Psychiatric Emergencies Flashcards
T or F: Grief Reaction, Rape, Disaster, Panic Attack and Acute Excitement with Psychomotor agitation belongs to Minor Classification of Psychiatric Emergency
False. All except Acute Excitement with Psychomotor Agitation is considered Minor. Acute Excitement with Psychomotor Agitation and Self – Destructive or Suicidal Behavior belongs to Major Classification.
This Psychiatric emergency is characterized by autonomic hyperactivity, fever, muscle rigidity and altered state of consciousness
Neuroleptic Malignant Syndrome (Antipsychotic Overdose)
It is the willful self – inflicting of painful, destructive and injurious acts without the intention to die. Often seen in persons with Borderline Personality Disorder
Deliberate Self - Harm
It is the subjective expectation and desire for Self -Destructive act to end in death
Suicidal Intent
It is the thought of serving as the agent one’s own death
Suicidal Ideation
Self – injurious behavior with non – fatal outcome accompanied by evidence that the person intended to die
Suicidal attempt
Most important risk factor for suicide
Prior Suicide Attempt
Age group in females with highest suicidal rate
15 -24 years old
Most common method of suicide
Hanging, Shooting, Organophosphate Ingestion
Divorce Increases Risk for Suicide by
2-3x
Among Physicians who have the highest rate of suicide
Psychiatrists
How much percentage of those who commit or attempt suicide have mental disorder
95%. 80% - depressive disorder, 10% - schizophrenia, 5% - dementia or delirium
Risk for Suicide of Psychiatric patients
3-12 times
Percentage of alcohol – dependent persons who commit suicide
15%
Risk of second suicide attempt is highest within what period of time after the first attempt
Within 3 months
Theory stating that suicide is caused by social problems. Integration within the society and control of society over a person’s behavior are the two factors considered.
Durkheim’s Theory
T or F: The following are correctly matched:
Egoistic: Not strongly integrated into any social group
Altruistic: Excessive integration into society
Anomic: Distributed integration into the society
True
When to consider that suicide is inevitable
When the patient received the highest treatment possible but it failed
What are the soft signs of impending aggressive behavior
Crossing of elbows, restlessness, fist clenching
Non – verbal signs of aggressive behavior
Proxemics, Kinesics, Paralanguage
Best predictors of violent behaviors Excessive
Alcohol Intake, History of Violent acts, History of Childhood Abuse
A study which showed the strongest evidence suggesting the presence of genetic factors in suicide. It suggest that genetic factor lowering the threshold for suicidal behavior may lead to an inability to control impulsive behavior. s
Danish -American Adoption Studie
- Two alleles identified in the polymorphism of human Tryptophan Hydroxylase (TPH) gene. TPH is involved in the synthesis of serotonin
U and L.
This allele is associated with repetitive suicidal behavior
L allele
