Violence: Suicide - EXAM I Flashcards
the act of intentionally ending one’s life
suicide
self-inflicting life threatening attempt on one’s life which did not lead to death.
suicide attempt
thinking about self harm
suicide ideation
physician assisted suicide is only legal in ___ states. The patient must not have any mental health issues, terminally ill and two physicians must sign off
5
Greatest number of suicides occur in ________
young adults
1 in ___ Veteran deaths are due to suicide. this is due to post traumatic stress disorder, traumatic brain injuries, and serious medical conditions
5
Suicide is 4x times more likely to be completed by ___ and increase with age, peaking at age 75. For females that age is 55.
men
____% of suicide completers had a diagnosable condition.
90
There is a strong association between suicide and low levels of ______.
(biological response to stress may be a risk factor)
serotonin
suicide victims often exhibit hypothalamic-pituitary-adrenal (HPA) axis _____
abnormalities
in this tradition to take your own life is a sin, because life is considered a gift.
Judeo-Christian tradition
in this tradition suicide may be seen as honorable.
Shinto religion
what are the vulnerable groups that could be affected by suicide?
indigenous people, refugees, and LGBT persons
what are some risk factors for suicide ?
insomnia anxiety substance abuse poor critical thinking skills troubled emotional live depression anger guilt boredom low threshold for emotional pain
behavioral clues that someone may be thinking about suicide:
- giving away prized possessions
- writing farewell notes
- making out a will
- putting personal affairs in order
- failing to sleep or fall asleep more than one night in a row
- exhibiting sudden improvement in mood after being depressed
- neglecting personal hygiene
SAD PERSONS Scale stand for what ?
S (sex; if male than 1 point) A (age: if older than <19 >45 than 1 point D (history of depression ? if yes than 1 point) P (previous suicide attempts?) E (excessive ethanol use) R (rational thinking loss) S (separated, widowed, or divorced) O (organized plan or suicide attempt) N (no social support) S (stated future intent)
______ theory that suggests that there are suicide clusters develop in some families, resulting in a family history of suicide.
Genetic Factors
____ theory behind suicide that there is no social supports are available to combat negative events and severe stress.
societal factors
- Running away
- Rage and problems with parents
- Family loss, instability, withdrawal
- Perception of failure: school, work, social
- Suicidal thoughts when sad or bored
- Sexual orientation
- Unplanned pregnancy
risk factors of suicide in the age group of 14-24.
2nd leading cause of death in those that are 24-34 years of age.
Suicide
- Social isolation
- Living alone
- Widow
- Lacking financial resources
- Poor health
- Feeling hopeless
risk factors of suicide in older adults.
When assessing patient for suicide be _______. ask “are you thinking about harming or killing yourself?” then proceed to assess the presence and intent of the plan. (access to the plan? lethality of the plan?
DIRECT
Example of a covert statements stated by a suicidal patient?
“its okay now, soon everything will be fine.”
“things will never work out.”
“I won’t be a problem much longer.”
“nothing feels good to be anymore, and probably never will again”
examples of overt statements stated by a suicidal patient?
“I can’t take it anymore”
“life isn’t worth living anymore”
“I wish I were dead”
“Everyone would be better off if I died”
SAD PERSONS SCALE RESULTS:
(0-5): may be safe to discharge (depending upon circumstances but always follow up)
(6-8): probably requires psychiatric consult
(8 or
Guidelines for clinical action
Short term planning for patients with suicidal ideations?
- family stays with them overnight
- continuous follow up visits with therapists
- outcomes should be short and realistic
long term planning for patients with suicidal ideations?
- minimize destructive behavior.
- increase problem solving
