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
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)
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
4
Q
What psychotherapy is a treatment for Suicide?
A
- Cognitive Behavioral Therapy- may prevent subsequent attempts
- Problem solving therapy
5
Q
Adult suicide safety plan- graph
- What are the 5 components?
(He did not seem to stress this in class)
A
- Know warning signs and precipitants
- Secure or remove lethal agents
- Individual coping
- Interpersonal coping
- Professionals who can help
6
Q
T/F: Providers can be held liable for professional negligence if they fail to identify suicide risk
A
True
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
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)
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