Psychiatry-Suicide & Violence

Question 1

Suicide ideation

Answer 1

Thinking about, considering or planning suicide

Question 2

Suicide intent

Answer 2

Expectation and desire for suicide

Question 3

Male mode of suicide

Answer 3

Firearm

Question 4

Female mode of suicide

Answer 4

Poisoning

Question 5

Mental illness in those who die from suicide

Answer 5

90% prevalence (MDD, BPD, Schizophrenia, PD and alcohol dependence)

Question 6

Patient wouldn’t mind if he got hit by a bus and died.

Answer 6

Passive suicidal ideation

Question 7

Patient wants to shoot his head off and die.

Answer 7

Active suicidal ideation

Question 8

Patient is giving off all of his belongings for free.

Answer 8

Parasuicidal behavior.

Question 9

Suicide risk factors

Answer 9

“SAD PERSONS”: Sex, Age, Depression, Previous attempt, ETOH/drugs, Rational loss, Social support insufficient, Organized plan, No spouse, Sickness. “HAW”: Hopelessness, Anxiety, Weapon

Question 10

What type of violence do you typically see in a clinical setting?

Answer 10

Reactive violence as a result of agitation. Deliberate violence is more planned and less impulsive.

Question 11

How do you help treat a violent patient?

Answer 11

Psychotherapy to help manage anger, medications (haldol, benzos, benadryl for acute setting and antipsychotics, antidepressants, mood stabilizers for chronic setting)