Suicide

Question 1

Greater risk of suicide completion: Young adult or older adult?

Answer 1

Older adult

Question 2

Greater risk of suicide completion: Male or female?

Answer 2

Male

Question 3

Greater risk of suicide completion: African American or White?

Answer 3

White

Question 4

Greater risk of suicide completion: Catholic/Muslim or Jewish/Protestant?

Answer 4

Jewish/Protestant

Question 5

Greater risk of suicide completion: Non-professional occupation or professional occupation?

Answer 5

Professional occupation

Question 6

What often occurs prior to sucide attempts?

Answer 6

Anxiety, panic attacks, agitation, insomnia

Question 7

What are 4 important Syx that are precursors to suicide?

Answer 7

Insomina, restlessness, hopelessness, helplessness

Question 8

What are the three pillars of risk triad?

Answer 8

Ideation (how many ideas of hurting yourself?), Intention (I have a thought and I’m 90% sure), Plan (How realistic is the plan?)

Question 9

Which gender experiences a greater risk of suicide with increasing age?

Answer 9

Men

Question 10

Attempts and sucess of men vs. women

Answer 10

Women try 4x more, Men 3x more successful

Question 11

Why do immigrants have higher rates of suicide?

Answer 11

No support, don’t know the culture

Question 12

Greater risk of suicide: Employed or unemployed?

Answer 12

Unemployed

Question 13

What proof exists to suggest that suicide has a genetic component?

Answer 13

Monozygotic vs. Dizygotic twin studies

Question 14

What is Werther Syndrome?

Answer 14

Copy-cat suicides based off of popularized suicides

Question 15

How does the 5-HTT gene associate with depression and suicidal ideation?

Answer 15

If both alleles are shortened, there is a greater risk for both depression and suicidal ideation

Question 16

What is victim-precipitated homicide?

Answer 16

Holding up a bank so that you get killed

Question 17

What is murder suicide?

Answer 17

Individual kills one or more other persons before/at the same time as killing him/herself.

Question 18

Describe the best course to treat suicidal ideality

Answer 18

1. Interview about triad (ideation, intent, plans)
2. Take Hx of risk factors
3. Ask about protective things that keep them alive
4. Use least restrictive approach
5. Hospitalize

Question 19

Policy on forced hospitalization for depression?

Answer 19

High risk - hospitalize 1-63 days if patient cannot be safely maintained with meds, psychoTx

Question 20

What is the most likely demographic for suicide?

Answer 20

Elderly depressed male followed by teenage depressed boy

Question 21

What acute events are highly indicative of suicide?

Answer 21

Jittery and anxiousness especially in a male teen.