R45.851 - Suicidal ideations
| ICD-10: | R45.851 |
| Short Description: | Suicidal ideations |
| Long Description: | Suicidal ideations |
| Status: | Valid for Submission |
| Version: | ICD-10-CM 2022 |
| Code Classification: |
R45.851 is a billable ICD-10 code used to specify a medical diagnosis of suicidal ideations. The code is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
This code might also be used to specify conditions or terms like at risk for suicide, feeling suicidal, has access to planned means of suicide, high suicide risk, low suicide risk , moderate suicide risk, etc.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- At risk for suicide
- Feeling suicidal
- Has access to planned means of suicide
- High suicide risk
- Low suicide risk
- Moderate suicide risk
- Planning suicide
- Suicidal
- Suicidal behavior
- Suicidal intent
- Suicidal thoughts
- Thoughts of self harm
- Threatening suicide
Clinical Information
- SUICIDAL IDEATION-. a risk factor for suicide attempts and completions it is the most common of all suicidal behavior but only a minority of ideators engage in overt self harm.
Convert to ICD-9 Code
- V62.84 - Suicidal ideation
Patient Education
Suicide
What is suicide?
Suicide is the taking of one's own life. It is a death that happens when someone harms themselves because they want to end their life. A suicide attempt is when someone harms themselves to try to end their life, but they do not die.
Suicide is a major public health problem and a leading cause of death in the United States. The effects of suicide go beyond the person who acts to take his or her life. It can also have a lasting effect on family, friends, and communities.
Who is at risk for suicide?
Suicide does not discriminate. It can touch anyone, anywhere, at any time. But there are certain factors that can contribute to the risk of suicide, including
- Having attempted suicide before
- Depression and other mental health disorders
- Alcohol or drug use disorder
- Family history of a mental health disorder
- Family history of an alcohol or drug use disorder
- Family history of suicide
- Family violence, including physical or sexual abuse
- Having guns in the home
- Being in or having recently gotten out of prison or jail
- Being exposed to others' suicidal behavior, such as a family member, peer, or celebrity
- Medical illness, including chronic pain
- Stressful life event, such as a job loss, financial problems, loss of a loved one, a breakup of a relationship, etc.
- Being between the ages of 15 and 24 years or over age 60
What are the warning signs for suicide?
The warning signs for suicide include
- Talking about wanting to die or wanting to kill oneself
- Making a plan or looking for a way to kill oneself, such as searching online
- Buying a gun or stockpiling pills
- Feeling empty, hopeless, trapped, or like there's no reason to live
- Being in unbearable pain
- Talking about being a burden to others
- Using more alcohol or drugs
- Acting anxious or agitated; behaving recklessly
- Sleeping too little or too much
- Withdrawing from family or friends or feeling isolated
- Showing rage or talking about seeking revenge
- Displaying extreme mood swings
- Saying good-bye to loved ones, putting affairs in order
Some people may tell others about their suicidal thoughts. But others may try to hide them. This can make some of the signs harder to spot.
What should I do if I need help or know someone who does?
If you or someone you know has the warning signs for suicide, get help right away, especially if there is a change in behavior. If it is an emergency, dial 911. Otherwise there are five steps that you can take:
- Ask the person if they're thinking about killing themselves
- Keep them safe. Find out whether they have a plan for suicide and keep them away from things that they can use to kill themselves.
- Be there with them. Listen carefully and find out what they are thinking and feeling.
- Help them connect to resources that can help them, such as
- Calling the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Veterans can call and press 1 to reach the Veterans Crisis Line.
- Texting the Crisis Text Line (text HOME to 741741)
- Texting the Veterans Crisis Line at 838255
- Stay connected. Staying in touch after a crisis can make a difference.
NIH: National Institute of Mental Health
[Read More]
Suicide
What is suicide?
Suicide is the taking of one's own life. It is a death that happens when someone harms themselves because they want to end their life. A suicide attempt is when someone harms themselves to try to end their life, but they do not die.
Suicide is a major public health problem and a leading cause of death in the United States. The effects of suicide go beyond the person who acts to take his or her life. It can also have a lasting effect on family, friends, and communities.
Who is at risk for suicide?
Suicide does not discriminate. It can touch anyone, anywhere, at any time. But there are certain factors that can contribute to the risk of suicide, including
- Having attempted suicide before
- Depression and other mental health disorders
- Alcohol or drug use disorder
- Family history of a mental health disorder
- Family history of an alcohol or drug use disorder
- Family history of suicide
- Family violence, including physical or sexual abuse
- Having guns in the home
- Being in or having recently gotten out of prison or jail
- Being exposed to others' suicidal behavior, such as a family member, peer, or celebrity
- Medical illness, including chronic pain
- Stressful life event, such as a job loss, financial problems, loss of a loved one, a breakup of a relationship, etc.
- Being between the ages of 15 and 24 years or over age 60
What are the warning signs for suicide?
The warning signs for suicide include
- Talking about wanting to die or wanting to kill oneself
- Making a plan or looking for a way to kill oneself, such as searching online
- Buying a gun or stockpiling pills
- Feeling empty, hopeless, trapped, or like there's no reason to live
- Being in unbearable pain
- Talking about being a burden to others
- Using more alcohol or drugs
- Acting anxious or agitated; behaving recklessly
- Sleeping too little or too much
- Withdrawing from family or friends or feeling isolated
- Showing rage or talking about seeking revenge
- Displaying extreme mood swings
- Saying good-bye to loved ones, putting affairs in order
Some people may tell others about their suicidal thoughts. But others may try to hide them. This can make some of the signs harder to spot.
What should I do if I need help or know someone who does?
If you or someone you know has the warning signs for suicide, get help right away, especially if there is a change in behavior. If it is an emergency, dial 911. Otherwise there are five steps that you can take:
- Ask the person if they're thinking about killing themselves
- Keep them safe. Find out whether they have a plan for suicide and keep them away from things that they can use to kill themselves.
- Be there with them. Listen carefully and find out what they are thinking and feeling.
- Help them connect to resources that can help them, such as
- Calling the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Veterans can call and press 1 to reach the Veterans Crisis Line.
- Texting the Crisis Text Line (text HOME to 741741)
- Texting the Veterans Crisis Line at 838255
- Stay connected. Staying in touch after a crisis can make a difference.
NIH: National Institute of Mental Health
[Learn More in MedlinePlus]
Related Codes Browser
| ICD Code | Description | Valid for Submission |
|---|---|---|
| R45 | Symptoms and signs involving emotional state | NON-BILLABLE CODE |
| R45.0 | Nervousness | BILLABLE CODE |
| R45.1 | Restlessness and agitation | BILLABLE CODE |
| R45.2 | Unhappiness | BILLABLE CODE |
| R45.3 | Demoralization and apathy | BILLABLE CODE |
| R45.4 | Irritability and anger | BILLABLE CODE |
| R45.5 | Hostility | BILLABLE CODE |
| R45.6 | Violent behavior | BILLABLE CODE |
| R45.7 | State of emotional shock and stress, unspecified | BILLABLE CODE |
| R45.8 | Other symptoms and signs involving emotional state | NON-BILLABLE CODE |
| R45.81 | Low self-esteem | BILLABLE CODE |
| R45.82 | Worries | BILLABLE CODE |
| R45.83 | Excessive crying of child, adolescent or adult | BILLABLE CODE |
| R45.84 | Anhedonia | BILLABLE CODE |
| R45.85 | Homicidal and suicidal ideations | NON-BILLABLE CODE |
| R45.850 | Homicidal ideations | BILLABLE CODE |
| R45.86 | Emotional lability | BILLABLE CODE |
| R45.87 | Impulsiveness | BILLABLE CODE |
| R45.88 | Nonsuicidal self-harm | BILLABLE CODE |
| R45.89 | Other symptoms and signs involving emotional state | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
