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BMB Test 4 > B7-066 Depression/Suicidal Behavior > Flashcards

B7-066 Depression/Suicidal Behavior Flashcards

1
Q

MDD is characterized by > 5 symptoms nearly every day for […] weeks

A

two

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2
Q

symptoms of MDD [9]

A

Sleep disturbances
Interest in pleasurable activities (ahedonia)
Guilt or feelings of worthlessness
Energy (low)
Concentration (poor)
Appetite/weight changes
Psychomotor retardation or agitation
Suicidal ideation

SIG E CAPS

(must have >5 for two weeks and be idiopathic)

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3
Q

screen for manic or hypomanic episodes to rule out […]

A

bipolar disorder

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4
Q

first line therapy for MDD [2]

A

CBT
SSRIs

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5
Q

terms like “functional” or “non-organic” indicate

A

idiopathic

(disease pathology can’t be seen on light microscopy)

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6
Q

what is useful about the psychodynamic approach/model?

A

recognition of unconscious cognitive processing

explains but does not predict

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7
Q

what is the goal of psychotherapy?

A

patients learn strategies to cope/change behavior

remodels synaptic connections

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8
Q

major complication of all mental health disorders

A

suicide

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9
Q

biggest static (distal) risk factor for suicide

A

psychiatric diagnosis

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10
Q

biggest dynamic (proximal) factor for suicide

A

under-treatment of mental health diagnosis

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11
Q

anxiety, rage, anger, feeling trapped, psychosocial loss are examples of […] risk factors for suicide

A

proximal (dynamic)

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12
Q

age, gender, agressive/impulsive traits, terminal illness are examples of […] risk factors for suicide

A

distal (static)

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13
Q

does asking a person about suicide increase their risk?

A

no

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14
Q

what is the Columbia Suicide Severity Rating Scale?

A

rating form for assessing risk of suicide

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15
Q

the risk of suicide is […] making it difficult to prevent

A

transient

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16
Q

SAD PERSONS mnemonic for suicide risk factors

A

Sex (male)
Age (young adult or older)
Depression

Previous attempt (highest risk factor)
Ethanol/drug use
Rational thinking loss (psychosis)
Sickness (medical illness)
Organized plan
No spouse/social support
Stated future intent

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17
Q

best prevention of suicide

A

treatment of underlying medical disorder

(pharmacotherapy/psychotherapy)

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18
Q

suicide intervention tactics from most aggressive to least aggressive [3]

A

hospitalization/commitment
outpatient safety planning intervention
treat underlying psychiatric disease

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19
Q

what does a safety planning intervention entail?

A

limit access to lethal means

teach to identify warning signs and formulate coping strategies

20
Q

[…] is a deadly medication that psychiatrists may only order in short scripts due to toxicity

A

amitriptyline

21
Q

reflective rumination is often focusing on feelings of […]

A

entrapment

22
Q

[…] psychotherapy is applicable to suicidal ideation across diagnoses

A

cognitive

23
Q

[…] psychotherapy is has some selectivity to patients with BPD, but is widely applicable

A

dialectical behavior

talk therapy for patients who expierience emotions intensely

24
Q

[…] psychotherapy uses a combinational approach for mindfulness with CBT techniques

A

mindfulness-based cognitive therapy

25
Q

public interventions for preventing suicide [3]

A

public awareness/education
means restriction
restrictions on media reporting

(not a great benefit overall)

26
Q

one or more symptoms that are distressing or result in significant disruption of daily life

excessive thoughts/behaviors related to symptoms

A

somatic symptom disorder

27
Q

treatment of somatic symptom disorder [3]

A

address in psychotherapy
adjunctive antipsychotic
regular follow up with PCP

28
Q

preoccupation with acquiring or having a serious illness, despite reassurance

often have minimal/no somatic symptoms

A

illness anxiety disorder

29
Q

unexplained loss of voluntary sensory or motor function following an acute stressor

patients may be aware but indifferent of symptoms

A

conversion disorder

30
Q

patient consciously creates physical and/or psychological symptoms in order to assume a “sick role” and get medical attention/sympathy for no obvious gain

A

factitious disorder

31
Q

one or more bodily complaints lasting months to years

associated with excessive, persistent thoughts/anxiety about symptoms

A

somatic symptom disorder

32
Q

symptoms are intentional, motivation is intentional

patiently consciously fakes/exaggerates disorders for a specific gain

A

malingering

33
Q

poor compliance with treatments or follow-up of diagnostic tests

complaints cease after gain

A

malingering

(vs. factitious disorders, complaints do not cease)

34
Q

in malingering, symptoms are […] and motivation is […]

A

intentional
intentional

35
Q

in factitious disorder, symptoms are […] and motivation is […]

A

intentional
unconscious

36
Q

in somatic symptom disorder, symptoms are […] and motivation is […]

A

unconscious
unconscious

37
Q

[…] conveys a risk of impulsive behavior and may increase the patient’s risk for suicidal action

A

ADHD

38
Q

[…] are more at risk for completing suicide, […] attempt more frequently

A

men are more at risk for completing suicide, women attempt more frequently

39
Q

assessing if the patient has […] to commit suicide is an important issue when evaluating risk

A

lethal means

40
Q

typically speaks to clinical information like symptoms, diagnoses, treatment course

A

collateral

41
Q

use of screening tools omits […], which is the gold standard for assessing risk of suicide

A

clinical judgement

42
Q

the risk of suicide is […] and difficult to predict

A

transient

43
Q

public awareness and education programs have caused a […] in suicides

A

non-significant reduction

44
Q

[…] mediates a relationship between rumination and suicide

A

entrapment

45
Q

what factor does not increase the risk of suicide?

A

broaching the topic of suicide

BMB Test 4 (14 decks)

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