W5- Suicide

Question 1

suicide is…

Answer 1

• 2nd leading cause of death in you
• 3x higher for men (women make more attempts w less lethal routes)

Question 2

why do ppl die by suicide?

Answer 2

• they can and they want to, Stigma,

Question 3

what is suicide:

Answer 3

they killing of ones self in attempts to escape their reality of the feeling of entrapment.

Question 4

the brain is not developed until…

Answer 4

ages 25-30yr/o

Question 5

impulsivity occurs most in what age groups?

Answer 5

ppl ages 10=24

Question 6

joiners theory?

Answer 6

-due to experiences both perceived burdensomeness & failed belongingness- loss of sense of social connection and increased isolation)
- people kill themselves because they can and they want to

Question 7

bell lets talk 4 pillars:

Answer 7

anti-stigma, care & actress, research, workplace health

Question 8

where in the brain does impulsivity affect:

Answer 8

prefrontal cortex, not fully developed until age 25-30

Question 9

Facts of suicide?

Answer 9

feelings of suicide are often well hidden, most often those where there is no signs will commit suicide, those that “cry out” will show signs and are looking for help–> leaves room for intervention.

Question 10

risk factors to commit suicide:

Answer 10

• suicide of same sexed parent, lack of goals for future, anxiety, depression, risky behaviours, giving away personal affairs, bullying/abuse

Question 11

warning signs for suicide-pneumonic: American Association Suicidology?

Answer 11

“IS PATH WARM”
Ideation
S-ubstance abuse
P-urposelessness
A-nxiety
T-rapped
H-opelessness/Helplessness
W-ithdrawl
A-nger
R-ecklessness
M-ood changes

Question 12

Risk assessment

Answer 12

Plan: do they have one? how much detail do they offer up.
Means: violent/passive (OD)?realistic?
Intent: do they expect to carry out the plan within the next few days-weeks
Future orientation: have plans for the future (weeks/months/years)
Protective factors:factors thatmight mitigate the risk of suicide

Question 13

level of risk assessment: for low risk

Answer 13

• occasional ideation, mild intensity, not highly a lethal method, does not have access to means, specific plan is not considered

Question 14

moderate level risk:

Answer 14

intermittent suicidal ideation, strong intensity, possibly lethal method, can get access to means, pt has considered details to a specific plan

Question 15

high level risk:

Answer 15

continuous ideation frequency, overwhelming intensity, overwhelmingly lethal method, pt has immediate access, pt has details of a plan worked out

Question 16

Assessment management for suicidal pt…

Answer 16

• engage the person in a plan for safety ex: attempt to disable the immediate plan

Question 17

when can the police apprehend a pt?

Answer 17

• if pt is an immediate risk to themselves/others, can assist if they have a known hx of mental health disorder, showing lack of competence to care for self

Question 18

Management:refusal of service

Answer 18

offer transport to hospital, complete aid to capacity/refusal of service, police witness of refusal conversation should be doc’d, if pt=going w the police after valid refusal; risk conversations can be held between.