Mood disorders lecture Flashcards
What are the learning points from this lecture?
How many australians everyday take their own lifes?
Why is it important?
What are the leading causes of disability amongst the 15-44 years of age?
- Every day 7 Australians take their own lifes
Because mental health conditions cost 10.9 billion dollars annually
- From being absent from work
- From being at work underfunctioning
- Compensation claims
Some important statistics about depression in the youth males vs females
What is the omnibus model?
What does it try explain?
That multiple factors, (individual, family factors) affect a persons ability to combat crisis and depression
What is an ACE (adverse child event)? What are the 10 most important adverse events that directly influence developing depression in life?
Three major ares
1) Abuse
2) Neglect
3) Household dysfunction
What is DSM V criteria for Major depressive disorder?
What is PDD Persistent depressive disroder?
What is Bipolar 1 (what is the DSM crtieria)
What is bipolar 2 (what is DSM V criteria for diagnosis)
What questions do you need to cover when askingn about depression? (how to recognise depression)
What do relatives and friends see in a depressed person?
What is the difference between ‘Suicide intent”, and ‘Suicide risk”?
How do we ask about this? what are important things
SADPERSONS
- With things going so poorly in your life i was wondering if your willing to go on?
- What sort of ways have you thought about hurting yourself? (e.g pills, hanging, firearms) (you need to work out level of lethality patient has been thinking about)
- What has stopped you from doing it? Is there someone in your life that makes you not want to?
- Have you let anyone know what your thinking?
- If you were feeling more suicidal in the next few days is their anyone you can reach out to?
SADPERSONS
Calculation
The score is calculated from ten yes/no questions, with one point for each affirmative answer:
S: Male sex
A: Age (<19 or >45 years)
D: Depression
P: Previous attempt
E: Excess alcohol or substance use
R: Rational thinking loss
S: Social supports lacking
O: Organized plan
N: No spouse
S: Sickness
This score is then mapped onto a risk assessment scale as follows:
0–4: Low
5–6: Medium
7–10: High
Clinical descisons regarding management of suicide, based on risk assessment (Intent+risk)
Conclusion Depression
Treatment of mood disorder and presentation overview