Week 6

Question 1

Define concurrent disorders

Question 2

What is the role of predisposing factors in suicide?

Answer 2

Examples of predisposing factors are: male, LGBTQ, not married, depression/other mental health concern, prior attempt)

Question 3

What are some examples of precipitating factors to suicide?

Answer 3

Break up, crisis, loss, substance use

Question 4

What are some of the protective factors to suicide?

Answer 4

Safety, supportive family, friends, future plans, asking for help

Question 5

What is the most important factors in suicide risk assessment?

Answer 5

What suicidal thoughts, language, and plans are present? Is there intent, a specific plan, or access to means?

Question 6

Some specific questions to ask in suicide risk assessment are:

Answer 6

Have you ever felt that you would be better off dead?
Have you every felt so bad you thought you would like to go to sleep and never wake up?
Have you ever thought that you are a burden and that your friends and family would be better off without you?

Question 7

What are the prevalence rates for 2 common disorders?

Answer 7

1) anxiety disorder-10 to 25 per cent of all people will have an anxiety disorder in their lifetime. Among people who have had an anxiety disorder in their lifetime, 24 per cent will have a substance use disorder in their lifetime
2) major depression-15 to 20 per cent of people will have a major depression
Among those who’ve had major depression, 27 per cent will have a substance use disorder in their lifetime

Question 8

What are the 4 quadrants for types of care in treatment options?

Answer 8

1) consultation
2) collaboration
3) collaboration
4) integrated

Question 9

What does the consultation treatment option quadrant involve and who is it for?

Answer 9

• milder substance use and mental health problems

- treatment in community, possibly by family doctor or therapist

Question 10

What are the 2 collaborative quadrants for?

Answer 10

1) severe substance use problems, mild to moderate MH problems,
Treatment mainly in the substance use system
2) severe mental health problems, mild to moderate substance use problems
Treatment mainly in mental health system

Question 11

What is the severity and treatment regarding integrated care (quadrant)

Answer 11

Severe substance use and mental health problems

Treatment-ideally with specialized care for concurrent disorders