Grief & Suicide Flashcards
subjective feeling brought on by death of a loved one
grief
process by which grief is resolved
mourning
state of being deprived of someone by death → refers to the state of mourning
bereavement
DSM 5 term fo abnormal grief → bereavement is out of proportion to or inconsistent with norms → 12 months for adults or 6 months for child
persistent complex bereavement disorder
how does grief differ from major depression?
grief has healthy self image still, depression is internal struggle and will need intervention to get better likely
Typical phases aof grief and mouring
shock and denial → acute anguish → lost patterns of conduct → resolution
Stages of Death and Dying
Denial Anger Bargaining Depression Acceptance
self mutilations (usually cutting), patient does not usually wish to diet, F>M, mid-20s → superficial cry for help
Parasuicidal behavior
Two comorbidities seems with parasuicidal behavior
personality disorder, substance use
what percent of people who die by suicide had contact with their PCP in the year prior to their death? What percent has contact in the month prior to their suicide?
90%
76%
Patient feels like they don’t belong in society and they commit suicide
egoistic
Patient “sacrifices” their life to the benefit of others
altruistic
Someothing in one’s life has changed and as a result they have become suicidal
anomic
Suicide often seen in overly oppressive societies
fatalistic
patients fantasize about what would happen and what the consequences would be if they commited suicide → attempt to escape from intolerable depression and hopelessness
contemporary suicidologist
Biological factors in suicide
genetics, fatal illnesses, low serotinin/depression
Psychological factors in suicide
depression, schizophrenia, low self image or esteem
social factors in suicide
bullying, isolation, comparing oneself to others, economics, life situations
1 static risk factor in suicide
prior personal suicide attempt
static risk factors for suicide
male, single, white, LGBTQ, family history, prior personal attempt, history of substance abuse/arrest/legal issues, history of personal/emotional/physical/trauma, recent loss, medical illness
dynamic risk factors for suicide
hopelessness/despair, lives alone, perceived lack of social support, substance abuse, chronic pain, financial stress/family conflixt/unemployment, easy access to means, poor coping ability
Psych disorder that is most commonly seen with suicide
depression
For MDD Patient must have ____ number of symptoms during ____ period
5 or more
2 week
To be diagnosed as MDD, Patient but have at least
depressed/low mood, anhedonia
1 method for commiting suicide
firearms (50%)
stages of suicide
ideation → threatening → attempting
Assessment tool for suicide
Columbia Suicide Severity Rating Scale
When you need to admit a suicidal patient to the hospital, you don’t leave the patient alone and do a ____
warm hand off
Term for those who have lost a loved one to suicide
suicide survivor
