Grief & Suicide

Question 1

subjective feeling brought on by death of a loved one

Answer 1

grief

Question 2

process by which grief is resolved

Answer 2

mourning

Question 3

state of being deprived of someone by death → refers to the state of mourning

Answer 3

bereavement

Question 4

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

Answer 4

persistent complex bereavement disorder

Question 5

how does grief differ from major depression?

Answer 5

grief has healthy self image still, depression is internal struggle and will need intervention to get better likely

Question 6

Typical phases aof grief and mouring

Answer 6

shock and denial → acute anguish → lost patterns of conduct → resolution

Question 7

Stages of Death and Dying

Answer 7

Denial 
Anger 
Bargaining 
Depression
Acceptance

Question 8

self mutilations (usually cutting), patient does not usually wish to diet, F>M, mid-20s → superficial cry for help

Answer 8

Parasuicidal behavior

Question 9

Two comorbidities seems with parasuicidal behavior

Answer 9

personality disorder, substance use

Question 10

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?

Answer 10

90%

76%

Question 11

Patient feels like they don’t belong in society and they commit suicide

Answer 11

egoistic

Question 12

Patient “sacrifices” their life to the benefit of others

Answer 12

altruistic

Question 13

Someothing in one’s life has changed and as a result they have become suicidal

Answer 13

anomic

Question 14

Suicide often seen in overly oppressive societies

Answer 14

fatalistic

Question 15

patients fantasize about what would happen and what the consequences would be if they commited suicide → attempt to escape from intolerable depression and hopelessness

Answer 15

contemporary suicidologist

Question 16

Biological factors in suicide

Answer 16

genetics, fatal illnesses, low serotinin/depression

Question 17

Psychological factors in suicide

Answer 17

depression, schizophrenia, low self image or esteem

Question 18

social factors in suicide

Answer 18

bullying, isolation, comparing oneself to others, economics, life situations

Question 19

1 static risk factor in suicide

Answer 19

prior personal suicide attempt

Question 20

static risk factors for suicide

Answer 20

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

Question 21

dynamic risk factors for suicide

Answer 21

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

Question 22

Psych disorder that is most commonly seen with suicide

Answer 22

depression

Question 23

For MDD Patient must have ____ number of symptoms during ____ period

Answer 23

5 or more

2 week

Question 24

To be diagnosed as MDD, Patient but have at least

Answer 24

depressed/low mood, anhedonia

Question 25

1 method for commiting suicide

Answer 25

firearms (50%)

Question 26

stages of suicide

Answer 26

ideation → threatening → attempting

Question 27

Assessment tool for suicide

Answer 27

Columbia Suicide Severity Rating Scale

Question 28

When you need to admit a suicidal patient to the hospital, you don’t leave the patient alone and do a ____

Answer 28

warm hand off

Question 29

Term for those who have lost a loved one to suicide

Answer 29

suicide survivor