Self Harm Flashcards

1
Q

what should you use instead of “attempted suicide”?

A

deliberate self harm

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2
Q

what’s the main difference between deliberate self harm patients and suicide patients psychologically?

A

suicide patients tend to have a severe, sustained major mental illness

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3
Q

what gender has higher suicide rates in general?

A

men

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4
Q

death from suicide peaks at what age in low and middle income countries?

A

early 20s

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5
Q

death from suicide peaks at what age in high income countries?

A

early 20s

middle age

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6
Q

most common methods of suicide in scotland by gender?

A

hanging (m)

poisoning (f)

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7
Q

there is a seasonal element to suicide T or F

A

T
spring peak
autumn drop

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8
Q

why is there a peak in suicide in spring?

A

people are generally more happy so you feel more alienated

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9
Q

being born in what season gives you a higher suicide rate?

A

spring

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10
Q

cancer diagnoses have an exponential effect on suicide rate T or F

A

F

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11
Q

diagnoses of what kind of conditions increase suicide rate?

A

debilitating long-term neurological conditions

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12
Q

religious affiliation increases suicide risk T or F

A

F, decreases it massively

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13
Q

patients with a Hx of DSH have a lower level of what in their CSF?

A

HAA (metabolite for serotonin)

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14
Q

regulation of what hormonal feedback pathway is different in those who have been sexually abused?

A

hypothalamic-pituitary axis

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15
Q

what psychiatric medication is known to reduce suicide risk?

A

lithium

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16
Q

strongest risk factor for suicide?

A

history of DSH

17
Q

how could you demonstrate empathy to a suicidal patient without saying you understand them?

A

“i understand from what i’m told that you’re in a dark place right now”

18
Q

questions to ask in a suicide Hx?

A

antecedents
the episode
mental state then and now

19
Q

how can you help to counsel a patient in suicidal crisis?

A

help them to solve their problem ie look for past episodes when they have solved problems
family/friends
make a safety plan

20
Q

comorbid risk factors for suicide?

A

stroke
heart disease
chronic pain syndromes

21
Q

what factors indicate that a patient is likely to self harm/attempt suicide again?

A

they have feelings of hopelessness