Trauma Disorders/suicide risk(module 4&5)

Question 1

GAD
symptoms/time

Answer 1

3+/6 months

Question 2

Agoraphobia
symptoms/time

Answer 2

2+/6 months

Question 3

Panic Disorder
symptoms/time

Answer 3

2+/sudden onset followed by 1 month or more of symptoms

Question 4

Social Anxiety Disorder
symptoms/time

Answer 4

Fear of social situations/fear of being perceived negatively for at least 6 months

Question 5

Separation anxiety
symptoms/time

Answer 5

Fear specifically related to separation from an individual / 4 weeks for children, 6 weeks for adults

Question 6

OCD
symptoms/time

Answer 6

Excessive Obsessions and compulsions lasting more than one hour per day

Question 7

PTSD
symptoms/time

Answer 7

2+ / 1 month

Question 8

Criteria for PTSD
(symptoms)

Answer 8

A: Exposure to trauma
B: Intrusive memories/nightmares
C: Pattern of avoidance of stimuli
D: Negative mood or cognitions (guilt, low interest, detachment)
E: Altered level of arousal (irritability, sleep disruption)

Question 9

Difference between screening vs assessment of suicide

Answer 9

Screening: Do we need further assessment?
Assessment: What is the actual level of risk?

Question 10

Examples of chronic suicide risk factors

Answer 10

Hx of mental illness
age
gender
chronic medical condition
family history

Question 11

the most potent chronic risk for suicide

Answer 11

Previous attempt

Question 12

Suicide mitigating factors

Answer 12

good support
Reasons for living
motivation for treatment
Stable good employment
faith based beliefs

Question 13

Two areas of focus to determine level of suicide risk

Answer 13

SDI: Suicidal Desire/Ideation
RPP: Resolve Plans and preparation

Question 14

Level of risk for a patient with a history of multiple attempts

Answer 14

chronic high risk

Question 15

three factors that create an acute risk

Answer 15

1. Presence of crisis
2. Life stressors
3. increased symptomatology

Question 16

Steps to take for severe suicide risk

Answer 16

immediate hospitalization
Involve family and law enforcement

Question 17

Steps to take for moderate risk

Answer 17

Increase frequency of visits
create crisis plan
provide 24-hour crisis service availability

Question 18

3 facets of suicide crisis response plan

Answer 18

1. Concrete/specific
2. Collaborative
3. Documented

Question 19

Most important factor for homicide risk

Answer 19

Judgement and coping

Question 20

Two ends of suicidal ideation continuum

Answer 20

vague fleeting thoughts to highly specific plans

Question 21

two major elements of suicide attempts

Answer 21

Subjective: level of intent to die
Objective: Lethality of attempt

Question 22

Suicide direct warning signs

Answer 22

1. Suicidal communication
2. Seeking access to means
3. Making preparations

Question 23

ISPATHWARM

Answer 23

Ideation, substance abuse, purposelessness, anxiety, trapped, hopeless, withdrawal, anger, recklessness, mood changes

Question 24

When is patient most at risk following hospitalization

Answer 24

First three months

Question 25

NSSI (Non-suicidal self injury) first line treatment

Answer 25

SSRI
No FDA approved meds yet for NSSI