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Psychiatry > Suicide > Flashcards

Suicide Flashcards

1
Q

Asking about suicide increases risk T/F

A

F

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2
Q

Canadian suicide rate per 100,000

A

11/100,000

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3
Q

Time of life associated w highest suicide risk in both sexes

A

Middle age - in Canada the 40-59 age group

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4
Q

What percentage of adolescents have experienced suicidal ideation in their lifetime?

A

14-20%

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5
Q

Most common suicidal method in Canada

A

Hanging

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6
Q

Relative suicide risk of females compared to the gen pop

A

Reduced

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7
Q

Biggest risk factor for suicide

A

Past attempt

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8
Q

Most frequent psych disorder in completed suicide

A

Dépression

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9
Q

Bereavement is a risk factor for suicide T/F

A

T

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10
Q

Somatic pain is a risk factor for suicide T/F

A

T

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11
Q

Being in a nursing home is a risk factor for suicide T/F

A

F it is protective

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12
Q

Dementia is a risk factor for suicide T/F

A

T

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13
Q

Caucasians are at lower risk of suicide T/F

A

F

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14
Q

Immigrants to Canada have a higher suicide risk than Canadian born T/F

A

F lower & their risk matches that of their home country

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15
Q

Urban living is a suicide risk factor T/F

A

F rural settings increase risk

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16
Q

Relative risk of suicide for indigenous women in Canada cf the gen pop

A

3x

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17
Q

Relative risk of suicide for indigenous men in Canada cf the gen pop

A

2x

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18
Q

Number of previous suicide attempts has a bearing on risk T/F

A

T

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19
Q

Self harm predicts suicide T/F

A

T

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20
Q

Suicide risk is 1.5x more likely in first degree relatives T/F

A

F it’s 2-4x more likely

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21
Q

Familial history of self harm elevates suicide risk T/F

A

T

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22
Q

There is a relationship between central serotonin levels and suicidal behaviour T/F

A

T, it’s diminished in CSF via lumbar puncture

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23
Q

Lifetime risk of suicide in affective disorders

A

5-15%

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24
Q

Lifetime risk of suicide antisocial PD

A

5%

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25
Q

Lifetime risk of suicide alcohol & substance misuse

A

2-15%

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26
Q

Odds ratio for suicide in bipolar pts compared with the gen pop

A

7.77

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27
Q

Akathisa in schizophrenia may increase suicide risk T/F

A

T

28
Q

Percentage of suicides in which alcohol use disorder is a factor

A

25-50%

29
Q

Heavy drinkers (>6 drinks a day) are at 2x risk of suicide T/F

A

F it’s 6x risk

30
Q

Heroin use is associated with 6x the suicide risk compared to the gen pop

A

F it’s 13.5x the risk

31
Q

Lifetime risk of suicide in borderline PD

A

3-10%

32
Q

Panic disorder is associated with a reduced risk of suicide T/F

A

F it’s more than double the risk

33
Q

Increase of suicide risk in ppl with OCD compared to the gen pop

A

10x

34
Q

Which type of anorexia nervosa has the higher rate of suicide?

A

Binge eating / purging type

35
Q

Bulimia nervosa is associated with a higher rate of suicide attempts than the gen pop T/F

A

T

36
Q

The increased risk of suicide after hospital discharge persists for how long

A

> 12 months

37
Q

Divorced men are at higher risk of suicide T/F

A

T

38
Q

Losing a loved one to suicide increases risk T/F

A

T. So does bereavement in general, the effect may be stronger in males

39
Q

Shame and embarrassment at work is a risk factor for suicide T/F

A

T

40
Q

Having children is a risk factor for suicide T/F

A

F it’s protective

41
Q

What’s the most effective way to reduce suicide in hospital?

A

Addressing the physical environment eg ligature points

42
Q

There is evidence to suggest media reporting of suicide lowers risk

A

F it may increase the rate in a population

43
Q

Construction workers are at higher risk of suicide T/F

A

T

44
Q

Celebrity suicides can increase suicide risk in young ppl T/F

A

T there are lots of papers supporting this

45
Q

Clozapine is anti-suicidal T/F

A

T

46
Q

School based awareness programs have no effect on suicide attempts T/F

A

F

47
Q

Ketamine may be anti suicidal T/F

A

T v promising preliminary evidence

48
Q

SSRIs have no effect on suicide risk T/F

A

F they have level 1a evidence for ppl with MDD

49
Q

Intensive community based case management has level 1a evidence in suicide risk management T/F

A

T

50
Q

Aggression is a risk factor for suicide T/F

A

T

51
Q

Low concentration of serotonin in CSF predicts future suicidal behaviour T/F

A

T

52
Q

The majority of inpatient suicides occur where?

A

On leave/ absconds

53
Q

Firearms suicides increase with age T/F

A

T

54
Q

Cognitive rigidity is associated with suicide T/F

A

T

55
Q

Which Axis II is most commonly associated with suicide?

A

Borderline PD

56
Q

The suicide rate in elderly people compared to the young in the US

A

3X increase

57
Q

Method of the majority of suicides in elderly people in the US

A

Firearms

58
Q

Recently widowed elderly people have a higher risk of suicide T/F

A

T

59
Q

The suicide rate in schizophrenia

A

Approx 10%

60
Q

Females attempt suicide about three times more often than males T/F

A

T

61
Q

What percentage of people who attempt suicide will commit suicide in the following year?

A

About 1% (K&S)

62
Q

Marriage protects against suicide T/F

A

T

63
Q

The male suicide rate in Canada is increasing T/F

A

F it is decreasing. The female rate is flat

64
Q

Canada differs from other countries as the majority of suicides are in middle age rather than with increasing age T/F

A

T

https://www150.statcan.gc.ca/n1/pub/82-624-x/2012001/article/11696-eng.htm

65
Q

Among those aged 15 to 34, suicide was the second leading cause of death in Canada, preceded only by accidents (unintentional injuries) T/F

A

T

Statcan

Psychiatry (27 decks)

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