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 means

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