Psychiatry

Question 1

Suicide risk factors

Answer 1

Old
Men
Divorced/widowed
Unemployed
Physical illness
Spring and summer (S for zi Sha)
Urban
Bimodal distribution: social classes I and V

Question 2

Delusion syndromes

Answer 2

De Clarambault’s syndrome: believe in love with celebrity
- 杨丽娟 and 刘德华(An”De”)

Capgras syndrome: family has been replaced by double

Fregoli syndrome: street stranger is actually family

Cotards: inside is rotten like a “tartar” sauce

Question 3

Depression questionnaire

Answer 3

PHQ9

15-20 is moderately severe
>20 is severe

so need to start SSRI in addition to psychotherapy

Question 4

Schneider’s first rank symptoms

Answer 4

1. Delusional perception
2. Auditory hallucination
3. Thought (withdrawal, insertion, broadcast)
4. Passivity (somatic, control, influence)