Suicide Lecture Flashcards

1
Q

What are the types of risk factors for suicide?

A

Non-modifiable

Modifiable

Acute

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2
Q

How frequently does some try to commit suicide?

A

34 seconds

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3
Q

How often does someone die from suicide?

A

Every 14.2 minutes

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4
Q

What mental health diagnosese have the highest risk of suicide attempt?

A

Depression

Schizo

Substance dependence - esp. etoh

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5
Q

It is the third leading cause of death among what age group?

A

18-24 year olds.

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6
Q

What is the national rate of suicide?

A

12 /100,000

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7
Q

What are the non-modifiable risk factors?

A
  • White
  • Male
  • Older age >65
  • Family and personal history of suicide
  • History of violent behavior
  • History of personal abuse
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8
Q

Men and women stats?

A

Women = 3x more attempt than men

Men = 3x more successful suicides

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9
Q

What are the modifiable risk factors for suicide?

A
  • Axis 1 disorders: Mood, anxiety, schizo, substance, eating disoders.
  • Smoking
  • Low sefl esteem
  • Lack of social acceptance
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10
Q

Axis 1 disorders =

A

Acute suicidality. Disorders like depression, schizo, psychosis

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11
Q

Axis 2 disorders =

A

Suffer from chronic suicidality. This includes disorders like bipolar, borderline personality disorder.

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12
Q

What are risk factors for acute suicidality?

A
  • recent divorce
  • recent attempts
  • substance abuse
  • pain
  • Anger
  • Intense Affect
  • purposefullness
  • Nightmares
  • recent (within the last year) psych discharge.
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13
Q

What are some of the protective factors?

A
  • Children
  • Religion
  • Sense of responsability
  • Coping skills
  • Social support
  • pregnancy
  • Life satisfaction
  • Positive relationships
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14
Q

What percentage of psychotropic drugs are prescribed by psychiatrist?

A

20% this goes to show that suicide evaluation are important for all areas of medicine.

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15
Q

What is the purpose of a suicide assessment?

A
  1. Identify risk factors
  2. Identify protective factors
  3. Treat patient
  4. manage safety
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16
Q

Ideation

A

Passive, intermitent, active thoughts with or without intent to die.

17
Q

Intent

A

Expectation or desire to die by self inflicted act.

18
Q

What are the chances of ideation leading to attempt?

A

Ideation to intent = 34%

intention to attempt = 72%

19
Q

How should you manage a treatment plan?

A
  • have a high level of suspicion
  • Assess safety (guns)
  • Don’t release if unsure
  • If they need watched admit
  • be cautious
20
Q

Due to the tight connection between depression and suicide -

A

Indication for treatment with antidepressants is indicated and has shown good results the most common is lithium