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PSYCHOLOGY > Suicide > Flashcards

Suicide Flashcards

1
Q
A
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2
Q

Suicide Rate

A

30,000/yr Attempted: 300,000/yr

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3
Q

Suicide is the _____leading cause of death

A

9th

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4
Q

Suicide Associated factors

A

age (65+ or 14-24 increased rapidly) Never married, divorced Males> Females (3X) Females attempt > males (4X)

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5
Q

Race and suicide

A

American Indian and White males

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6
Q

Location and suicide

A

Western states

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7
Q

Domains of Suicide risk

A

Social: loss or life change Psychological: personality or coping Medical: illness, treatment Psychiatric: depression Biological aging, environment

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8
Q

Suicide Global Rates

A

Highest in Korea

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9
Q

Military And Suicide

A

Escalating since beginning of War (Army)

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10
Q

Suicide rate timeline

A

Suicides dropping from 1990-2003, in 2003 1-14y/o rate of suicide markedly increased (hanging and suffocation)

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11
Q

Suicide Major Risks

A

Depression (20X), Substance Abuse (alcohol, heroin), Physical health (age, illness, immobile, etc)

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12
Q

Suicide Risks

A

Unemployed, Separated (divorce, death), Irritable, social disgrace, death trends, personality (impulse, perfectionist), Risk taker, Failed treatment, existential crisis

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13
Q

_____% of attempted suicide patients fir criteria for mental illness

A

80

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14
Q

Suicide Risk Factors

A

Poor Health, Psychoactive drugs, hopelessness, self doubt, adverse life events, marginalization

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15
Q

Suicide Protective Factors

A

Mental Healthcare, Safe and supportive environment, health relationships, ability to cope, problem solve and find meaning

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16
Q

Mental Disorders highly correlated to suicide

A

Mood Disorders (15%) panic attacks, psychic Panic Disorder (15%): attack severity, agitation Schizophrenia (10%) Borderline PD (7%) impulse, anitsocial, self-mutilation

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17
Q

Most people contacted __________prior to committing suicide

A

medical provider

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18
Q

Medical Population and suicide

A

Depression, traumatic news, risky behavior, hopelessness, noncompliance

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19
Q

Which Illnesses are linked to suicide the most

A

Dialysis patients (14%), Head and Neck Malignancies(11%), HIV, Lupus, Spinal cord injury

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20
Q

Suicide Causes

A

Sociological disruption, Struggle with Aggression, Manipulation, Identity Problems, Hopelessness

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21
Q

Indicator of long term risk of suicide

A

hopelessness

22
Q

Rational Suicide

A

taking one’s life due to extreme illness

23
Q

Suicide Assessment

A

Suicide Ideation/Recent events, Ambivalence, Previous Attempts, Plan, Affect (hopeless, calmness, euphoria, psychomotor retardation)

24
Q

Primary Care Suicide Assessment

A

Diagnosis overwhelms coping, have family member present, follow-up in 24hr, sensitive to cultural factors

25
Q

3 Identifiers for Suicide Assessment

A

Previous Attempts, Depression OR Substance Abuse, 1st degree relative suicide

26
Q

Plan in Primary Care

A

Screen for depression, anxiety, psychosis, substance abuse, Ask about suicidal thoughts, plans, screen for medical conditions associated, cognitive changes, ask about previous attempts

27
Q

Tips for Suicidal patients

A

Suicide intent is “state dependent”, suicide state repeats, turn focus to causes, have family monitor risks

28
Q

Imminent risk factors for suicide

A

Severe agitation, panic, obsessive rumination (bad thoughts), global insomnia, alcohol use, isolation, anhedonia, isolation, deception, publicity of suicide, incarcerated

29
Q

Suicide Treatment

A

Hospitalization, antidepressants, antipsychotics, therapy Systems Approach, remove means, commitment of patient Reduce psychological pain

30
Q

Tips for suicide prevention

A

Realistic approach to problems, emphasize past successes, patient’s perception is distorted, mobilize support system, be objective, non-judgmental

31
Q

Tips for suicide prevention

A

Other solutions, acknowledge patient’s feelings, use social services, programs, “I’m going to help”

32
Q

Spousal-Amorous Jealousy Suicide Type

A

chaotic relationships, infidelity real or imagines, separation from perpetrator

33
Q

Spousal-Declining Health Suicide Type

A

Dependency of spouse, financial concerns, frustration, helplessness, “mercy” killing

34
Q

Filicide Suicide

A

Parent killing own child 0-6mo highest risk, then commit suicide

35
Q

Familicide Suicide

A

When 1 spouse and at least 1 child is murdered, then commit suicide

36
Q

Extrafamilial Suicide

A

Killing relatives before self

37
Q

Murder-Suicide Characteristics

A

over-valued attachement to relationship, fear of separation, impulsiveness, mental disorder present (mood, psychosis, substance abuse), stalking

38
Q

Murder-Suicide Assessment

A

Assess for homicidal tendencies, depression, feeling overwhelmed, over-possessive, Female>Male

39
Q

Murder-Suicide Intervention

A

diffuse relationship, restore perspective, case management help, help survivors

40
Q

Red Flags for Murder-Suicide

A

Domestic violence, jealous, declining health, financial problems, depression, over-possessive, desperation, “altruistic ideation”

41
Q

Tips for Murder-Suicide

A

Assess risk of violence, treat underlying mental health, find social support

42
Q

Risk Factors for Adolescent Suicide

A

Hypersensitive, suggestibility, magical thinking, fanaticism, rigid thinking, dichotomous thinking

43
Q

Process of Adolescent Suicide

A

Long Standing History (family dysfunction), escalation of problems (conduct, rebellion, withdrawn), affiliation phase

44
Q

Adolescent Suicide Trends

A

Increase due to social media in adolescents, militants due to war, general pop due to untreated depression bc of anti-depression warnings

45
Q

Adolescent Suicide Rates

A

12% of adolescent deaths, hanging>CO)

46
Q

Suicide in children

A

-Vulnerability: parental mental health disorder, FHx - Childhood disorders or abuse - Following stress, followed by immature coping and impulsivity - Fewer precipitating events in combination with family/school transition

47
Q

Risk Factors for

A

Precipitation Factors (parents mental health, FHx of suicide, genetics) compounded by family factors, school factors, cognitive immaturity, adverse life events, age-related impulsivity, access to suicide means, psychopathology

48
Q

Initial Suicide Attempt

A

First attempt before high school, early first attempt linked to depression, high at age 12 increases to peak at age 15

49
Q

Greatest risk factors for suicide

A

Direct verbal warnings, plan (specific, lethality, availability), past attempts, depression, hopelessness, indirect statements, intoxication, gender

50
Q

Treating Suicidality

A

If imminent, admit patient, if not contact lifeline, treat underlying disorders or addictions, assess stressors, risk factors

51
Q

Beck Depression Inventory

A

Sadness, pessimism, dissatisfaction, guilt, somatic problems, self dislike, etc

PSYCHOLOGY (6 decks)

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