Behav Sci L4. Flashcards
What are the key risk factors for suicide completion?
serious earlier attempt, older white male with substance abuse, jewish/protestant, professional
what feelings are precursors to suicidality?
anxiety, insomnia, irritability, hostility, impulsive, hopeless, helplessness
what is the risk triad composed of?
ideation, intention, plan
what is suicide almost always due to?
mental illness
what may increase the risk of suicide?
treatment - antidepressants, antipsychotics, stimulants, mood stabilizers
when are men most likely to commit suicide?
three times: teenager, middle age, elderly - middle age most likely
how does gender factor in to suicide?
women more likely to TRY - but men are more successful
which physicians are at highest risk for committing suicide?
psychiatrist, ophthalmologists, anesthesiologist
marital status and suicide
lowest if married
how does climate increase risk of suicide?
highest in spring and fall - NOT christmas
when is the risk increased with antidepressant medication?
initially, ESP if under the age of 25
which gene increases risk of suicide
5-HTT gene polymorphism
treatment of people with suicide risk - how to approach
interview about the raid (ideation, intent, plans) - take a good history (greatest predictor past violence) - ask about protective things tha keep them alive, use least restrictive approach
treatments that are immediate
hospitalization, electroconvulsive therapy, lithium, clozapine, ketamine IV (experimental)
