suicide

Question 1

acute risks for suicide

Answer 1

anxiety, stress, insomnia, panic, substance abuse, access to weapons, agitation

Question 2

does a patients history affect?

Answer 2

serious earlier attempt puts them at risk

Question 3

age risk?

Answer 3

older

Question 4

substance use?

Answer 4

increased risk

Question 5

sex risk?

Answer 5

male, higher risk of completion due to more violent behavior.

Question 6

race risk?

Answer 6

higher for white

Question 7

family history risk?

Answer 7

doe shave an impact

Question 8

social status?

Answer 8

socially isolated has higher risk. married has a lower risk

Question 9

religion risk?

Answer 9

jewish or protestant higher risk

Question 10

profession?

Answer 10

higher risk for professionals

Question 11

immutable risks?

Answer 11

history, family history, demographics, culture, personality traits

Question 12

circumstantial risks

Answer 12

unemployment, financial difficulties, relationship, physical injury/illness, life transitions, access to lethality.

Question 13

modifiable risks.

Answer 13

drinking/drug use, nicotine use, unstructured time, perceived stress, hopelessness/helplessness.

Question 14

what is the risk triad?

Answer 14

ideation, plan, intention

Question 15

what percent is due to mental illness? and what illness most common?

Answer 15

almost all 95%. many due to depression.

Question 16

what is the most common form.

Answer 16

hanging

Question 17

what is the most common age?

Answer 17

rare in childhood, higher in adolescent, adult rates increase after 55.

Question 18

what happens in the elderly?

Answer 18

decreases for women and increases for men.

Question 19

what approach for therapy?

Answer 19

least restrictive. add medication quickly that will help anxiety and insomnia. add slower acting antidepressants as well as psychotherapy

Question 20

when to hospitalize the patient

Answer 20

if at high risk we can detain for 1-63 days depending on the state. cannot force meds once hospitalized?

Question 21

what other therapies are used?

Answer 21

ECT, ketamine, litium, clozapine