Suicide Flashcards
Asking about suicide increases risk T/F
F
Canadian suicide rate per 100,000
11/100,000
Time of life associated w highest suicide risk in both sexes
Middle age - in Canada the 40-59 age group
What percentage of adolescents have experienced suicidal ideation in their lifetime?
14-20%
Most common suicidal method in Canada
Hanging
Relative suicide risk of females compared to the gen pop
Reduced
Biggest risk factor for suicide
Past attempt
Most frequent psych disorder in completed suicide
Dépression
Bereavement is a risk factor for suicide T/F
T
Somatic pain is a risk factor for suicide T/F
T
Being in a nursing home is a risk factor for suicide T/F
F it is protective
Dementia is a risk factor for suicide T/F
T
Caucasians are at lower risk of suicide T/F
F
Immigrants to Canada have a higher suicide risk than Canadian born T/F
F lower & their risk matches that of their home country
Urban living is a suicide risk factor T/F
F rural settings increase risk
Relative risk of suicide for indigenous women in Canada cf the gen pop
3x
Relative risk of suicide for indigenous men in Canada cf the gen pop
2x
Number of previous suicide attempts has a bearing on risk T/F
T
Self harm predicts suicide T/F
T
Suicide risk is 1.5x more likely in first degree relatives T/F
F it’s 2-4x more likely
Familial history of self harm elevates suicide risk T/F
T
There is a relationship between central serotonin levels and suicidal behaviour T/F
T, it’s diminished in CSF via lumbar puncture
Lifetime risk of suicide in affective disorders
5-15%
Lifetime risk of suicide antisocial PD
5%
Lifetime risk of suicide alcohol & substance misuse
2-15%
Odds ratio for suicide in bipolar pts compared with the gen pop
7.77
Akathisa in schizophrenia may increase suicide risk T/F
T
Percentage of suicides in which alcohol use disorder is a factor
25-50%
Heavy drinkers (>6 drinks a day) are at 2x risk of suicide T/F
F it’s 6x risk
Heroin use is associated with 6x the suicide risk compared to the gen pop
F it’s 13.5x the risk
Lifetime risk of suicide in borderline PD
3-10%
Panic disorder is associated with a reduced risk of suicide T/F
F it’s more than double the risk
Increase of suicide risk in ppl with OCD compared to the gen pop
10x
Which type of anorexia nervosa has the higher rate of suicide?
Binge eating / purging type
Bulimia nervosa is associated with a higher rate of suicide attempts than the gen pop T/F
T
The increased risk of suicide after hospital discharge persists for how long
> 12 months
Divorced men are at higher risk of suicide T/F
T
Losing a loved one to suicide increases risk T/F
T. So does bereavement in general, the effect may be stronger in males
Shame and embarrassment at work is a risk factor for suicide T/F
T
Having children is a risk factor for suicide T/F
F it’s protective
What’s the most effective way to reduce suicide in hospital?
Addressing the physical environment eg ligature points
There is evidence to suggest media reporting of suicide lowers risk
F it may increase the rate in a population
Construction workers are at higher risk of suicide T/F
T
Celebrity suicides can increase suicide risk in young ppl T/F
T there are lots of papers supporting this
Clozapine is anti-suicidal T/F
T
School based awareness programs have no effect on suicide attempts T/F
F
Ketamine may be anti suicidal T/F
T v promising preliminary evidence
SSRIs have no effect on suicide risk T/F
F they have level 1a evidence for ppl with MDD
Intensive community based case management has level 1a evidence in suicide risk management T/F
T
Aggression is a risk factor for suicide T/F
T
Low concentration of serotonin in CSF predicts future suicidal behaviour T/F
T
The majority of inpatient suicides occur where?
On leave/ absconds
Firearms suicides increase with age T/F
T
Cognitive rigidity is associated with suicide T/F
T
Which Axis II is most commonly associated with suicide?
Borderline PD
The suicide rate in elderly people compared to the young in the US
3X increase
Method of the majority of suicides in elderly people in the US
Firearms
Recently widowed elderly people have a higher risk of suicide T/F
T
The suicide rate in schizophrenia
Approx 10%
Females attempt suicide about three times more often than males T/F
T
What percentage of people who attempt suicide will commit suicide in the following year?
About 1% (K&S)
Marriage protects against suicide T/F
T
The male suicide rate in Canada is increasing T/F
F it is decreasing. The female rate is flat
Canada differs from other countries as the majority of suicides are in middle age rather than with increasing age T/F
T
https://www150.statcan.gc.ca/n1/pub/82-624-x/2012001/article/11696-eng.htm
Among those aged 15 to 34, suicide was the second leading cause of death in Canada, preceded only by accidents (unintentional injuries) T/F
T
Statcan
