119b - Suicide Flashcards

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1
Q

Suicide is the [rank] leading cause of death for all ages in the United States

A

Suicide is the 10th leading cause of death for all ages in the United States

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2
Q

Are men or women more likely to attempt suicide?

Are men or women more likely to die by suicide?

A

Women are 3x more likely to attempt suicide

Men are 4x more likely to die by suicide

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3
Q

[fraction] of completed suicides are associated with substance use disorder

A

1/3 of completed suicides are associated with substance use disorder

Treatment of substance use (especially alcohol) is important for suicide prevention!

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4
Q

Which race and gender are at highest risk for suicide?

A

American Indian men, white men (overall)

American Indian women, white women (among women)

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5
Q

List 6 protective factors that can decrease risk of suicide in high-risk individuals

A
  • Social support
  • Treatment: access and engagement
  • Personal sense of family responsiblity
  • Religious or cultural sanctions against suicide
  • Good insight
  • Problem-sovling skills
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6
Q

What chronic stresors are associated with increased risk of suicide? (4)

A
  • Social isolation
  • Traumatic family background
  • Poor health
  • Poverty
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7
Q

What are the major modifiable risk factors for suicide?

A
  • Mental illness
    • Esp with barriers to treatment
  • Physical illness
  • Feelings of peronal isolation, hopelessness
  • Acess to lethal means
  • Local suicide “epidemics”
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8
Q

How has the suicide rate changed since 1999?

A

Increased (by 35%)

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9
Q

Which diagnosable mental illnesses carry the highest risk of suicide?

A
  • Depression (bipolar and unipolar)
  • Alcohol use disorder
  • Personality disorders
    • Borderline and antisocial
  • Psychotic disorders
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10
Q

Which types of psychotherapy may be most beneficial for a patient with suicidal ideation and beehavior?

A

CBT

Dialectical behavior therapy

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11
Q

What are the major unmodifiable risk factors for suicide?

A
  • Prior attempt
  • Family hx of suicide
  • Family hx of child maltreatment
  • Hx of aggression or impulsivity
  • Recent interpersonal loss
  • Cultural/religious beliefs
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12
Q

Diagnosable mental illness is found in [zero/some/most] completed suicides

A

Diagnosable mental illness is found in most completed suicides

Especially depression, alcohol use disorder

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13
Q

Suicide causes [more/less] deaths than homicide

A

Suicide causes more​ deaths than homicide

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14
Q

How many people in the US die by suicide annually?

A

45,000

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15
Q

What acute stresors are associated with increased risk of suicide? (5)

A
  • Breakup
  • Financial loss
  • Job loss
  • Legal problem
  • Medical illness
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16
Q

Alocohol intoxication (BAC >0.08) has been found in [fraction] of suicides by firearms, hanging, or poisoning

A

Alocohol intoxication (BAC >0.08) has been found in 1/3 of suicides by firearms, hanging, or poisoning

Treatment of substance use (especially alcohol) is important for suicide prevention!

17
Q

List 5 public health strategies for suicide prevention

A
  • Restrict access to common lethal means
    • Restrict gun access, barriers at bridges, prescription guidelines
  • Media guidelines
  • Improve access to medical care (including mental health)
  • Promote social connectedness
  • Improve economic opportunity
18
Q

What are the “4 types of suicide,” according to sociologic theory?

A
  • Egotistical (lack of social integration
  • Altruistic (excessive integration with social institutions)
  • Anomic (precipitated by an acute stressor)
  • Fatalistic (unrewarding life)
19
Q

Suicide rates are highest for which age group of women?

Which age group of men?

Which age group in general?

A
  • Women: 45-64
  • Men: 75+
  • In general: 75+
20
Q

A patient expresses suicidal ideation to you

What factors would promote you to hospitalize them?

A

If they are an acute high risk of suicide

  • Risk factors: recent suicide attempt, recent breakup, financial/job loss, legal problem, medical illness
  • Expresses a plan w/a timeline
21
Q

Define suicidal behavior disorder

A
  • Suicidal behavior disorder = w/in the last 24 months, the individual has made a suicide attempt
22
Q

Define non-suicidal self injury (NSSI):

A
  • Non-suicidal self injury (NSSI) = intentional self-inflicted damage to surface of body w/ expectation that will cause only mild to moderate physical harm (no suicidal intent) (ex. cutting)
23
Q

What are the descriptors used to assess the lethality of a suicide attempt?

A
    • low risk, high rescue: patient takes small number of aspirin and immediately tells a friend
      • low risk, low rescue: patient attempts to slash wrist w/ piece of glass while home alone
      • high risk, high rescue: during argument on the 10th floor, patient shouts “I’m going to jump” and lunges for the balcony
      • high risk, low rescue: patient buys a gun and rents hotel room under false name THE WORST