Depression and Anxiety Disorders Flashcards
Endogenous versus reactive
From within versus to an event
Early vs Late Onset
Worse prognosis from early
Mixed Anxiety-Depression
- Comorbidity: co-occurrence of depressive and anxiety disorders
- 2/3rd of depressed patients have a concurrent anxiety disorder
- High occurrence with Bipolar Disorder and anxiety
Mood Disorders and Suicide
- People with Major Depression are 11 times greater risk of making a suicide attempt
- Manic episode - 30 times greater risk of suicide
- Those who commit suicide - 55% were depressed before the attempt
- More worried about suicide when first coming out of depression
Suicide by Age
More common 75+
Mostly older, white males committing suicide
Suicide Methods
Firearms 49.8%
Suffocation 26.8%
Poisoning 15.4%
Other 7.9%
Suicide Rates in US
Keeps going up
Suicide Rate per State
- West Virginia - high level of obesity
- Alaska - dark all the time, isolated
Is living in a “happy” place a risk factor for suicide?
- UK’s University of Warwick, Hamilton College in New York, and the Federal Reserve Bank of San Francisco (2011)
- States with people who are generally more satisfied with their lives tended to have higher suicide rates than those with lower average levels of life satisfaction
- E.g., Utah is ranked first in life-satisfaction, but has the 9th highest suicide rate. Compared to: New York was ranked 45th in life satisfaction, yet had the lowest suicide rate in the country
- Validation of feelings vs. deviation from the norm
Suicide Prediction
- Unbearable psychological pain
- Self-denigration
- Constriction of the mind
- Isolation
- Hopelessness
- More worried about people in jail vs. in prison (jail is unknown)
- Sex offenders exiled and raped in prison
Prisoner suicide rate
In the US while incarcerated - 337 state prisoners committed suicide from 2001 to 2002
Suicide by numbers
- 44,193 suicides per year in US
- 121 suicides per day
- One every 17 minutes
- With handguns, deaths from suicide are more frequent than deaths from homicide
- 10th leading cause of death for all Americans
- 3rd leading cause of death for young people aged 15-24
- Males are 4 times more likely to die of suicide than are females
- Females are more likely to attempt suicide than are males
Culture
- China has one of the highest female suicide rates in the world and is the only country where it is higher than that of men
- The highest rate of female suicide is found in South Korea at 22 per 100,000, with high rates in South East Asia and the Western Pacific generally
- White males accounted for 7 of 10 suicides in 2015
- Firearms account for almost 50% of all suicides
- The rate of suicide is highest in middle age - white men in particular
Teenage Suicide
Increased by 200% since 1960
Number one risk factor for suicide is…
Mental illness