Ch. 7 - Suicide Flashcards

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1
Q

Role of crisis

A

equilibrium is upset, problem solving strategies are ineffective

  • crisis depends on perception (see suicide as only option)
  • tunnel vision
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2
Q

tunnel vision

A

can’t see beyond what has happened, see suicide as only option

  • don’t really want to end life, just want to end pain, want someone to give alternative
  • at heightened susceptibility (more likely to accept help)
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3
Q

“typical suicide”

A
  1. majority don’t want to die, only escape pain
  2. highly susceptible state
  3. ambivalence
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4
Q

3 qualities of typical suicide

A
  1. helpless
  2. hapless
  3. hopeless
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5
Q

helpless

A

don’t feel they can resolve situtations, feel they don’t have the skill or confidence

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6
Q

hapless

A

sad things going on such as depression, death in family, lack of control

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7
Q

hopeless

A

those who actually die, need any grasp of future

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8
Q

hardcore suicidal person

A

determined, leave no clues, note, or warning signs

- pick a method guaranteed to work first time

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9
Q

motivators for suicidal behavior

A
  1. join a loved one (typically older ppl)
  2. escape intolerable situation
  3. avoid disease
  4. attention (faulty coping)
  5. manipulate (abusive relationship)
  6. punishment (self or others)
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10
Q

Demographics of suicide

A
  1. males > females in succeding
  2. females more likely to make multiple attempts
  3. professional more likely (lawyers, judges, psychologists)
  4. age: teens-early 20s, elderly
  5. single
  6. alcohol use
  7. veterans
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11
Q

teens-early 20s

A

frontal cortex not developed until mid-late 20s (in charge of reasoning/problem solving)
amigdala fully developed (in charge of emotions)
- young ppl with strong emotions don’t know how to cope

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12
Q

single

A

relationships are protective

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13
Q

alcohol use

A

sometimes drink beforehand

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14
Q

2019 study

A

veterans are 20% more likely than civilians to die by suicide
- combat vets more likely to experience anxiety and depression

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15
Q

early warning signals for suicide

A
  1. suicidogenic situations
  2. depressive symptoms
  3. verbal warnings
  4. behavioral warnings
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16
Q

suicidogenic situations

A

tragic situations

ex. athlete with career ending injury

17
Q

depressive symptoms

A

particularly psychotic sympt. or alcohol abuse

18
Q

behavioral warnings

A

strongest warnings prior to attempt

ex. give possessions away

19
Q

method for examing prior attempt

A

dirt

20
Q

d

A

dangerousness of prior attempt

ask how they were going to do it

21
Q

i

A

impression of risk

- did they think they would die or did they realize a small amount wouldn’t hurt

22
Q

r

A

rescue

- chance someone would intervene?

23
Q

timing

A

the longer ago, the lower the risk today

24
Q

other behaviors that suggest suicide

A

getting affairs in order, crying, sudden lift of depression, new behaviors

25
Q

assessing degree of risk

A

ask if they’ve thought about hurting themselves. best way to ask is to be direct, opens window for conversation

26
Q

assessing thoughts of suicide

A

slap

27
Q

s

A

specific details

- the more details the higher the risk

28
Q

l

A

lethality of method

- gun to head v. a few pills

29
Q

a

A

availability of method

ex. have a gun in house

30
Q

p

A

proximity to help

- parents downstairs or going into woods alone

31
Q

more bizzare…

A

higher risk

32
Q

slap isn’t accurate for ppl with…

A

psychosis, hallucinations, substance abuse

33
Q

dialecticcal behavior therapy (DBT)

A
  1. helping emotional dysregulation, recognize feelings and learn to cope
  2. cognitive flexibility: learn techniques to manage emotions, appropriate ways to handle distress