Clin Med - Suicide Flashcards
State the percent of individuals who die by suicide who have visited their primary care physicians within a month of their death.
45%
Identify the two consistent psychological precursors to suicidal behavior.
- feelings of hopelessness
- inability to make positive changes in one’s life
Compare the suicide and homicide rates in Oklahoma and in the United States.
- suicide: Oklahoma=24.3%, USA=15.9%
- OK suicide rate 3x homicide rate
- US suicide rate 2x homicide rate
Identify which demographic group is at the highest risk of suicide.
White males > 85 years old
State the national rank of suicide as a cause of death in the United States.
10th leading cause of death (44,965 people)
State the leading suicide method.
61% Firearms: handguns > rifles > shotguns
Name the three domains in the Interpersonal Theory of Suicide that must overlap to create a strong risk for suicide.
- Thwarted Belongingness: feel isolated/like they don’t belong
- Perceived Burden
- Capability
Name the three leading circumstances associated with suicide in Oklahoma from 2012-2016.
- 44% –> 1+ diagnosed/treated mental health problem
- Depression > bipolar > anxiety > schizophrenia > PTSD - 34% –> intimate partner problem
- 31% –> current depressed mood
Identify the most common suicide circumstances in Oklahoma from 2012-2016.
- Physical health problem
- Substance abuse problem
- Alcohol problem
- Recent criminal legal problem
- Job problem
- Financial problem
Biopsychosocial risk factors for suicide
- mental disorders
- alcohol/substance use
- hopelessness
- impulse/aggressive tendencies
- history of trauma/abuse
- major physical illness
- previous suicide attempt
- family history of suicide
Environmental risk factors for suicide
- job/financial loss
- relational/social loss
- easy access to lethal means
- local clusters of suicide with contagious influence
Social risk factors for suicide
- lack of social support
- isolation
- stigma associated with help-seeking
- barriers to accessing healthcare/mental health/substance abuse
Cultural risk factors for suicide
- cultural/religious beliefs
- exposure to and influence of others who died of suicide
State protective factors for suicide.
- Effective clinical care for mental/physical/substance use
- Easy access to variety of clinical interventions/support
- Restricted access to highly lethal means of suicide
- Strong connections to family/community support
- Support through ongoing medical/mental healthcare relationships
- Skills in problem solving, conflict resolution and nonviolent handling
- Cultural/religious beliefs discouraging suicide and support self-preservation
Recognize the questions that may be asked when using the 2 Question Screen.
- Are you thinking of hurting yourself?
- Are you thinking of killing yourself?