Week 104: Suicide Flashcards

1
Q

Give some examples of ways to attempt self harm

A
  • Self-immolation
  • Overdose
  • Hanging
  • Carbon monoxide poisoning (decreasing)
  • Poisoning (most common among women)
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2
Q

What is the most used drug in overdosing?

A

Paracetamol (50% of overdoses)

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3
Q

What are four methods of dealing with an overdose?

A
  • Gastric lavage
    Not really used
    One tube sucks out, other clean fluid in
  • Forced emesis: ipecac (also charcoal)
  • Activated charcoal
    Ineffective after a certain time but useful Ineffective with alcohol and metals
    Add sorbitol to shorten gut transit time
    Has to administered in <1 hour
  • Urine alkalisation
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4
Q

What are the symptoms of an opioid overdose?

A

⇒ Strong painkillers: codeine, morphine, heroin

  • Decreased level of consciousness
  • Constricted pupils
  • Bradycardia
  • Bradypnoea
  • Blue lips/nails (insufficient oxygen in blood)
  • Sometimes: seizures, muscle spasms
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5
Q

What are the symptoms of a paracetamol overdose?

A
  • Jaundice - skin and whites of eyes
  • Loss of coordination
  • Hypoglycaemia (low blood sugar) - sweating, trembling, irritability
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6
Q

What are the symptoms of an aspirin overdose?

A

⇒ Used as a painkiller but mainly for its blood thinning properties

  • Sweating
  • Tachypnoea
  • Tinnitus (ringing in ears)
  • Temporary hearing loss
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7
Q

What are the symptoms of a tricyclic antidepressant overdose?

A

⇒ Type of antidepressant

  • Excitability
  • Dry mouth
  • Dilated pupils
  • Irregular heartbeat
  • Tachycardia
  • Low blood pressure - lightheadedness, fainting
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8
Q

What are the symptoms of an SSRI (selective serotonin reuptake inhibitor) overdose?

A

⇒ Type of antidepressant

  • Feelings of agitation
  • Tremors
  • Nystagmus (uncontrolled movement of the eyes)
  • Severe muscle tension
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9
Q

What are the symptoms of a beta-blocker overdose?

A

⇒ Used to treat heat/blood conditions: high blood pressure, angina, heart failure

  • Low blood pressure - lightheadedness, fainting
  • Bradycardia (<60bpm)
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10
Q

What are the symptoms of a calcium-channel blocker overdose?

A

⇒ Used in the treatment of high blood pressure and angina

  • Feeling agitated
  • Low blood pressure - lightheadedness, fainting
  • Chest pain
  • Bradycardia (<60bpm)
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11
Q

What are the symptoms of a benzodiazepine overdose?

A

⇒ A type of tranquiliser often used short-term to treat anxiety and insomnia

  • Coordination and speech difficulties
  • Nystagmus (uncontrolled movement of the eyes)
  • Shallow breathing
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12
Q

What are the symptoms of a stimulant overdose?

A

⇒ Include: cocaine, amphetamine, crack/ecstasy

  • Anxiety and paranoia
  • Restlessness, agitation
  • Hallucinations
  • High temperature
  • Chest pain- Tachypnoea
  • Irregular heartbeat
  • Tachycardia
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13
Q

What are the symptoms of a cannabis overdose?

A
  • Paranoia
  • Hallucinations
  • Numbness in arms and legs
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14
Q

What is the antidote to an amitriptyline overdose?

A

Sodium bicarbonate

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15
Q

What is the antidote to a beta-blocker overdose?

A

Glucagon

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16
Q

What is the antidote to a benzodiazepine overdose?

A

Flumazenil

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17
Q

What is the antidote to a cyanide overdose?

A

Hydroxocobalamin/inhaled nitrates

18
Q

What is the antidote to a digoxin overdose?

A

Digoxin antibodies

19
Q

What is the antidote to a heparin overdose?

A

Protamine

20
Q

What is the antidote to a hydrofluoric acid overdose?

A

Calcium

21
Q

What is the antidote to an iron overdose?

A

Desferrioxamine

22
Q

What is the antidote to a methanol overdose?

A

Ethanol

23
Q

What is the antidote to an ethanol overdose?

A

Glycose

24
Q

What is the antidote to herbicide poisoning?

A

Paraqat, also called Fuller’s earth

25
Q

What is the antidote to a methaemoglobin overdose?

A

Methyline blue

26
Q

What is the antidote to an organophosphate overdose?

A

Atropine

27
Q

What is the antidote to an opiate overdose?

A

Naloxone

28
Q

What is the antidote to a paracetamol overdose?

A

Acetylcysteine

29
Q

What is the antidote to a warfarin overdose?

A

Vitamin K/Octiplex

30
Q

How does carbon monoxide poisoning work?

A

Carbon monoxide has a 250x affinity for haemoglobin compared to oxygen meaning oxygen cannot be carried round the blood

31
Q

What is anthropology?

A

The study of humans as a whole

32
Q

What does the psychoanalytic theory of depression (Freud) say?

A

Dreams and unconscious thoughts

33
Q

What does the cognitive model of depression (Beck) say?

A

Rigid thinkingPolarised thinking

34
Q

What does the cognitive behavioural model of depression (Wensel and Beck) say?

A

Polarised thinking with depressionNegative personal views

35
Q

What does the multidimensional theory of depression (Schneidmann and Lenage) say?

A

Unbearable psychological pain - immense depression

36
Q

What does the diatheses stress hypothesis/stress vulnerability resilience model say?

A

Some people have a natural ability to deal with high stress whereas others are pushed over the edge with low stress - table of graduation

37
Q

What does the self-regulatory theory of depression say?

A

Victim’s perspective and focus on pursuit of goals and how it affects behaviour

38
Q

What does escape theory say?

A

Want to escape

39
Q

What are the four types of suicide according to Durkheim?

A
  • Egoistic
  • Altruistic (better for others)
  • Anomic (social isolation)
  • Fatalistic (only choice, no other way)
40
Q

What is procyclidine?

A

Used in the treatment of Parkinson’s and dystonia