Week 7

Question 1

What are the key steps in suicide risk assessment that need to be determined?

Answer 1

Plan
Means
Timeframe
History of previous attempts

Question 2

What is a suicide safety plan?

Answer 2

list of coping strategies for use during suicidal crisis

should be first intervention

enhances patients sense of control

Question 3

what are some suicide risk factors?

Answer 3

History
Life stressors
Psychiatric disorders
Physical changes
Behaviour
Demographics
Thoughts
Feelings

Question 4

how many people die from suicide in australia?

Answer 4

9.1%
3/4 being male

leading cause of death for people 15-44

Question 5

What is Dysthymia?

Answer 5

less severe but usually longer lasting type of depression

involving chronic symptoms that don’t disable a person but prevent them form being 100%

Question 6

What are some major complications that can arise from CNS stimulant toxicity?

Answer 6

Hyperthermia

Question 7

What are some examples of ‘Psychiatric disorders’ as a suicide risk factor?

Answer 7

depression
schizophrenia
personality disorders
alcohol/substance abuse

Question 8

What are the key ECG findings of TCA Toxicity?

Answer 8

QRS widening
PR prolonged
QT prolonged
Right axis deviation
RBBB
Tachnycardia

Question 9

What is the triad of symptoms of serotonin syndrome?

Answer 9

Autonomic instability
neuromuscular hyperactivity
mental status changes

Question 10

what are the cardio vascular effects of Amitryptyline

Answer 10

sinus tachy/hypertensionhypotension/

Question 11

What are some examples of ‘History’ as a suicide risk factor?

Answer 11

• past attempt
• family history of completed suicide
• know someone who has
• childhood trauma

Question 12

What are the primary classifications of bipolar disorder?

Answer 12

Bipolar 1
Bipolar 2
Cyclothymic disorder

Question 13

what are the 5 stages to the Kubler-Ross grief cycle?

Answer 13

1. Shock and denial
2. Anger
3. Depression and detachment
4. Dialogue and Bargaining
5. Acceptance

Question 14

What are some examples of ‘Physical changes’ as a suicide risk factor?

Answer 14

lack of energy
insomnia
loss of appetite
physical illness

Question 15

What are some examples of ‘Behaviour’ as a suicide risk factor?

Answer 15

substance abuse
impulsivity
withdrawl
recklessness

Question 16

WHat is the difference between Bipolar 1 & 2?

Answer 16

1 and 2 differ in length and intensity of the high.

1 requires one experience of mania but does not require episode of depression.

Question 17

what are the CNS effects of Amitryptyline

Answer 17

delirium/confusing/sedation/seizures/coma

Question 18

what are trycyclic antidepressants?

Answer 18

noradrenaline and serotinin reuptake inhibitors

and

GABA -A receptor blockers

Question 19

What are the signs and symptoms of TCA toxicity?

Answer 19

• drowsiness/confusion
• tachycardia
• slurred speech
• hyperreflexia
• hypertension

Sever symptoms:

• coma
• resp depression
• dysrhythmias
• hypotension
• seizures

Question 20

What are some examples of ‘Life stressors’ as a suicide risk factor?

Answer 20

lack of supports
relationship problems
unemployment
sexual abuse
pain

Question 21

What causes the cardiotoxic effects of trycyclic antidepressants?

Answer 21

blackade of inactivated fast sodium channels

Question 22

What are key protective factors to depression?

Answer 22

strong relationships
social networks
religion
school/employment
dependent children

Question 23

What is postnatal depression?

Answer 23

lasts more than a 1-2 weeks and affects functioning on daily basis

Question 24

What are common clinical symptoms of CNS stimulants?

Answer 24

tachycardia
hypotension
dilated pupils
dysrhythmias
diaphoresis
agitation
hyperthermia
seizures

Question 25

What can happen with TCA OD?

Answer 25

Life threatening cardiac dysrhythmias

Question 26

What level of QRS widening in TCA toxicity is associated with seizures?

Answer 26

> 100ms

> 160ms is associated with cardiac dysrhthmias

Question 27

What are the 2 types of suicidal ideation?

Answer 27

Passive - thoughts without nay intent

Active - plans etc

Question 28

What are some examples of ‘feelings’ as a suicide risk factor?

Answer 28

hopelessness
desperate
disconnected
worthless
agitation

Question 29

what is australias major cause of OD fatalities?

Answer 29

trycyclic antidepressants

Question 30

What are some examples of ‘demographics’ as a suicide risk factor?

Answer 30

male
living alone
divorced/widowed
LGBTI
indigenous

Question 31

What is serotonin syndrome?

Answer 31

too much serotonin in brain or periphery

Question 32

What are the 4 branches in the AV CPGS under overdose?

Answer 32

Opioids
TCA antidepressants
Sedatives
Psychostimulants

Question 33

According to AV CPG’s what are the 3 signs of TCA toxicity?

Answer 33

• QRS >0.12
• hypotension
• ventricular arrhythmias

Question 34

Quetiapine OD effects include?

Answer 34

coma
anticholinergic delirium
prolonged QT

Doses >3g cause coma

Question 35

What are common psychotherapies for major depressive disorder?

Answer 35

cognitive-behavioural therapy
Interpersonal psychotherapy
Mindfulness based cognitive therapies

Question 36

What are the primary classifications of depressive disorders?

Answer 36

Disruptive mood dysregulation disorder
persistent depressive disorder
major depressive disorder

Question 37

What are some examples of ‘thoughts’ as a suicide risk factor?

Answer 37

current plan
talk of death
no future
escape
alone

Question 38

What are the cardiovascular effects of CNS stimulants?

Answer 38

sympathomimetic, vasospastic and sodium channel blocking

blocks fast sodium channels
increased intracranial haemorrhage risk
acute cardiomyopathy
pulmonary oedema

Question 39

What are some symptoms of bipolar?

Answer 39

elevated irritable mood
increased activity or energy
increased self esteem
decreased need for sleep
pressured speech
distractibility

Question 40

WHat are the 2 categories of mood disorders?

Answer 40

Bipolar disorders

Depressive disorders