Suicid - Amboss

Question 1

Hva er suicide?

Answer 1

Question 2

Hva er definisjonene på hhv.:
- Suicidalitet
- Suicidal behavior
- Suicidal ideation

Answer 2

Question 3

Hvordan er epidemiologien på selvmord?

Answer 3

The actual number of suicide is likely higher due to underreporting. The number of suicide attempts is higher in women. Epidemiologisk data fra USA.

Question 3

Hvordan er epidemiologien på selvmordsforsøk?

Answer 3

The number of completed suicides is higher in men.

Question 4

Hvilke risikofaktorer finner man for suicid?

Answer 4

More than 90% of individuals who attempt suicide have a pre-existing psychiatric disorder. The psychosis may be substance-induced, caused by damage to the brain (organic psychosis), or present as part of another mental illness. Up to half of individuals with schizophrenia engage in suicidal behavior, which often ends lethally. Antipsychotic treatment can significantly lower suicide rates in this group. Loss of a parent can involve estrangement or death. If death occurs by suicide, there is an even higher risk of suicidal behavior in the following generation.

Question 5

Hvordan er den generelle psykiatriske evalueringen av en pas. der man mistenker selvmordsaktige tendenser?

Answer 5

Many patients will openly talk about their suicidal thoughts once the topic has been addressed by the physician. Contrary to widespread assumption, asking a patient directly about suicidal ideation/plans does not increase the likelihood of a suicide attempt. Apparent peacefulness may indicate that a patient has made the decision to attempt suicide.

Question 6

Hvilke videre diagnostikk kan være aktuelt hos pas. med selvmordsrisiko?

Answer 6

Interestingly, there is evidence that this correlation between low 5-HIAA in CSF does not exist in patients with schizophrenia.

Question 7

Hvordan er epideimologien til NSSI?

Answer 7

Question 8

Hva er definisjonen av selvskading (Nonsuicidal self-injury (NSSI))?

Answer 8

Question 9

Hvilken etiologi har NSSI?

Answer 9

Question 10

Hvilke kliniske tegn kan man se ved NSSI?

Answer 10

Question 11

Hvordan stiller man diagnosen NSSI?

Answer 11

Diagnosen stilles klinisk.

Question 12

Hvilke diff.diagnoser må man ha i bakhodet ved NSSI?

Answer 12

Seksuell misbruk

Vold i nære relasjoner:
- Parforhold
- Hos eldre

Individer som opplever vold i nære relasjoner bortforklarer ofter skader som uhell/selvpåført for å beskytte personen som er voldelig.

Question 13

Hvordan behandler man NSSI?

Answer 13

Question 14

Hvordan behandler man på best mulig måte pas. med alvorlig selvmordsrisiko og/eller økt risiko for selvmordsatferd?

Answer 14

Question 15

Hvordan legger man opp langtidsbehandlingen hos pas. med selvmordsrisiko?

Answer 15

Patients should be monitored closely when initiating antidepressant medication. Some patients may require these medications (TCA, MAO-inhibitors, venlafaxin) for treatment. Patients who are at risk of intentionally overdosing should be hospitalized.

Question 16

Hvordan bør man følge opp pas. som har risiko for selvmord?

Answer 16

After a suicide attempt, the risk of a new attempt varies based on several factors (e.g., changing social situation, medications). Because recovery leads to increased motivation and clarity of thought. Frequently, in particular, so that the compliance with antidepressant medication is ensured.