Suicidal/Homicidal Ideation

Question 1

Most important complication in mental health

Answer 1

Suicide

Question 2

Which gender is more successful at suicide and which gender makes more attempts?

Answer 2

Men: More successful
Women: More attempts

Question 3

What is a major factor in many suicide attempts?

Answer 3

Alcohol

Question 4

What is the most common form of self mutilation

Answer 4

Wrist cutting

Question 5

High risk groups of suicide

Answer 5

• Younger population (ages 15-35)
• Patients with cancer, respiratory illness, AIDS, and those on hemodialysis
• Distressed by acute situational problem
  Relationship breakup or other disappointment
• Public humiliation
• Not necessarily diagnosed with depression
• Psychotic illnesses

Question 6

What is the immediate goal for assessment of suicide risk

Answer 6

Hospitalization vs out patient treatment

Question 7

Intent less likely suicidal if:

Answer 7

Ingested small amounts of drugs
Superficial scratching of wrists
Acts performed in the vicinity of others or early notification

Question 8

What considerations should be made for suicidal patients

Answer 8

• Mood status best evaluated by direct evaluation of plans and concerns for future
• Assess immediate resources
• If hospitalization not indicated you must formulate a safety and follow-up plan
• Dispense medication in small amounts
• Remove guns and drugs
• Presume suicidal ideation
• Conservative treatment

Question 9

Steps of Suicide Prevention

Answer 9

• Intervention
  Education of all personnel
  Suicide Prevention Training
• Training
  Warning signs
  Supervisors should know their sailors
  Watch for changes in behavior, attitude, and performance
• Heightened awareness by all hands

Question 10

What should the MDR review in a suicidal patient’s HREC

Answer 10

• Past psychiatric problem
• Indicators impulse control
• Alcohol or drug dependence
• Concurrent Medical Problems

Question 11

What problems should the MDR interview a patient with suicidal ideations about

Answer 11

• Pay
• Family
• Social isolation
• Helplessness or hopelessness
• Family hx of suicide or affect disorder

Question 12

What scale can be used as a guide for asking questions. Answers will help identify whether someone is at risk for suicide, assess severity and immediacy of that risk and gauge level of support that the person needs

Answer 12

Columbia-Suicide Severity Rating Scale

Question 13

Referral services for suicide at sea

Answer 13

Utilize Chain of Command
Possible MEDEVAC

Question 14

Referral services for suicide in port

Answer 14

Emergency Room
Behavioral Health Unit

Question 15

Other referral services available for suicidal patients

Answer 15

Chaplain
Fleet and Family Service Center
Navy/Marine Corps Relief Society
SPRINT teams