suicide Flashcards
acute risks for suicide
anxiety, stress, insomnia, panic, substance abuse, access to weapons, agitation
does a patients history affect?
serious earlier attempt puts them at risk
age risk?
older
substance use?
increased risk
sex risk?
male, higher risk of completion due to more violent behavior.
race risk?
higher for white
family history risk?
doe shave an impact
social status?
socially isolated has higher risk. married has a lower risk
religion risk?
jewish or protestant higher risk
profession?
higher risk for professionals
immutable risks?
history, family history, demographics, culture, personality traits
circumstantial risks
unemployment, financial difficulties, relationship, physical injury/illness, life transitions, access to lethality.
modifiable risks.
drinking/drug use, nicotine use, unstructured time, perceived stress, hopelessness/helplessness.
what is the risk triad?
ideation, plan, intention
what percent is due to mental illness? and what illness most common?
almost all 95%. many due to depression.
what is the most common form.
hanging
what is the most common age?
rare in childhood, higher in adolescent, adult rates increase after 55.
what happens in the elderly?
decreases for women and increases for men.
what approach for therapy?
least restrictive. add medication quickly that will help anxiety and insomnia. add slower acting antidepressants as well as psychotherapy
when to hospitalize the patient
if at high risk we can detain for 1-63 days depending on the state. cannot force meds once hospitalized?
what other therapies are used?
ECT, ketamine, litium, clozapine
