Suicidality Flashcards
when did the suicide rate was lowest in England & Wales before start raising again
in 2007 and started rise in 2008 (the financial crisis)
Suicide rate in England & Wales since 1981
has declined by 26%
Incidence of suicide in the UK (average rate
10 per 100’000
1 per 10’000
Most common sucide method in england and wales?
Hanging/Strangulation/suffocation
Poisoning
Male or females higher rate of suicide?
Males
Suicide highest in what age range?
45-54
Suicide lowest in what ages?
under 20
over 70
what is most common psychiatric comorbidity in suicide cases?
affective disorder
risk rate of suicidality in epilepsy?
2.3-2.7 times
risk of suicidal completed in epilepsy
2.3 times
out 100 people with epilepsy how many might die by suicide
less than 1
out 100 people with epilepsy how many might attempt suicide
6
out 100 people with epilepsy how many might think of suicide
20
what types of epilepsy are associated with higher suicidality rate?
Temporal Lobe Epilepsy (TLE)
Drug-Resistant Epilepsy (DRE)
Why suicidality is more common in TLE and DRE?
Because
Higher frequency of seizures
More depression
what personalities are associated with more suicidality
Rigid personality
Pessimism
Perfectionism
Married or not being married
which one is more at risk of suicidality?
unmarried
prevalence o psychiatric comorbidities in those who attempt suicide?
90%
prevalence of completed suicide within 1 year in cases of self-harm (Hawton 2015)
0.5% (.8% male & 0.2 female) (3 times lower than that in >60 years old with self-harm)
prevalence of completed suicide within 2 year in cases of self-harm (Hawton 2015)
1.6%
prevalence of completed suicide within 1 year in >60 years old cases of self-harm (Murphy 2012)
1.5% (3 times higher than in young adults with self-harm)
what can be an indicative of future suicide in self-harm cases?
violent methods
prevalence of suicide in first decase of schizophrenia?
10% (Maudsley 14th)
risk of treatment non-adherent schizophrenia on suicidality
4 fold increase risk of suicidality (Maudsley 14th)
signficant of serious suicide attempt in schizophrenia
Indicate need for lifelong treatment (Maudsley 14th)
what is postulated to be associated with suicidality in schizophrenia?
akathisia (not clear yet)
