MOOD 12

Question 1

What % of all individuals who die form suicide are thought to have psychiatric comorbidity?

Answer 1

90%

Question 2

What psychiatric illness leads to the most number of suicides?

Which psychiatric illness leads to the highest RATES of suicide.

Answer 2

MDD = highest number of suicides (2nd highest rate, after AN, but highest number bc MDD is way more prevalent)

Anorexia Nervosa = highest rates of suicide

Question 3

What are the top 3 methods for suicide?

Answer 3

1. firearm (51%)
2. suffocation/hanging (24%)
3. OD/poisoning (16%)

Question 4

What are the 3 medications that have evidence for decreasing suicide risk?

Answer 4

1. Lithium –> in BPAD and MDD by 60%
2. Clozapine –> In schizophrenia and schizoaffective
3. Antidepressant –> on in elderly 75 years or older.

Question 5

Are safety contracts or “no harm” contracts helpful in suicide prevention?

Answer 5

NO…But Safety Plan is helpful.

Question 6

What is the black box warning regarding suicides in antidepressants?

Answer 6

UP to 24 yo, there is a 2 fold increase in suicidality, in short term studies of MDD, in antidepressant group compared to placebo.

Question 7

What are the 9 main risk factors for Violence?

Answer 7

1. Hx of violence
2. Male gender
3. Young age
4. Lower IQ
5. Head trauma
6. Childhood abuse
7. Military history
8. Dissociative states
9. Mental illness dx.

Question 8

What are the two most common psychiatric illness in incarcerated population?

Answer 8

Substance use disorder

Personality disorder

Question 9

What personality disorders are associated with higher risk of violence?

Answer 9

ASPD
Borderline
Narcissistic
Paranoid

Question 10

What 2 drugs confer highest risk of violence during intoxication? What 4 drugs confer modest risk during intoxication?

Answer 10

Highest risk during intoxication = PCP and Steroids

Modest risk during intoxication = Alcohol, Inhalants, Amphetamines, Cocaine.