Lecture 7 Suicidal behaviours Flashcards Preview

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Flashcards in Lecture 7 Suicidal behaviours Deck (18):
1

What are the stats on suicide deaths?

-approx 1 million people died by suicide in 2000
-Every 40 seconds, or 17 minutes in US alone
-11th leading cause of death
-3rd cause of death in teens

2

Are people who commit suicide mentally ill?

Most of them are, in fact 90% meet criteria for a psychiatric disorder
-9% BPD
-7% Depression, bipolar, substance abuse
-5% eating disorders, schizophrenia, antisocial personality disorder

3

Difference between men & women in suicide?

Females are more likely to attempt suicide, whereas men are more likely to complete suicide (kill themselves).

4

What racial group (in Canada) is at greater risk for suicide?

First Nations people are 2.5 times more likely to commit suicide

5

Two universal processes/mental states present in those who commit suicide?

1. Isolation: feeling isolated and cut-off

2. No hope: perception of the world is drastically narrowed. The world and the pain are one

6

Protective Factors (attitudes)

1. The participant attitude
2. The challenging attitude

7

The participant attitude

a protective factor and therapeutic technique in which the helper manifests an attitude that is fully empathetic to the suicide's pain and plight

8

The challenger attitude

a protective factor and therapeutic technique in which the helper attempts to deal with the suicides tunnel vision. Address the suicides momentary blindness (suffering of others, availability of other options, etc)

9

What is borderline personality disorder?

A disorder of pervasive emotion dysregulation

-emotions: easily upset
-thinking: suspiciousness or paranoia
-behaviour: impulsive behaviour
-relationships: fear abandonment; idealization/devaluation

10

Suicide rates among those diagnosed with BPD

-8-10% die by suicide
-75% have attempted suicide
-69-80% self-harm

11

Psychodynamic Approach to BPD (transference focused therapy/ TFP)

Insight oriented approach that involves the therapist helping the patient to understand and observe the origins and effects of his or her transference reactions

12

Psychodynamic approach to BPD (mentalization based treatment)

-mentalization: based on theory of mind
-the ability to imagine/understand other people's mental states
-may include: Partial hospitalization
program, incl. individual therapy, group therapy, expressive therapy, community meeting

13

Medication for BPD

-best evidence of working is for SSRI's, (serotonin reuptake inhibitors)(e.g., prozac)
-anti-psychotic meds may also be useful
-not recommended by itself

14

Two components that make up Linehan's Biosocial Theory of BPD

1) Emotional dysregularity: impulsive reactions, problems inhibiting behaviour, problems in regulating emotions, etc

2)Invalidating Environment: the tendency to negate, punish, or not validate experiences

15

DBT: Stage 1- attaining basic capacities (4 components)

1. Decrease Life-threatening behaviours
2. Decrease therapy interfering behaviours
3. Decrease Quality of life interfering behaviours
4. Decrease skills deficits, increase skillful behaviour

16

DBT: Stage 2- Escaping quiet desperation

-reduce extreme emotional pain
-increase the capacity for normative emotional experiencing

17

DBT: Stage 3- Resolving problems in living and increasing respect for self

-the individual is functional in major domains of living
- the goal here is to reach an ordinary level of happiness/unhappiness +self respect
-the therapist pulls back and helps client be more self reliant

18

DBT: Stage 4- Attaining the capacity for freedom and sustained contentment

-the goals are expanded to self awareness, spiritual fulfillment, and the movement into experiencing flow