Suicide Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What to do about suicidal ideation

A

always ask
always take seriously
listen to verbal and nonverbal

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2
Q

people who attempt or complete suicide often have….

A

poor critical thinking skills
troubled emotional lives
low threshold for emotional pain

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3
Q

risk factors for youth suicide

A
lost parent to suicide
childhood maltreatment
problematic family relations
hx of bullying
family hx of suicide
socioeconomic problems
parental psychopathologic problems
peer problems
legal/discipline problems
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4
Q

neurobiologic theory of suicide

A

decreased 5HT linked

biological response to stress

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5
Q

genetic theory

A

family hx

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6
Q

societal factors theory

A

no social support

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7
Q

psychological factors theory

A

psychotic tendencies (command hallucinations)
hopelessness
helplessness
worthlessness

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8
Q

Adolescents and young adults risk factors

A
strongest:  substance abuse, aggression, disruptive behaviors, depression, social isolation
frequent running away
frequent rage and problem with parents
family loss, instability, withdrawal
perception of failure
expression of suicide
difficulty dealing with sexual orientation
unplanned pregnancy
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9
Q

older adult risk factors

A
social isolation
solitary living arrangements
widowhood
lack of financial resources
poor health
hopelessness
most visit their primary care dr within last month
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10
Q

SAD PERSONS

A
S: sex--male (1)
A: age-- <19 or >45 yrs (1)
D: depression/hopelessness (2)
P: previous attempt/psych care (1)
E: excessive ETOH/drug use (1)
R: rational thinking loss (2)
S: separated, widowed, divorced (1)
O: organized plan/serious attempt (2)
N: no social support (1)
S: stated future intent (1)

0-5: may be safe
6-8: possible psych consult
>8: possible hospital admission

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11
Q

behavioral cues

A

giving away prized possessions
farewell notes
making will
putting personal affairs in order
failing to sleep/fall asleep more than 1 night in a row
sudden or unexpected improvements in mood
neglecting personal hygiene

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12
Q

lethality of plan

A

How detailed is the plan?
How lethal is the proposed plan?
How available is the method? (own gun)

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13
Q

assessment of risk

A
ask
assess for precipitating event
assess risk factors
assess hx or family hx
intent, lethality, injury
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14
Q

red flags suicide risk

A

sudden change from sad to happy

giving away possessions

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15
Q

interventions during the crisis stage

A
safe environment
document pt activity
suicide precautions
construct verbal or written no-suicide contract
encourage pt to talk about feelings
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16
Q

interventions after crisis period

A
place for pt to stay
remove weapons and pills
social support
crisis counseling
anxiolytics and antidepressants (1-3 day supply)
17
Q

communication

A

crisis is temporary
unbearable pain can be survived
help is available
not alone