N308 midterm Flashcards
(42 cards)
Is a person thinking of self-harm.
Suicidal ideation—
Are all willful, self-inflicted, life-threatening attempts that have not led to death.
Suicide attempts—
The greatest number of suicides occur in what two age groups?
young and middle-aged adults
Highest rates of suicide overall are for what group?
white men at every point in life. Rates significantly rise during the middle years and then dramatically peak in the oldest age group
Up to 90% of those who attempt suicide have a diagnosable _____ condition.
psychiatric
Risk of suicide in those with a ____ disorder is approximately 20 times that of those in the general population.
major depressive
Certain medications may contribute to symptoms of depression, thus raising an individual’s risk for suicide, what are 6 types?
Antihypertensives benzodiazepines calcium channel blockers corticosteroids hormonal medications pain medications (oxycontin, oxycodone)
What are the most prevalent mental health problems upon return from deployment in Iraq?
PTSD, depression, extreme alcoholism, and a combination of disorders
What are 3 biological theories associated with suicide?
- Strong association between suicide and low serotonin.
- Biological responses to stress (cortisol levels)
- Overactivity of the noradrenergic system (NE) is associated with severe anxiety, agitation, and a high suicidal risk.
- Hypothalamic-pituitary-adrenal (HPA) axis abnormalities associated with suicide victims.
What are 3 psychological theories associated with suicide?
1, Sigmund Freuds “Murderous attack on self”
- Karl Menninger: Revenge, depression, guilt
- Edwin Shneidman: Unbearable psychologic pain— “There is no way out.”
What behaviors are seen as subintentioned suicide?
Self-destructive behaviors (e.g., drugs, hyperobesity, gambling, self-harmful sexual behaviors, medical noncompliance)
What are 3 risk factors for suicide?
anxiety, insomnia, and substance abuse
People who attempt or complete suicide often have what cognitive/emotional issues?
- poor critical thinking skills
- troubled emotional lives (e.g., depression, anger, anxiety, guilt, boredom)
- low threshold for emotional pain.
Describe genetic, societal and psychologic factors associated w/ suicide risk.
- family Hx and suicide clusters
- lack of social support
- psychotic tendencies, hallucinations, delusional thinking
What is extremely significant about depression and suicide?
Hopelessness, helplessness and feelings of worthlessness.
With youth, what are the risk factors for suicide?
- children that are bullied
- child has a parent that has committed suicide
- socioeconomic issues
- parental psychiatric disorders
- peer problems
What is the strongest risk factor for 14-24 year olds re: suicide?
substance abuse aggression social isolation depression disruptive behaviors sexual identity
What are risk factors for older adults (65-74 and 75 and older) re: suicide?
social isolation, solitary living arrangements, widowhood, lack of financial resources, poor health, and hopelessness.
True or False: Most older adults who commit suicide have visited their primary care physician the month before the suicide.
True
What is PQH9?
suicide screening in primary care
What does SLAP stand for with re: to suicide?
Suicide Ideation
Lethality
Access to weapon or mode of death
Proximaty of help or resources
What does the SADPERSONS scale measure?
Suicide risk: Sex Age Depression Previous attempts ETOH or drug use Rational thinking loss Social support lacking Organized Plan No Spouse Sickness (or intent)
If a person ranks 7-10 on the sadpersons scale, what action should occur?
hospitalize or commit
A 0-2 on the sadpersons scale results in?
send person home with f/u
