Suicidality and self-injurious Behavior Flashcards
self-injurious thoughts and behaviors appear as what in the DSM?
Appear as symptoms
Has suicide rate been rising or decreasing? It is also the 2nd leading cause of death for ages 20-34
US suicide rate has been rising and it is underestimated
Why is there a gender gap in suicide?
- Women tend to attempt more but men tend to use more lethal means
What is the interpersonal theory of suicide?
- I am alone (belong)
- I am a burden (burden)
- Capability for suicide
- Desire for suicide
Is suicide contagious?
It is not uncommon for especially teens to attempt suicide after observing or reading about someone else who has
What are some challenges in studying suicide?
- low base rate of completed suicide
- reluctance to disclose
- often undercounted
- hard to study people who are no longer alive
- our ability to predict is POOR
Treating suicidality
- importance of routine suicide assessment and collaborative safety planning
- direct (cognitive therapy) vs indirect (targeting depression)
- before vs after attempts
What is the most common reason for psychiatric hospitalization? Period immediately after discharge is very high risk
Suicidality
What is stepped care?
Shifting dynamically step by step either going up or down
What is the prevention strategy with the strongest evidence?
universal means restriction to make it more difficult for people to end their lives b/c these people won’t necessarily attempt again in the future
How many days to need in criteria A to be diagnosed with NSSI?
- on 5 or more days
What are risk factors for NSSI?
- Psychological disorders
- negative affectivity and related traits
- life stress
- difficulties with emotion regulation and tolerating distress
What are consequences of NSSI?
- can result in unintended serious harm or even death
- associated with suicide risk, life stress and depression
- it is highly stigmatized
What is the most well-known approach to reducing NSSI? BUT we need better treatments!
DBT with helps with managing intense emotions
