Suicide Treatment Flashcards

1
Q

What are the 3 major components of Suicide treatment?

A
  • Screen for and treat underlying psychiatric disorders aggressively
  • Psychotherapy
  • Safety Plan
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2
Q

Tx underlying psych disorders aggressively to tx Suicide.

  • What are the 2 disorders to tx?
A
  • Unipolar Major Depression w/ Bipolar Disorder
  • Unipolar Major Depression (alone)
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3
Q

Suicide Treament Components tx of underlying disorders

  • What is the tx for Psychotic disorders? (especially those w/ command hallucinations)

(tx aggressively for Suicide)

A

Olanzapine

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4
Q

What psychotherapy is a treatment for Suicide?

A
  1. Cognitive Behavioral Therapy- may prevent subsequent attempts
  2. Problem solving therapy
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5
Q

Adult suicide safety plan- graph

  • What are the 5 components?

(He did not seem to stress this in class)

A
  1. Know warning signs and precipitants
  2. Secure or remove lethal agents
  3. Individual coping
  4. Interpersonal coping
  5. Professionals who can help
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6
Q

T/F: Providers can be held liable for professional negligence if they fail to identify suicide risk

A

True

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7
Q

What are 3 actions providers can be held liable for, for professional negligence?

A
  • Fail to identify suicide risk
  • Do not attempt to detain a pt that should receive emergency care
  • Prescribe medications later used in suicide attempt
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8
Q
  • Tx of Unipolar Major Depression + Bipolar Disorder
  • Results?

(tx aggressively for tx of suicide)

A
  • “maintenance tx” w/ Lithium can prevent suicide
  • (prevents recurrence of mood episodes and reduces aggression and impulsivity)
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9
Q
  • Tx of Unipolar Major Depression (alone)
  • Results?

(tx aggressively for tx of suicide)

A
  • Double SSRI dosage is associated w/ 25% decrease in suicides
  • ECT (electroconvulsive therapy) is associated w/ rapid response which may be life saving
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