Suicide and Delibrate Self Harm Flashcards
Suicide Ideation
the occurrence of passive thoughts about wanting to be dead or active thoughts about killing oneself
Suicide attempt
defined as a potentially self injurious behaviour with at least some intent to die as a consequence of the act
According to the WHO approximately__ people die by suicide every year
one million
Global suicide rate
16 per 100,000
Suicide ideation with a plan was found to be__
a stronger predictor of suicide attempt than ideation without a plan
Trait dependent/ Distal risk factors of suicide
- Genetic loading
- Personality characteristic
- Perinatal circumstances
- Early traumatic life events
- Neurobiological disturbances
State dependent/ Proximal risk factors
- Psychiatric disorder
- Physical disorder
- Psychosocial crisis
- Availability of means
- Exposure to models
males are _ times more likely to die by suicide than females
4 times
females are _ times more likely to think about suicide and _ as likely to attempt suicide
two to three
twice
Self injury
a compulsion or impulse to inflict physical wounds on one’s own body, motivated by a need to cope with unbearable psychological distress or regain a sense of emotional balance
Deliberate Self Harm behaviours are found in__ % of borderline personality disorder
75
% of dsh in general population
4
ratio of males and females for dsh
equal but more females in treatment
typical onset of dsh
puberty
dsh often last__
5-10years
self injury behaviours examples
- carving
- scratching
- branding
- marking
- picking, and pulling skin and hair
- burning/abrasions
warning signs
- unexplained, frequent injuries including cuts and bruises
- wearing of long pants/sleeves in warm weather
- low self-esteem
- overwhelmed by feelings
- inability to maintain stable relationships
Tools for measuring suicide intent
- beck depression inventory
- beck hopelessness scale
- suicidal ideas questionnaire
- suicidal behaviour questionnaire
Goals of a clinician upon completion of a risk assessment
- is not expected to be able to predict the future
- will develop a judgement about a patient’s current level of risk
- respond accordingly in the interest of the patient’s safety
Examples of proper response of a clinician
- referral for inpatient treatment
- increased monitoring as a outpatient
- engagement of the support group
- plan regarding procedures to be implemented if the patient becomes more suicidal
Examples of proper response of a clinician
- referral for inpatient treatment
- increased monitoring as a outpatient
- engagement of the support group
- plan regarding procedures to be implemented if the patient becomes more suicidal