Suicide (12) Flashcards

1
Q

Name some immutable risks for suicide:

A

Patient’s history

Family history

Demographics

Cultural/ religious belief about suicide

Personality traits

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2
Q

Name some circumstantial risks for suicide:

A

Unemployment

Financial difficulties

Relationship difficulties

Physical injury/ illness

Life transitions

Access to lethal means

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3
Q

Name some modifiable risks for suicide:

A

Drinking/ drug use

Nicotine use

Unstructured time

Perceived stress

Current psychiatric illness

Hopelessness, helplessness

Anxiety, panic attacks, agitation, insomnia

Delusions

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4
Q

What is the “risk triad” composed of?

A

Ideation, Intention, Plan

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5
Q

What is the rate of suicide in the US? How many attempts and successful attempts a year?

A

12/100,000

600,000 attempts

30,000 successful attempts

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6
Q

Is suicide common in teens?

A

Yes, 3rd leading cause in death

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7
Q

T/F: Adult suicide rate decreases after the age of 55

A

False…it increases substantially

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8
Q

Explain the trends of suicide in the elderly?

A

Decreases for women and increases for men

Attempts are less frequent but are generally more successful

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9
Q

What gender attempts suicide more often? What gender is more successful?

A

Women attempts more frequently (usually by less lethal means)

Men are more successful (use more violent means)

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10
Q

Which ethnicity has the highest rate of suicide in the US?

A

White americans and american indians/ Alaskan natives

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11
Q

How does marital status influence suicide?

A

Lowest in married (especially if children in home)

Higher rate if separated or divorced

Higher especially if the loss of the partner occurred in the recent past

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12
Q

How does religion influence suicide rates?

A

Catholics and Islamics might have lower rates than protestants.

May depend more on the degree of orthodoxy rather than the religion itself

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13
Q

How does employment status influence suicide rates?

A

Rate higher in unemployed

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14
Q

How does type of occupation influence suicide rate?

A

Rate higher in professionals (doctors, dentists, Police officers, lawyers)

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15
Q

T/F: Female physicians have a higher risk of suicide than any other women

A

True

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16
Q

What are some “other” risk factors for suicide?

A

Substance abuse, aggressive/ impulsive behavior, genetics, family history, climate

17
Q

What types of mental health conditions are associated with suicide?

A

Depression, schizophrenia

18
Q

What genetic mutation is associated with suicide risk?

A

s allele of 5-HTT gene

19
Q

What are some “other” types of suicide?

A

Victim- Precipitated Homicide

Muder-Suicide

20
Q

How is suicide “treated”?

A

Interview about the triad, take a good history about risk factors

Use lease restrictive approach (meds to lower anxiety, slower acting antidepressants, increase support)

Hospitalization

21
Q

Name some antisuicide Rx?

A

Antidepressants?

ECT

Ketamine IV

Lithium

Clozapine