Week 10 Flashcards

Suicide

1
Q

what 2 things should not be reported in the media regarding suicide?

A

method, location

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2
Q

what should published material on suicide be accompanied with

A

info regarding 24hr support

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3
Q

what initiative regulates suicide reporting?

A

mindframe national media initiative

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4
Q

why don’t we use the word ‘committed’ suicide?

A

implies it is illegal. has religious connections. implies incarceration against their will

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5
Q

why not use ‘successful’ or ‘completed’ suicide?

A

denotes this is a competition. well done to them etc

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6
Q

why not use ‘failed’ or ‘unsuccessful’ suicid

A

implies the person is a failure

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7
Q

what is a less stigmatising way to talk about suicide?

A

suicided, died by suicide, ended his/her life, non-fatal attempt at suicide, attempted to end his/her life

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8
Q

approx how many Australians suicide each year?

A

2300

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9
Q

what % of males make up suicide rates in Australia?

A

76%

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10
Q

what % of females make up suicide rates in Australia?

A

24%

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11
Q

what % of females make up suicide rates in Australia?

A

24%

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12
Q

what are the high risk suicide populations in Australia?

A

mental health, indigenous

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13
Q

what are the high risk suicide populations in Australia?

A

mental health, indigenous

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14
Q

most pop 3 methods for suicide?

A

hanging/suffocation/strangulation, poisoning with drugs, poisoning with alcohol/car exhaust

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15
Q

what is the purpose of a systematic suicide risk assessment?

A

to identify: modifiable and treatable risk AND protective factors

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16
Q

what are the 4 components the risk equation template is made up of?

A
  1. long term risk 2. short term risk 3. hazards 4. protective factors
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17
Q

what is good about the risk equation?

A

way of organizing risk and protective factors into categories which easily highlight modifiable and treatable factors which then inform risk management

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18
Q

what is good about the risk equation?

A

way of organizing risk and protective factors into categories which easily highlight modifiable and treatable factors which then inform risk management

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19
Q

what 3 areas would you want to ask questions about when assessing long term risk?

A

personal history of suicide, family history of suicide, long-term problems

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20
Q

when asking about family and personal history for longterm risk what 4 things would u want to know?

A

previous suicide attempts, self-harm, suicide attempts/completions (family), psychiatric illness

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21
Q

what long term problems would you want to know about in a risk equation

A

interpersonal, unemployed? retired? physical illness, psychiatric illness, PD, forensic history, substance abuse

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22
Q

in the Korean study copycat suicides increase in the group that

A

have similar demographic attributes I.e the same gender as the celebrity, or in age groups younger than or equal to (vulnerable pop)

23
Q

what are some social environmental factors that may influence suicide as mentioned in the Korean article?

A

average temperature, average humidity, weekly unemployment rates

24
Q

In the Korean study what we’re the two top items from the WHO guidelines for suicide reporting that were found in news reports…

A

suicide as represented as glamorous or sympathetic, inappropriate headline I.e. “committed suicide” or including personal details

25
Q

why is suicide risk assessment so important

A

because there is no empirically tested model for the prediction of suicide

26
Q

in the risk equation what are 3 factors you need info about in understanding short-term risk?

A

current suicidal, recent stressors, acute mental health & physical illnesses

27
Q

what constitutes recent stressors x4?

A

recent loss, interpersonal problems, school/work problems, finance Probs,

28
Q

in a risk equation what is meant by potential hazards?

A

not necessarily ‘predictors’ of suicide but are factors in the bigger picture

29
Q

3 examples of Hazards

A
  1. access to GP 2. environmental conditions (exposure to suicide - media) 3. service contacts/supports
30
Q

in a risk equation what are 5 examples of protective factors?

A

no history of self-harm, no psychiatric history, lives in supported circumstances, no substance abuse, employed

31
Q

what two factors are some of the most powerful predictors of suicide?

A

hopelessness and worthlessness

32
Q

hopelessness can be seen as the mediating factor between

A

depression and suicide

33
Q

depression without hopelessness is less or more likely to result in suicide?

A

less

34
Q

highest risk factor in suicide according to the highest Standard Mortality Ratio?

A

existence of prior suicide attempts

35
Q

what is HEADS?

A

A suicide risk assessment model used with young ppl

36
Q

what does H stand for in HEADS?

A

home and health

37
Q

what does E stand for in HEADS?

A

education & employment

38
Q

what does A stand for in HEADS?

A

activities, ambition, affect

39
Q

what does D stand for in HEADS?

A

disease & drugs

40
Q

what does S stand for in HEADS?

A

suicide

41
Q

in the HEADS assessment what questions can you ask about H?

A

how’s things at home? hows your health?

42
Q

in the HEADS assessment what questions can you ask about E?

A

how’s school? are you working?

43
Q

in the HEADS assessment what questions can you ask about A?

A

what do you like doing in your spare time? what are your goals for the future? how are you feeling?

44
Q

in the HEADS assessment what questions can you ask about D?

A

what are your drinking habits like? do you use drugs at all? have you taken any drugs today?

45
Q

what 5 areas would you ask question to assess risk

A

ideation, plan, lethality, intent, protective

46
Q

two things not to do as a clinician conducting a suicide risk assessment

A

offer false reassurance, don’t avoid the word suicide

47
Q

what 3 things to do as a clinician conducting a suicide risk assessment

A

monitor Your Own feelings and attitudes, follow up “not really” statements, if there are inconsistencies go back over them

48
Q

what does crisis intervention address

A

immediate concerns

49
Q

crisis intervention does not seek to

A

resolve long-term individual & family problems, or underlying life factors contributing to the suicidal behaviour.

50
Q

first 3 clear goals in crisis intervention

A

calm person, reduce immediate suicide risk, reduce threat to others who maybe involved

51
Q

next 3 goals in crisis intervention

A

enhance hope and confidence, improve effectiveness in tackling problems, arrange treatment of mental disorder/illness

52
Q

how can you reduce immediate risk of suicide? x2

A

prevent/limit access to means, supportive networks in the persons life

53
Q

how can you enhance hope and confidence?

A

ensure the person knows how your service and other services can help

54
Q

crisis intervention has 6 steps. what are they?

A
  1. define the problem 2. ensure safety 3. provide support 4. examine alternatives 5. make plans 6. obtain commitment