Week Eight - Scide

Question 1

Prevalence of S(WHO)

Answer 1

• 800,000 every year
• 1.4% all deaths every year (likely higher)
• Around 1/3 who have thoughts make attempt
• Risk decreases over time

Question 2

NSSI Definition (Non-SSelf Injury)

Answer 2

Deliberate harm without intent to die (15-20% non-clinical adolescence)
Added to DSM-V as often a symptom of BPD

Question 3

Statistics of S

Answer 3

• Women more likely to experience ideation
• Peaks age 45-55yrs
• Younger ages have dramatically increased (media/availability)

Question 4

Risk Factors of S

Answer 4

• Clinical > Family/Environment > Mental state
  (Previous attempts > Relationships > Thoughts/Impulsiveness)

Bipolar Disorder / Suicidal Ideation

Question 5

Psycho-Social Factors of S

Answer 5

• Parental maltreatment, early experiences, stressful life events
  -LGBT+
• Ethnic Minorities

Question 6

Biological Factors of S

Answer 6

• Genetic
• May link to neurochemical correlations (serotonin)

Question 7

Explain the Diathesis-Stress Model of S

Answer 7

• Vunrability > Life Events > Suicidal Behaviour
• Mann et al (374 Psychiatric Inpatients, higher scores on subjective depression / impulsivity)

Question 8

Explain the interpersonal-psychological model of s

Answer 8

-[Joiner et a] only when capability is acquired when the person makes an attempt

Question 9

Prevention of S

Answer 9

• Crisis Intervention
• Working with high risk groups
• Antidepressant Medication (risks vs benefits)

Question 10

Explain crisis intervention

Answer 10

AIM= keep people safe, may be before attempt
CBT = reframing techniques
ASSIST PROGRAM= attempting to build a model of intervention

PLAN > MEANS > TIME SET > INTENTION

Question 11

High Risk Groups for S

Answer 11

• Work with them through engagement in therapy
• Brown et al. RCT cog therapy for prevention
• Hopelessness Scale, Scale for suicidal ideation, depression inventory