Quiz 2: Psychosocial Problems Flashcards
Suicide
- Most important factor: active psychiatric disorder (i.e depression)
- Males at increased risk
- Adolescent attempts are impulsive
What increases the risk for suicide in children?
- Loss of a parent
- Family disruption
- Family conflict
- Poor communication
- Depression
- Substance abuse
- Past psychosocial hospitalizations
- Unrealistically high parental expectations
- A family member or friend committed suicide
- Overwhelming sense of guilt or shame
- Social isolation
- Handguns in the home
- History or physical or sexual abuse
- Homosexuality
Prevention and Management of Suicide
- Recognize risk factors
- Listen and believe talk about suicide
- Be direct and upfront with questioning
- Refer for help
- Remove potentially harmful items from home
How are girls most likely to commit suicide?
- With pills.
- They are more worried about their appearance.
How are guys most likely to commit suicide?
- Most likely to use guns or jumping off a bridge.
- More likely to go through with suicide.
Attention Deficit-Hyperactivity Disorder
- Most common behavioral disorder that emerges during childhood.
- Genetic disposition.
Those with ADHD have problems in what 3 areas?
MUST HAVE PROBLEMS IN ALL 3 AREAS LISTED TO BE DX.
- Attention and Concentration
- Impulse control
- Hyperactivity
ADHD: Onset of S/S
- Early age
- May not become apparent until starting school
ADHD Clinical Manifestations: Attention and Concentration
- Trouble sustaining attention
- Trouble organizing tasks ( but is normal for 3rd graders not to be able to put more than 3 things together)
- Appearing not to hear when spoken to
- Losing items necessary to complete tasks
ADHD Clinical Manifestations: Impulse Control
- Difficulty waiting
- Blurting out comments
- Interruptions
- Intruding
ADHD Clinical Manifestations: Hyperactivity
- Fidgeting
- Excessive talking and running
- Inability to engage in quiet activities
What are other problems associated with ADHD?
- Sensitivity to noises or disruptions in environment
- Frustrated with rigid structure (school)
When are medications started for children with ADHD?
Not started until in structure school setting
Those with ADHD must have:
Signs present for at least 6 months, occurred before age 7, and not associated with another disorder.
ADHD Management Goals
- Reduce frequency and intensity of behaviors
- Interventions targeted to enhance capabilities and self-esteem
