Week 7 Suicide/Self-Harm and Week 7 Eating Disorders Flashcards
What is the difference between Passive Suicidal Ideation and Active Suicide Ideation?
PASSIVE SUICIDAL IDEATION
A desire to be dead, but without the active idea to follow through with the suicide
ACTIVE SUICIDE IDEATION
With active intent and plans to carry out the suicide.
What is the Sad Personas Scale?
It is a Performance Risk Assessment
S: Sex
A: Age (Teens or Elderly)
D: Depression
P: Previous attempt E: Excess alcohol or substance use R: Rational thinking loss S: Social supports lacking O: Organised plan N: No spouse A: Availability of lethal means S: Sickness
When do people start thinking of suicide?
When they are
- Overwhelmed by the Stressors
- Feeling Disconnected from meaning and hope
On average, how many Australian’s take their own lives?
A. 1000
B. 2000
C. 3000
D. 500
B. 2000
Affects people of all ages and from all walks of life.
- adverse life events,
- social and geographical isolation,
- cultural and family background,
- socio-economic disadvantage,
- genetic makeup,
- mental and physical health,
- the extent of support of family and friends,
- and the ability of a person to manage life events and bounce back from adversity.
What is the difference between risk factors and protective factors?
Risk factors: Increase the likelihood of suicidal behavior;
Protective Factors: Reduce the likelihood of suicidal behaviour and work to improve a person’s ability to cope with difficult circumstances.
Risk and protective factors are often at opposite ends of the same continuum. For example, social isolation (risk factor) and social connectedness (protective factor) are both extremes of social support.
Risk and Protective Factors exist in three tiers. Which is not one of the tiers
A. Individual
B. Social
C. Hierarchal
D. Contexual
C. Hierarchal
Risk and protective factors can exist at three levels:
The individual level
- which includes mental and physical health, self-esteem, and ability to deal with difficult circumstances, manage emotions or cope with stress;
Social level, which includes relationships and involvement with others such as family, friends, workmates, the wider community and the person’s sense of belonging;
The contextual level or the broader life environment which includes the social, political, environmental, cultural and economic factors that contribute to available options and quality of life.
Which Risk and Protective factor group does this belong to:
‘includes the social, political, environmental, cultural and economic factors that contribute to available options and quality of life’.
A. Individual
B. Social
C. Contextual
D. Hierarchal
C. Contextual
True or False?
All risk and protective factors are modifiable and can be changed to help an at-risk person!
False
Risk and protective factors may
- modifiable: things we can change; and
- non-modifiable - things we cannot change.
For example, in some areas of Australia isolated older men may be more likely, according to statistics, to take their own life.
Nothing can be done about their age or gender (non-modifiable factors that increase risk),
but it is possible to change their social isolation (modifiable factors).
People w/mental illness are at __________ risk of suicide post discharge from psychiatric or ED departments. Especially if they are returning to the same conditions of living as before.
A. Decrease
B. Increase
C. About the same
D. Unknown
B. Increase
Suicide is also more common among people with schizophrenia and mood disorders.
People are at a greater risk of suicide if they suffer from more than one mental illness.
What are the Actions of people contemplating suicide?
Also known as invitations
Giving away possessions Withdrawal or Loss of Interest Alcohol Abuse Reckless and Extreme Behaviour Impulsivity
What are the 4 invitation groups or signs of a persona contemplating suicide?
Actions - Giving stuff away
Feelings - Hopeless/helpless
Physical Sx - Lack of Interest, Change in Sex Drive
Words - I won’t need this anymore, no one can do anything
Why do we create Ambivalence when Mx a Suicidal Patient?
The transition from death to life usually requires that the person at risk recognizes and accepts that they both want to live and die. The wanting of both death and life is ambivalence. This is the most important in most interventions
Eating Disorders count for _____ of chronic illnesses in young ______:
A. 1/2: Males
B. 1/3: Females
C. 1/4: Males
D. 1/2: Females
B. 1/3: Females
While eating disorders can occur in people of all ages, adolescence represents a peak period of onset.
Eating disorders represent the second leading cause of mental disorder disability for young females
Adolescents with diabetes may have a 2.4x higher risk of developing an eating disorder
Adolescent girls who diet at a severe level are 18x more likely to develop an eating disorder within 6 months.
This risk increases to a 1 in 5 chance over 12 months.
Which is not true of Anorexia Nervosa?
A. <85% Body Weight
B. Body Dysmorphia
C. Fear of Gaining Weight
D. More common in males
D. More common in males - Males = 5 - 10% affected
Higher prevalence in middle and upper-class communities, with most cases being 90-95% Females
What the two subtypes of Anorexia Nervosa?
Restricting - Individual eats less than there daily caloric needs
Binge/Purging - The use of laxatives and purging to remove excessively eaten food
