29.1 Mood Disorders and Suicide

Question 1

order non traditional symptoms in MDD in young ppl not typical in adult?

Answer 1

• social withdrawal
• school refusal
• unexplained somatic complaints

Question 2

highest age group males for suicide?

Answer 2

85+

15-19 double that of females

Question 3

male of female more self harm?

Answer 3

females

self harm does not equal suicdie attempt

Question 4

risk assessment contains?

Answer 4

current suicidal ideation
stressors
risk factors
protective factors

Question 5

nature of stressors examples?

Answer 5

• interpersonal losses (parental separation, friend’s suicide)
• interpersonal discord
• legal problems

Question 6

what increases risk of suicide by 10? by 50?

Answer 6

one mental health illness
two mental healht illness
substance use adds to completed suicide?

Question 7

what skills of the child should you look for?

Answer 7

stress mx
problem solving
communication

Question 8

what supports to ask for?

Answer 8

family
community
sense of belonging

Question 9

two best treatments for MDD in adoelescents?

Answer 9

CBT

SSRIs

Question 10

Rx of choice for meds for MDD?

Answer 10

fluoxetine (long half life Rx of choice
and escitalopram
start low and go slow

Question 11

when to refer to specialist mental health services for adolescent depression

Answer 11

6 sessions for CBT
4-6 weeks of SSRIs

psychotic symptoms