Suicide And Self-harm Flashcards
Why is it important to ask about what a client was trying to achieve with NSSI?
It may have been a practice run for a suicide attempt.
How is suicide risk calculated accounting for pain?
Suicide risk = pain / pain tolerance
How is suicide risk calculated when considering risk factors?
Suicide risk = risk factors / protective factors
Is assessment of risk factors chronic or acute?
Client
How do protective factors affect acute risk?
Protectors can guide interventions for acute risk.
What percentage of suicide victims have an identifiable bio-behavioral disorder?
At least 95%
What are the most common symptoms/experiences of persons suffering from bio-behavioral disorders?
Intolerable pain and cognitive constriction
How do intolerable pain and cognitive constriction influence suicidality?
Decreased ability to perceive or generate solutions or solution alternatives
What do intolerable pain and cognitive constriction generate?
Hopelessness
What do intolerable pain and hopelessness generate?
Suicidal thoughts
Where did Ed Shneidman do his research?
LA county coroner’s vault
What did Ed Shneidman use for his research?
Suicide notes from suicide completers
What three themes are found in suicide notes?
Psychache, press, and perturbation
What are the three parts of Shneidman ‘s cube?
Psychache, press, and perturbation
How does Shneidman’s cube work?
The three aspects are rated on a 1-5 likert scale.
What is another way to look at press?
Overwhelmed by life’s problems or stress
What is another way of describing perturbation?
Ants in your pants or agitation
According to Shneidman’s cube who is at highest risk for suicide
Those who rate 5,5,5 are highest risk
Who is the father of suicidology?
Ed Shneidman
Why does family history of suicide increase chronic risk of suicide?
Modeling or reduction of taboo
Why is frequent mobility a chronic risk factor?
Moving all the time and unstable living situation increases medical and psychological issues
Who developed the list of risk factors?
Bergman, Brown, Rudd, Joyner, Job
Why is impulsivity a difficult predictor of suicide?
Suicide usually takes some planning which is not impulsive
What races are more at risk for suicide?
White and Native American
What recent life event leaves a client at higher risk for suicide?
Recently divorced or separated with feelings of victimization and rage
How was the SRAT developed?
As part of application for Lifeline Network, ACS needed to develop a risk assessment. This was developed to address each of Lifeline’s requirements.
Who developed IS PATH WARM?
Lanny Berman
What does IS PATH WARM stand for?
Ideation, substance abuse, purposelessness, anxiety, trapped, hopelessness, withdrawal, anger, recklessness, and mood changes
What is IS PATH WARM?
An empirically supported measure of acute suicide risk
What does CAMS stand for?
Collaborative Assessment and Management of Suicide
Who developed CAMS?
David Jobs
What domains are assessed by CAMS?
Psychological pain, Stress, agitation, hopelessness, self-hatred and reasons for living or dying.
How are domains in CAMS assessed?
1-5 likert scale
Who is credited with developing the interpersonal-psychological theory of suicide?
Thomas Joiner
What professions are at increased risk of suicide according to interpersonal-psychological theory of suicide?
Doctors, paramedics, veterinarians, and prostitutes (among others)
Thwarted belongingness and perceived burdensomeness create what?
Suicidal desire
How does suicide desire relate to imminent risk of suicide?
Suicide desire is necessary but not sufficient
With what does suicide desire interact with to provoke imminent risk?
Acquired capability
What is acquired capability?
The result of exposure to painful and provocative events that lead to an increased tolerance of pain and decreased fear of death.
What are the National Suicide Prevention Lifeline standards?
Suicidal desire, suicidal capability, suicidal intent, and buffers/protective factors
What promoted Thomas Joiner to research suicide?
His father died by suicide
