Suicide

Question 1

Define suicide

Answer 1

An act of self harm with many biopsychosocial determinants with the intend to lead to death

Question 2

Define suicide ideation

Answer 2

The thoughts and plans of ending ones own life without the preparatory behaviors

Question 3

Define attempted suicide

Answer 3

A potentially injurious act with the intend to end ones own life but has no lethal outcome

Question 4

Define completed suicide

Answer 4

A self injurious act that is committed by an individual and leads to death

Question 5

Populations at risk of suicide x4

Answer 5

Men
Elderly
Divorced
Unmarried/single

Question 6

Protective factors from suicide x5

Answer 6

Religion
Marriage
Parental responsibilities
Position in society
Lack of access to lethal means

Question 7

Biological risk factors x5

Answer 7

Affective disorders
Personality disorder
Mood disorder
Schizophrenia
Alcohol and drug abuse

Question 8

Psychosocial risk factors x5

Answer 8

Previous attempt
Family history
Single/ unmarried
Unemployed/ Poor socioeconomic status
Access to lethal means

Question 9

Key areas of the suicide risk assessment x6

Answer 9

Triggers
Severity of attempt
Historical risk factors
Current risk factors
Future risk factors
Protective factors

Question 10

Biological management of suicide x5

Answer 10

Antidepressants - SSRIs, TCAs
Lithium
Antipsychotics - 2nd gen
Benzodiazepines to calm
Electroconvulsive therapy

Question 11

Why are TCAs lethal if overdosed

Answer 11

They have cardiotoxic effects

Question 12

Public health approach to minimize suicide x3

Answer 12

Limiting access to lethal means
Limit access to alcohol
Less details when reporting on media

Question 13

Discharge TO DOs x3

Answer 13

Plan review and consequences of not coming
Discuss and agree with patient and guardians
Prescribe adequate non dangerous meds

Question 14

Suicide prevention x5

Answer 14

Limit access to lethal means and alcohol
Improve access to psychiatrists
Educational programs
Mental health promotion
Improve care for high risk groups

Question 15

General approach to management of suicide x4

Answer 15

Reduce access to lethal means
Optimize protective factors
Creation of suicide safety plan
Treat comorbid psychiatric conditions

Question 16

Methods of suicide in LMIC x1 and HIC x2

Answer 16

LMIC- pesticides
HIC- firearms and hanging

Question 17

What may predispose a person with AUD to suicide x3

Answer 17

Aggression
Deterioration in social circumstances
Impulsivity - deterioration of cognitive capacity, reduced problem solving skills> vulnerability to stressors

Question 18

Risk factors of suicide in patients with schizophrenia x5

Answer 18

Command hallucinations
High level of education
High premorbid level of functioning
Poor compliance to antipsychotics
Comorbid conditions eg depression and SUD

Question 19

Which personality disorders are associated with high rates of suicide x2

Answer 19

Cluster B especially antisocial and borderline

Question 20

Suicide rating scales x3

Answer 20

Becks hopelessness scale
Suicide intent scale SIS
Columbia suicide severity scale

Question 21

Psychological management of suicide x4

Answer 21

Psychotherapy- CBT, DBT, family, psychodynamic

Question 22

Treatment approaches in Child and adolescents x2

Answer 22

Target both child and family
Improve coping and parent child communication

Question 23

Risk factors of suicide in the elderly x3 and management x1

Answer 23

Physical illness
Isolation
Decreased financial resources

ECT