Violence: Suicide - EXAM I

Question 1

the act of intentionally ending one’s life

Answer 1

suicide

Question 2

self-inflicting life threatening attempt on one’s life which did not lead to death.

Answer 2

suicide attempt

Question 3

thinking about self harm

Answer 3

suicide ideation

Question 4

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

Answer 4

5

Question 5

Greatest number of suicides occur in ________

Answer 5

young adults

Question 6

1 in ___ Veteran deaths are due to suicide. this is due to post traumatic stress disorder, traumatic brain injuries, and serious medical conditions

Answer 6

5

Question 7

Suicide is 4x times more likely to be completed by ___ and increase with age, peaking at age 75. For females that age is 55.

Answer 7

men

Question 8

____% of suicide completers had a diagnosable condition.

Answer 8

90

Question 9

There is a strong association between suicide and low levels of ______.
(biological response to stress may be a risk factor)

Answer 9

serotonin

Question 10

suicide victims often exhibit hypothalamic-pituitary-adrenal (HPA) axis _____

Answer 10

abnormalities

Question 11

in this tradition to take your own life is a sin, because life is considered a gift.

Answer 11

Judeo-Christian tradition

Question 12

in this tradition suicide may be seen as honorable.

Answer 12

Shinto religion

Question 13

what are the vulnerable groups that could be affected by suicide?

Answer 13

indigenous people, refugees, and LGBT persons

Question 14

what are some risk factors for suicide ?

Answer 14

insomnia
anxiety
substance abuse
poor critical thinking skills
troubled emotional live
depression
anger
guilt
boredom
low threshold for emotional pain

Question 15

behavioral clues that someone may be thinking about suicide:

Answer 15

• 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

Question 16

SAD PERSONS Scale stand for what ?

Answer 16

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)

Question 17

______ theory that suggests that there are suicide clusters develop in some families, resulting in a family history of suicide.

Answer 17

Genetic Factors

Question 18

____ theory behind suicide that there is no social supports are available to combat negative events and severe stress.

Answer 18

societal factors

Question 19

• 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

Answer 19

risk factors of suicide in the age group of 14-24.

Question 20

2nd leading cause of death in those that are 24-34 years of age.

Answer 20

Suicide

Question 21

• Social isolation
• Living alone
• Widow
• Lacking financial resources
• Poor health
• Feeling hopeless

Answer 21

risk factors of suicide in older adults.

Question 22

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?

Answer 22

DIRECT

Question 23

Example of a covert statements stated by a suicidal patient?

Answer 23

“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”

Question 24

examples of overt statements stated by a suicidal patient?

Answer 24

“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”

Question 25

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

Answer 25

Guidelines for clinical action

Question 26

Short term planning for patients with suicidal ideations?

Answer 26

• family stays with them overnight
• continuous follow up visits with therapists
• outcomes should be short and realistic

Question 27

long term planning for patients with suicidal ideations?

Answer 27

• minimize destructive behavior.

- increase problem solving