29.1 Mood Disorders and Suicide Flashcards
order non traditional symptoms in MDD in young ppl not typical in adult?
- social withdrawal
- school refusal
- unexplained somatic complaints
highest age group males for suicide?
85+
15-19 double that of females
male of female more self harm?
females
self harm does not equal suicdie attempt
risk assessment contains?
current suicidal ideation
stressors
risk factors
protective factors
nature of stressors examples?
- interpersonal losses (parental separation, friend’s suicide)
- interpersonal discord
- legal problems
what increases risk of suicide by 10? by 50?
one mental health illness
two mental healht illness
substance use adds to completed suicide?
what skills of the child should you look for?
stress mx
problem solving
communication
what supports to ask for?
family
community
sense of belonging
two best treatments for MDD in adoelescents?
CBT
SSRIs
Rx of choice for meds for MDD?
fluoxetine (long half life Rx of choice
and escitalopram
start low and go slow
when to refer to specialist mental health services for adolescent depression
6 sessions for CBT
4-6 weeks of SSRIs
psychotic symptoms