Suicide Flashcards
Define suicide
An act of self harm with many biopsychosocial determinants with the intend to lead to death
Define suicide ideation
The thoughts and plans of ending ones own life without the preparatory behaviors
Define attempted suicide
A potentially injurious act with the intend to end ones own life but has no lethal outcome
Define completed suicide
A self injurious act that is committed by an individual and leads to death
Populations at risk of suicide x4
Men
Elderly
Divorced
Unmarried/single
Protective factors from suicide x5
Religion
Marriage
Parental responsibilities
Position in society
Lack of access to lethal means
Biological risk factors x5
Affective disorders
Personality disorder
Mood disorder
Schizophrenia
Alcohol and drug abuse
Psychosocial risk factors x5
Previous attempt
Family history
Single/ unmarried
Unemployed/ Poor socioeconomic status
Access to lethal means
Key areas of the suicide risk assessment x6
Triggers
Severity of attempt
Historical risk factors
Current risk factors
Future risk factors
Protective factors
Biological management of suicide x5
Antidepressants - SSRIs, TCAs
Lithium
Antipsychotics - 2nd gen
Benzodiazepines to calm
Electroconvulsive therapy
Why are TCAs lethal if overdosed
They have cardiotoxic effects
Public health approach to minimize suicide x3
Limiting access to lethal means
Limit access to alcohol
Less details when reporting on media
Discharge TO DOs x3
Plan review and consequences of not coming
Discuss and agree with patient and guardians
Prescribe adequate non dangerous meds
Suicide prevention x5
Limit access to lethal means and alcohol
Improve access to psychiatrists
Educational programs
Mental health promotion
Improve care for high risk groups
General approach to management of suicide x4
Reduce access to lethal means
Optimize protective factors
Creation of suicide safety plan
Treat comorbid psychiatric conditions
Methods of suicide in LMIC x1 and HIC x2
LMIC- pesticides
HIC- firearms and hanging
What may predispose a person with AUD to suicide x3
Aggression
Deterioration in social circumstances
Impulsivity - deterioration of cognitive capacity, reduced problem solving skills> vulnerability to stressors
Risk factors of suicide in patients with schizophrenia x5
Command hallucinations
High level of education
High premorbid level of functioning
Poor compliance to antipsychotics
Comorbid conditions eg depression and SUD
Which personality disorders are associated with high rates of suicide x2
Cluster B especially antisocial and borderline
Suicide rating scales x3
Becks hopelessness scale
Suicide intent scale SIS
Columbia suicide severity scale
Psychological management of suicide x4
Psychotherapy- CBT, DBT, family, psychodynamic
Treatment approaches in Child and adolescents x2
Target both child and family
Improve coping and parent child communication
Risk factors of suicide in the elderly x3 and management x1
Physical illness
Isolation
Decreased financial resources
ECT
