DSH and suicide Flashcards

1
Q

what is a rational suicide

A

suicide made with rational intent with absence of mental illness

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2
Q

where are suicide rates most high in UK

A

scotland

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3
Q

where are suicide rates higher and lower in europe

A

higher in eastern european and baltic countries

lowest in Mediterranean

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4
Q

true/false - females are more likely to take more aggressive forms of suicide such as hanging or jumping

A

false - females are more likely with less aggressive measures such as poisoning

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5
Q

what seasonal variation is present in suicide

A

peak in spring

trough in autumn

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6
Q

true/false - marriage increases suicide risk

A

false - it is the lowest of all relationship categories

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7
Q

what occupations are more likely to commit suicide and why

A

vets, doctors, farmers

access to means

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8
Q

what chronic illness is suicide more likely

A

neurological conditions

those involving stripping of dignity

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9
Q

what is a suicide pact

A

multiple people agree to all commit suicide

rarely completed

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10
Q

what is a murder suicide

A

person kills people close to them then kills themselves

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11
Q

true/false - lithium and clozapine are suicide protective

A

true

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12
Q

true/false - xmas is a protective suicide factor

A

true

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13
Q

true/false- males are more likely to commit DSH than females

A

false - females are but males have higher suicide rate

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14
Q

who is more likely to repeat DSH?

A
previous DSH
personality disorder
alcohol/drug abuse 
NEET
low SE status 
criminal record 
25-54
single, seperation, divorce
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15
Q

who is more likely to commit suicide after DSH

A
older patients
males 
NEET, unemployed
single, seperated, divorced
isolation
poor health 
psychiatric condition 
violent DSH
Hx of DSH 
presence of a note
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16
Q

Overall management of DSH

A

calm pt
direct interview with privacy
ask about mental state, episodes DSH, antecedents
examine immeidate issues and who needs to know
bolster self esteem
arrange and explain follow up

17
Q

risk factors of self harm

A
genes
FHx
ACEs 
psych hx 
depression 
personality disorder
substance misuse 
physical health 
social support 
access to means 
hx of harm 
severity of past attempt 
hx of substance use 
age, ethnicity, relationship status 
stress
tx adherence
18
Q

exceptional physical risk factors of self harm

A

CHD, COPD, OA, asthma, Back pain, diabetes, HTN, stroke
HD
Visual impairment, cancer, neuro disorder
eating disorder

19
Q

public health measures to reduce suicide risk?

A

restriction of paracetamol pack size
restricted location access
reduced ligature points
media guidance

20
Q

SAD PERSONS content

A
Sex M
Age <20 >44
Depression 
Previous attempt 
Ethanol
Rational thinking loss 
Social support 
Organised?
No spouse 
Sickness - chronic, severe
21
Q

SAD PERSONS scoring

A

0-2 send home with follow up
3-4 close follow up with consideration to hospitalise
5-6 seriously consider hospitalisation
7-10 Hospitalise/commit