validation of a loss by others. AKA marginalized grief. |
| Disease |
Bodily failure to counteract negative processes. |
| Disease model |
See medical model. |
| Disease of the "d"s |
Dysfunction, disuse, disability, depression, dramatic complaints, and/or drug misuse. |
| Disease process |
Course of a disease from onset to outcome. |
Disease-related
depression |
Occurs in reaction to a physical illness or disorder. |
| Disenfranchise |
Deprive of a right or an entitlement. |
| Disenfranchised grief |
Grief that is denied or restricted by social pressure or other interference. See discounted grief. |
| Disorder |
Clinically significant psychological condition (DSM-IV). |
Disorder-based
suicidality |
Vulnerability due to a psychiatric disorder's effect on personal control. |
| Distorted mourning |
See complicated mourning. |
| Distal risk factors |
Secondary, nonprecipitating elements related to suicide. |
| Diversion |
Directing the mentally ill who come in contact with police to mental health service rather than jail. |
| Double depression |
Co-occurrence of major depression and chronic minor depression (Ayd).; |
| Double effect |
Capability of some analgesics to both relieve pain and cause death if used inappropriately. |
| Double suicide |
Completion by spouses, other couple or by two friends. |
| Dsm-iv |
"Diagnostic and statistical manual of mental disorders" (4th edition). |
| Dual diagnosis |
Determined to have two distinct conditions, e.g., depression and substance abuse. |
| Durkheim, Emile |
French sociologist; wrote "suicide" (1897). |
| Dutiful suicide |
Suicide as culturally defined obligation (Fairbairn). |
| Duty |
Obligatory action or behavior owed to a client by a clinician. |
| Duty of care |
Clinician obligation to give reasonable care to a patient or client. |
| Duty to warn |
Ethical obligation to disclose the risk of suicide or other harm to a third party. |
| Dyadic suicide |
Completion caused by an interpersonal problem (Shneidman). |
| Dysthymic disorder |
Depression, loss of interest and enjoyment; minor depression. |
