L13: Psychiatric Emergencies Flashcards
(68 cards)
Introduction of Psychiatric Emergencies
- Psychiatric emergency is any disturbance in thoughts’, feelings’, or actions’ that requires immediate treatment e.g. violence, suicide, and NMS.
- Emergencies can occur in any location: Home, Office, Street, Hospitals.
Def of Suicide
if successful, it is a fatal act that fulfills the person’s wish to die.
What is Deliberate self-harm?
Willful self-inflicting of painful, destructive, or injurious acts without intent to die.
Identification of the potentially suicidal patient is among the most critical tasks in psychiatry.
…
What is Suicide?
Self-inflicted death with explicit or implicit evidence that the person intended to Die.
What is Suicide attempt?
Self-injurious behavior with a nonfatal outcome accompanied by evidence that the person intended to die
What is Aborted suicide attempt?
Potentially self-injurious behavior in which the person intended to die but stopped the attempt before physical damage occurred.
What is Suicidal intent?
Subjective expectation and desire for a self-destructive act to end in death.
What is Suicidal ideation?
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.
What is Lethality of suicidal behavior?
Objective danger to life associated with a suicide method or action.
lethality is distinct from and ……… an individual’s expectation of what is medically dangerous.
not always coincide with
Suicide Epidemeology
Etiology of Suicide
Relation between mental Ilnesses & Suicide
- Depressive Disorders
- Schizophrenia
- Alcohol & Substance Use Disorder
- Personality Disorders
- Dementia & Delirium
- Anxiety
Mood disorders are the diagnoses most commonly associated with ……
suicide
…. of all persons who commit suicide are depressed.
50%
….. of depressed patients kill themselves.
15%
Patients with ………. are at the highest risk.
mood disorder accompanied by panic or anxiety attacks
The onset of schizophrenia is typically in adolescence or early childhood, and most of these patients who commit suicide do so during ……..
the first few years of their illness.
In the United States, an estimated ….. schizophrenic patients commit suicide each year.
4,000
….. of persons who commit suicide are schizophrenic with prominent delusions.
10%
Patients who ……….. are at increased risk.
have command hallucinations telling them to harm themselves
Alcohol dependence increases the risk of ……., especially if the person is also ………
- Suicide, Depression
Studies show that many alcohol dependent patients who eventually commit suicide are rated …….. during hospitalization and that up to …….. are assessed as having mood disorder symptoms during the period in which they commit suicide.
depressed, two-thirds
