104 - Suicide/ Self Harm Flashcards Preview

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Flashcards in 104 - Suicide/ Self Harm Deck (33):
1

How many times more likely is someone with depression to commit suicide?

20 times for unipolar

15 times for bipolar.

1

What is flumazenil used for?

Benzodiazepine overdose

2

What is added to activated charcoal for use in catharsis?

Sorbitol

3

What is the treatment for overdose on β-blockers?

Glucagon

4

What are the age ranges for increased self-harm susceptibility?

Females; 15-24

Males; 25-34

4

When is gastric lavage considered?

When a life threatening amount of substance has been taken within 1 hour of ingestion

6

When is urine Alkalinisation used?

Weak acid overdose, such as aspirin.

7

What is used in the treatment of paracetamol overdose?

N-acetyl cysteine

8

What are the 4 areas of Durkiem's theory of social integration?

  1. Altruistic; communality to strong sacrifice for the sake of the group.
  2. Fatalistic; communality control, mass cult suicide.
  3. Egotistic; loss of integration with the community.
  4. Anomie; community in upheaval.

8

How does an MDMA overdose present?

  • Hyperthermia
  • Tachycardia
  • Delirium
  • Agitation
  • Mydriasis

9

What are the signs of benzodiazepine, barbiturate or severe TCA overdose?

  • Coma
  • Hypotonia
  • Hyporeflexia
  • Hypotension

10

What is the most likely cause of poisoning in children?

Carbon monoxide from faulty boilers etc.

11

Which chronic physical illnesses are linked to increased risk of suicide?

  • Stroke
  • Malignancy
  • Diabetes
  • Chronic painful arthritis

12

Why is N-acetyl cysteine given for paracetamol overdose?

It is a precursor for glutathione, which is used to conjugate paracetamol metabolites.

13

What are the signs of salicylate overdose?

  • N and V
  • Tinnitus and deafness
  • Sweating
  • Hyperventilation
  • Vasodilation
  • Metabolic acidosis

14

Define self-harm.

Intentional self-poisoning or self-injury, irrespective of the type of motivation or degree of suicide intent.

15

What are the clinical signs of opiate overdose?

  • Coma
  • Miosis
  • Reduced RR

16

When is whole bowel irrigation indicated?

Slow release drugs:

  • Theophylline
  • β-blockers
  • Ca channel blockers
  • Button batteries
  • Body packers.

18

What is haemodialysis used for?

  • Ethanol
  • Ethylene glycol
  • Lithium
  • Methanol
  • Salicylates

19

What is used for whole bowel irrigation?

Polyethylene glycol

20

What are the motivations for self-harm?

  • Wish to blot out distressing thoughts
  • Gain respect from intolerable stress
  • Attempt to induce guilt, or cry for help
  • Wanting to get back at somebody, or personal punishment
  • True wish to die

21

What are the 4 main social causes of suicide?

  1. Social isolation
  2. Socioeconomic deprivation
  3. Life events
  4. Chronic difficulties

21

What are the clinical signs of TCA, Orphenadrine, Thioridazone and antihistamine overdose?

  • Coma
  • Hypertonia
  • Hyper-reflexia
  • Extensor plantar responses
  • Myoclonus
  • Mydriasis
  • Sinus tachycardia

22

What is haemoperfusion effective for?

  • Theophylline
  • Carbamazepine

24

What are the main classes of drugs used for overdosing?

  • Opiates such as heroin, morphine and methadone
  • Analgesics such as paracetamol
  • Antidepressants
  • Benzodiazepines
  • Carbon monoxide

26

What are some of the mental disorders that are linked with increased risk of suicide?

  • Depression
  • Alcoholism
  • Schizophrenia
  • Substance misuse
  • Epilepsy
  • Brain injuries
  • Personality disorders
  • Neuroses

27

What are the signs of paracetamol overdose?

  • Anorexia
  • N and V
  • Abdominal pain
  • Hyper/hypoglycaemia
  • Jaundice/encephalopathy
  • Renal failure

28

Which gender and age group is poisoning most prevalent?

Females aged 15-24.

29

What is Ipecacuahana syrup used for?

Forced emesis

30

What is activated charcoal ineffective against?

  • Metals; Fe, Li, Lead, Hg
  • Cyanide
  • Hydrocarbons; methanol, ethylene glycol
  • Methionine

31

What is naloxone used for?

Opiate overdose

32

What is the most common form of self-harm?

Paracetamol overdose; 41% of cases.

33

When is IV Lorazepam used?

To control fits caused by TCAs, Mefanamic acid or Theophylline.