Suicide Flashcards

1
Q

What is aborted suicide attempt?

A

Potentially self-injurious behavior with explicit or implicit evidence that the person intended to die but stopped the attempt before physical damage occurred

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2
Q

What is deliberate self-harm?

A

Willful self-inflicting of painful, destructive, or injurious acts without intent to die.

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3
Q

What is lethality of suicidal behavior

A

Objective danger to life associated with a suicide method or action.

  • Note that lethality is distinct from and may not always coincide with an individual’s expectation of what is medically dangerous.
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4
Q

What is suicidal ideation?

A

Thought of serving as the agent of one’s own death;

  • seriousness may vary depending on the specificity of suicidal plans and the degree of suicidal intent.
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5
Q

What is suicidal attempt?

A

Self-injurious behavior with a nonfatal outcome accompanied by explicit or implicit evidence that the person intended to die.

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6
Q

What is suicide?

A

Self-inflicted death with explicit or implicit evidence that the person intended to die.

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7
Q

Who commits suicide more often, men or women?

A

Men commit suicide more than four times as often as women

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8
Q

Who attempts suicide more often, men or women?

A

Women attempt suicide or have suicidal thoughts 3x as often as men.

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9
Q

What methods of suicide do men typically use?

A
  • Firearms
  • Hanging
  • Jumping from high place
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10
Q

What methods of suicide do women typically use?

A
  • Over­dose of psychoactive substances or poison.
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11
Q

What age does suicide peak for men?

A

Age 45

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12
Q

What age does suicide peak for women?

A

After the age of 55

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13
Q

Suicide in the younger population occur in what age range?

A

15 to 24

- this is the 3rd leading COD in the younger population, after accidents and homicides.

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14
Q

Most suicides occur between what age range?

A

35 to 64

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15
Q

What ethnicity is the highest for suicide rates in both men and women?

A

Whites

- White > Native Americans > other > combo of Asian, Hispanic, and Blacks

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16
Q

What religion has the highest suicide rate?

A

Protestants and Jews in the United States have a higher suicide rates compared to Catholics.

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17
Q

How does your marriage status affect risk of suicide?

A

Marriage lessens the risk of suicide significantly, especially if there are children in the home.

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18
Q

What relationship status doubles the rate for suicide compared to those who are married?

A

Single, never-married persons

19
Q

Divorce is known to increase suicide risk but is it more common for divorced men or women to commit suicide?

A

Divorced men 3x more likely to kill themselves as divorced women.

20
Q

Are homosexual men and women at a higher or lower rate of suicide compared to heterosexuals?

A

Homosexual men and women appear to have higher rates of suicide than heterosexuals.

21
Q

How does occupation/social status affect your risk for suicide?

A
  • The higher the person’s social status, the greater the risk of suicide, but a drop in social status also increases the risk.
  • Work, in general, protects against suicide.
22
Q

What profession has been found to be at the greatest risk?

A

Physicians

- Others include Law Enforcement, Dentists, Artists, Mechanics, Lawyers, and Insurance Agents.

23
Q

Is climate associated with suicide rates?

A

Suicides increase slightly in spring and fall, contrary to popu­lar belief, not during December and holiday periods.

24
Q

Does physical health contribute to suicide rates?

A
  • 1/3 of all persons who commit suicide have had medical attention within 6 months of death
  • physical illness is estimated to be an important contributing factor in about 1/2 of all suicides.
25
Q

What is the MC physical disabilities that leads to suicide/suicide attempts?

A

Loss of mobility and chronic pain

- especially when physical activity is important to their occupation or recreation.

26
Q

How does mental health contribute to suicide rates?

A

Depressive dis­orders account for 80% of the 95% of persons who commit or attempt suicide that have a diagnosed mental disorder

27
Q

What 2 psychological conditions contribute to 10% of suicides?

A
  • Schizophrenia

- Borderline

28
Q

What are a 4 stressors associated with suicide victims under 30?

A
  • Separation
  • Rejection
  • Unemploy­ment
  • Legal troubles
29
Q

What stressor is MC’ly associated in suicide victims over 30?

A

Illness stressors

30
Q

When do pts with depression tend to commit suicide?

A
  • Early in the illness rather than later

- Usually at the onset or the end of a depressive episode.

31
Q

What increases the risk of committing suicide in a pt with depression?

A
  • Social Isolation
  • Male gender
  • Single, separated, divorced, widowed, or recently bereaved
32
Q

When do pts with schizophrenia tend to commit suicide?

A

During the first few years of their illness

- therefore they are young

33
Q

What increases the risk of committing suicide in a pt with schizophrenia?

A
  • Young age
  • Male gender
  • Single
  • Previous suicide attempt
  • Vulnerability to depressive symptoms
  • Recent discharge from a hospital.
34
Q

Why does a recent discharge from the hospital increase the risk for suicide in a pt with schizophrenia?

A
  • May experience new adversity or return to ongoing difficulties.
  • As a result, they become dejected, experi­ence feelings of helplessness and hopelessness, reach a depressed state, and eventually act on suicidal ideas.
35
Q

What are the characteristics MC’ly found in an alcohol-dependent suicide victim?

A
  • Male gender (80%)
  • White
  • Middle aged
  • Unmarried
  • Friendless
  • Socially isolated
  • Currently drinking
36
Q

About 50% of alcohol-dependent suicide victim have experienced what, that has caused them to comitt suicide?

A

Loss of a close, affectionate relationship during the previous year

37
Q

Male alcohol-dependent patients are sometimes found to be associated with what psychological disorder?

A

Antisocial personality disorder

38
Q

What substance causes a 20x increase rate for suicide in the general population?

A

Heroin

39
Q

In what age group do you see an increase in suicide rate d/t IV substance dependance?

A

Adolescent girls

40
Q

What disorder causes uncomplicated suicide attempts?

A

Anxiety disorder- panic and social phobia.

41
Q

What is the best indicator that a pt is at an increased risk for suicide?

A

Previous suicidal attempt

42
Q

When is the risk for a second suicide attempt at its highest risk?

A

Within 3 months of the first attempt.

43
Q

What is the worse substance that can increase risk for suicide?

A

Alcohol