Suicide and Personality Disorders Flashcards
Suicide risk assessment
IIPSLAW
Ideation: when you are feeling like this, do you ever have thoughts about wishing you were dead?
Intention: do you think you will ever follow through with these feelings?
Plan: have you ever thought about how you might fulfill this wish to die?
Specificity: assess how specific their plan is; greater specificity = greater risk
Lethality: how lethal is their plan?; high = gun, hanging, slitting wrists, throwing themselves; low = drowning, OD, smothering
Availability: do they have a gun, rx, etc? do they live alone?
What is stopping them?: if ideation is there can still go to this question even without plan or intention
Cluster A personality disorders - Weird
Schizoid
Paranoid
Schizotypal
Cluster B personality disorders - Wild
Antisocial
Borderline
Histrionic
Narcissistic
Cluster C personality disorders - Worried
Avoidant
Dependent
Obsessive-Compulsive
Paranoid personality disorder
SUSPECT
- Spouse fidelity suspected
- Unforgiving
- Suspicious
- Perceives attacks
- Enemy or friend
- Confiding in others is feared
- Threats perceived in benign events
Schizoid personality disorder
DISTANT Detached Indifferent to criticism or praise Sexual experiences of little interest Tasks done solitarily Absence of close friends Neither desires nor enjoys close relations Takes pleasure in few activities
Schizotypal personality disorder
ME PECULIAR Magical thinking or odd beliefs Experiences unusual perceptions Paranoid ideations Eccentric behavior or appearance Constricted or inappropriate affect Unusual thinking and speech Lacks close friends Ideas of reference Anxiety in social situations Rule out psychotic disorders
Antisocial personality disorder
CORRUPT Conformity to law is lacking Obligations ignored Reckless disregard for safety of self or others Remorse is lacking Underhanded Planning insufficient Temper
Borderline personality disorder
AM SUICIDE Abandonment concerns Mood instability Suicidal behavior Unstable and intense relationships Impulsivity Control of anger is poor Identity disturbance Dissociative sx that are transient and stress related Emptiness
Histrionic personality disorder
PRAISE ME Provocative behavior Relationships more intimate than they are Attention Influenced easily Style of speech - impressionistic, lacks detail Emotions - rapidly shifting and shallow Made up Emotions exaggerated
Narcissistic personality disorder
SPE3CIAL Special Preoccupied with fantasies of their success, power, etc Envious of others Entitled Excessive admiration required Conceited Interpersonal exploitation Arrogant Lacks empathy
Avoidant personality disorder
CRINGES
Certainty (of being liked required before getting involved with people)
Rejection preoccupies their thoughts
Intimate relationships (strain d/t fear of being shamed)
New interpersonal relationships hard
Gets around occupational activity that involves significant interpersonal contact
Embarrassment potential prevents new activity
Self viewed as unappealing, inept
Dependent personality disorder
RELIANCE
Reassurance required
Expressing disagreement difficult d/t fear of loss of approval
Life responsibilities need to be assumed by others
Initiating projects difficult d/t lack of self-confidence
Alone (feels helpless or discomfort)
Nurturance
Companionship sought urgently when close relationship ends
Exaggerated fears of being left to care for self
Obsessive compulsive personality disorder
LAW FIRMS
Loses the point of an activity d/t preoccupation w/ detail
Ability to complete tasks compromised by perfectionism
Worthless objects
Friendships excluded d/t preoccupation w/ work
Inflexible, scrupulous, over-conscientious (on ethics, values, or morality)
Reluctant to delegate
Miserly
Stubborn
