Conditions for Further Study 801
macological interventions. Ot her high- probability co-occurring disorders include oppo-
sitional defiant disorder and co nduct disorder, but the appropriateness of these diagnoses
should be weighed in the context of the sign ificant impairments in general intellectual and
executive functioning that are often associa ted with prenatal al cohol exposure. Mood
symptoms, including symptoms of bipolar diso rder and depressive disorders, have been
described. History of prenatal alcohol exposure  is associated with an increased risk for
later tobacco, alcohol, and other substance use disorders. 
Suicidal Behavior Disorder
Proposed Criteria 
A. Within the last 24 months, the individual has made a suicide attempt.
Note:  A suicide attempt is a self-initiated sequence of behaviors by an individual who,
at the time of initiation, expected that the set of actions would lead to his or her own
death. The “time of initiation” is the time when a behavior took place that involved ap-
plying the method.)
B. The act does not meet criteria for nonsuicidal self-injury—that is, it does not involve
self-injury directed to the surface of the body undertaken to induce relief from a nega-
tive feeling/cognitive state or to achieve a positive mood state.
C. The diagnosis is not applied to suic idal ideation or to preparatory acts. 
D. The act was not initiated during a state of delirium or confusion. 
E. The act was not undertaken solely for a political or religious objective. 
Specify if:
Current: Not more than 12 months since the last attempt.
In early remission:  12–24 months since the last attempt.
Specifiers
Suicidal behavior is often categorized in term s of violence of the method. Generally, over-