Lecture 12-Suicide Flashcards
What are chronic and acute risk factors in suicide?
Chronic risk factors for suicide = things you cannot change = immutable
Acute risk factors for suicide = recent suicide attempts, recent suicidal behavior, substance abuse, insomnia, anxiety, agitation
______ risk factors in suicide: older, male, white, jew or protestant, professional.
Increased
Major precursor symptoms to suicidality =
insomnia, restlessness, hopelessness, & helplessness.
People typically have Organized thought out plans to commit suicide And if you take away Part of the organization like take away a gun if Someone were to shoot themselves in the head typically they will _____ go through with it.
not
A patient states that he has incessant thoughts that he cannot dismiss about dying, admits that he has seriously thought about driving his car into a bridge and has a plan to do this when his divorce is finalized this year. What is his risk level for suicide?
None
Low
Moderate
High
High
A patient states that she has frequent and daily thoughts about suicide. She admits she has no imminent plan, but thinks an overdose would be peaceful. She states on a few occasions over the last year that she intended to take a handful of pills but could dismiss these impulses. This has not happened in a few months. What is her suicide risk level?
No risk
Mild
Moderate
Severe
Moderate
Suicide is Almost always due to mental illness (95%), usually _______
depression
In the elderly suicide ______ for women, ______ for men
decreases; increases
Women attempt _____ suicide, but men are more ______.
more; successful
In suicide:
African Americans have _____ rates than white Americans
Immigrants have _____ rates of suicide – both here and in their native countries
lower; higher
Whites & native americans are ______ suicidal than latinos and blacks
more
Suicide is ______ in married and _____ in divorced ppl
lower; higher
Suicide is _____ in Catholic and Islamic Religions
Lower
Suicide is ______ in professionals with doctors at the top
higher
most common in psychiatrists
Suicide risk ______ with fall in social status or if you are unemployed
increases
Suicide risk ______ especially the death of a parent by suicide or when the child was younger than 11 y/o
_______ risk if there is a loss of parent by divorce in adolescence
increases; increased
What 2 mental diseases are most likely with suicide?
Depression (~80% of suicides)
Schizophrenia (10% of suicides)
______ 5HT (serotonin) ALLELE PREVENTS SUICIDAL BEHAVIOR IN PEOPLE (PREVALENT IN BLACKS SO MAY BE CAUSE WHY THEY ARENT TOO SUICIDAL). The _____ allele increases risk for suicidal behavior.
LL long; ss or short
What is the treatment protocol for suicide?
Add medication to quickly lower anxiety, insomnia, etc
Add slower acting antidepressants or psychotherapy
Increase support (family, more appointments, social supports) to increase connectivity, purpose, and to decrease helplessness, hopelessness
If patient is high risk for suicide and patient does not want to be hospitalized he/she can be ________ for 1-63 days (exact duration depends on state law)
Physicians can be legally ______ if they do not recognize a suicidal patient or if they give a patient medicine that is later used in a suicide attempt
detained(committed); responsible
Who is more likely to commit suicide?
A 22 year old depressive who has been on an antidepressant for some time and is very fatigued and has lost pleasure
A 22 year old depressive who feels jittery and anxious and just started and antidepressant
A 22 year old who has just started an antidepressant and has increased appetite, increased sleep, and rejection sensitivity
A 22 year old depressive who feels jittery and anxious and just started and antidepressant
They have recovered their energy so they could actually do it = acute risk factors
Who is more likely to commit suicide?
A Catholic pediatrician who is married and has the LL SERT alleles
A Muslim orthopedist who is single and has Ls SERT alleles
A protestant psychiatrist who has ss SERT alleles
A protestant psychiatrist who has ss SERT alleles
SS = bad alleles
LL = protective
In psychiatry the little s gene for seotonin = bad
A 28 year old obsessive-compulsive and bulimic patient tells you she is suicidal, what should you say?
OCD patients do not commit suicide without depression
Bulimics do not commit suicide as it is not a mood disorder
I have to commit you to the hospital or get a psych consult right now
Tell me more about those thoughts, they sound awful and distressing to you
Tell me more about those thoughts, they sound awful and distressing to you
