SUICIDE

Question 1

Abnormal transporter for which
neurotransmitter puts adolescents at
greater risk for suicide? (2x)

Answer 1

Serotonin

Question 2

First step in safety planning for

chronically suicidal? (2x)

Answer 2

Restrict access to lethal mean

Question 3

13 yo with suicide attempt by overdose
after argument, has previous suicide
attempts. Biggest suicide risk factor?
(2x)

Answer 3

Prior suicide attempt

Question 4

Strongest predictor of suicidal behavior in

teens?

Answer 4

hx of intentional overdose

Question 5

14 yo male with MDD and Drug use, parents
fight and mother owns a gun. Patient just
broke up with girlfriend. Greatest risk for
suicide?

Answer 5

Access to gun

Question 6

Treatment component significantly
reducing repeated self-harm behavior and
suicide attempts in teens?

Answer 6

Improving family support

Question 7

What is tied to familial transmission of

suicidal behavior?

Answer 7

Aggression

Question 8

How should you screen for suicide in

adolescents?

Answer 8

Ask multiple questions about suicidal

thoughts and attempts

Question 9

Adolescent with bipolar disorder, social
drinking, Marijuana use, and Family history
of depression. Started on SSRI and mood
stabilizer 1 wk ago. What is the greatest
risk factor for suicide?

Answer 9

Bipolar Disorder

Question 10

In 2004 after the FDA black box warning of
increased suicidal behavior for young
people antidepressant prescriptions
declined. What happened to the rate of
adolescent suicide?

Answer 10

Drastically increased

Question 11

A 15 yo patient with a history of attempting
suicide by overdose is found with a farewell
note in his backpack. He claims no suicidal
thoughts but parents are worried since he
recently had a falling out with his best
friend. What is the appropriate level of
care?

Answer 11

Inpatient hospitalization

Question 12

Mobile crisis team called to family of 14 yo
threatening suicide for the 1st time. Once
team arrives, pt says they’re fine. The best
initial statement by team?

Answer 12

“Let’s discuss what happened so we can

decide what to do”.

Question 13

Family therapy as primary treatment

contraindicated in?

Answer 13

12 yo with SI assessed with whole family

present

Question 14

16 yo in therapy with worsening self harm

behavior and failing classes. Next step?

Answer 14

Refer to partial hospitalization

Question 15

Most evidence for reducing suicide in
adolescent, besides limiting access to lethal
means of committing suicide?

Answer 15

Physician education in the recognition and

treatment of depression

Question 16

What is best practice for suicide prevention
when discharging an adolescent inpatient
psych who was admitted for SI with a plan
to overdose and is now stable?

Answer 16

Create a safety plan to use when suicidal

thoughts return

Question 17

Why is there a higher rate of completed

suicides in adolescent males vs females?

Answer 17

More lethal means, substance use, and

antisocial behavior

Question 18

What should be a part of suicide prevention

in youth?

Answer 18

Ensure comprehensive screening to
identify high-risk youth for more targeted
intervention.

Question 19

Adolescent with MDD and suicidal ideation
is at increased risk of suicidal behaviors if
what other comorbid disorder is present?

Answer 19

Substance abuse