Suicide - Berges Flashcards
12.5/100,000
suicide rate
epidemiology suicide
male white elderly single with med problems
also - single white male - 40-55yo and 15-24yo
women
3x more attempts at suicide
-but don’t do it successfully
fam hx
suicide
black females
low rates of suicide
90% suicide
major psych illness
women
3x more likely attempt
men
10x more likely to be successful
completers
lethal means - firearms
antisocial
suicide by police
attempter
reach out to other - to be rescued
egoistic
excessive individualism
apathetic
skeptical, disillusioned
matter of factness
altruistic
insufficient individualism
take life to nirvana
military, religious martyrs, kamikaze pilots - sense of duty
anomic
deregulated, impulsive
lack of restraint
irritated, angered, violent
murder/suicide
fatalistic
too much against them to cope
prisoner/slave
people locked in situation
-young guy got girl pregnant - overwhelmed
post partum psychosis
paranoia, hallucinations, child is devil, kill child or father
require hospitalization - and antipsychotics
early dementia
suicide may occur
screen demented for depression
assessing suicide patient - SAD PERSONS
sex age depression previous attempt ethanol abuse rational thinking use social support lacking organized plan no spouse sickness
assess suicide patient
always
- ask thought life not worth living
- ask thoughts hurting themselves or others
- ask specific plan for committing suicide
- ask if they have attempted suicide in past - pt are at greater risk