Suicide And NSSI Flashcards
Suicide ideation
Thinking about, considering, or otherwise planning for suicide
Non-Suicidal morbid ideation
Thoughts of death that are not tied to a plan for intent for suicide
Non suicidal self injury
Physical harm to ones body without any conscious suicidal intent
Suicide
The act of intentionally killing oneself
Suicide attempt
Self injury with suicidal intent that does not result in death
Alexithymia
“No words for feelings”
Patient is unable to describe or label emotions
Transmission of suicide within families
Suicide rates are higher in families wherein a suicide has been completed
Mothers are most at risk, then siblings, then families, related to the lethality of the attempt
Four key elements of Joiner’s interpersonal theory of suicide
Thwarted belongingness (I am alone), combined with perceived burdensomeness, leads to a desire for suicide, add a capability for suicide and results are lethal or near lethal attempts at suicide
PPEs
Painful and provocative experiences
Make an individual better capable of suicide because they do not fear harm to self
Most potent predictor of suicide
Past suicide attempts
Role of low self esteem, hopelessness, impulsivity, neuroticism etc. in suicide risk
All are factors that make risk higher
Hopelessness is the most key and when combined with low self esteem it is particularly potent
Level of impulsivity in moderate and severe NSSI
Less impulsive and more likely to have a history of past suicide attempts
Functions of NSSI
Communication, emotion regulation, and experiential avoidance
Best responses to NSSI
Be aware, compassionate, willing to talk, calm, non-judgmental, educated
Risk factors for suicide
Seriousness and pervasiveness of the ideation, lethality of means, intent, precipitant, mental illness, poor health, maltreatment, sexual orientation