Suicide

Question 1

What is a Crisis?

Answer 1

Urgent intervention is required to avoid precipitous deterioration of his/her condition. Most occur at night

Question 2

What are the Behaviors of CT of Fear in Provider? Consequences for Pt?

Answer 2

Prov: Restrictive Measures
Pt: Action to regain Autonomy

Question 3

What are the Behaviors of CT of Empathic over Identification in Provider? Consequences for Pt?

Answer 3

Prov: Sympathy for Pt
Pt: Relaxing of Precautions and lack of Appropriate Response

Question 4

What are the Behaviors of CT of Anger in Provider? Consequences for Pt?

Answer 4

Prov: Over-react, control, punish, abandon
Pt: Fear => Dec self disclosure, lack of resources

Question 5

What are the Behaviors of CT of Hopelessness in Provider? Consequences for Pt?

Answer 5

Prov: Passive or slow to intervene
Pt: Lack of approp response
collusion and reinf of Hopelessness

Question 6

What are the Psych Conditions associated with violence?

Answer 6

Schiz and Mania
Subs abuse 
Catatonic Excitement
Agitated Depression
Neurocog disorder
Brain Injury
Intellectual Disability

Question 7

What are predictors of Violent Behavior?

Answer 7

Hx of Violent Beh
Child Agression
-Fires, animal cruelty, enuresis
Hx of victimization
Lower SES
Male, younger age, poor anger control
Impulsive

Question 8

What are Personal Safety guidelines?

Answer 8

Mult comm plans
Alert staff
Phys signs and indicators
Emergency info
Don't startle 
Give them route to exit

Question 9

What are common misconceptions about suicide?

Answer 9

Low lethal beh are manipulative…
Best to hosp all “at risk” Pts
“No Suicide contracts” prevent suicide (NO, NO, NO)

Question 10

What are Personal Risk factor for Suicide?

Answer 10

PRIOR ATTEMPTS-even minor
FHx
ACE- Adv childhood exp
Suicide of close friend 
Poor social and coping skills
Anniversary of a loss

Question 11

What are the Current mental/ emotional states that are risk factor for Suicide?

Answer 11

Giving away posessions
Deterioration in appearance and funct
Rapid elev in mood
Inc energy to carry out plan
Fantasy/wish to reunite w/ loved one

Question 12

What are most common sucessful suicide methods?

Answer 12

Firearms 57%
Suffocation 19%
Poison 17%

Question 13

What are key risk facotrs for Suicide with a gun?

Answer 13

Social Isolation
Ready access to a weapon
Alcohol/Subs abuse

Question 14

What are the areas to assess in Suicidality?

Answer 14

Ideation- life not worth living?
Plan- How?
Means- Resources?
Intent- Want to Die?