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PSYCHOLOGY > Suicide > Flashcards

Suicide Flashcards

(51 cards)

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1
Q
A
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2
Q

Suicide Rate

A

30,000/yr Attempted: 300,000/yr

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3
Q

Suicide is the _____leading cause of death

A

9th

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4
Q

Suicide Associated factors

A

age (65+ or 14-24 increased rapidly) Never married, divorced Males> Females (3X) Females attempt > males (4X)

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5
Q

Race and suicide

A

American Indian and White males

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6
Q

Location and suicide

A

Western states

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7
Q

Domains of Suicide risk

A

Social: loss or life change Psychological: personality or coping Medical: illness, treatment Psychiatric: depression Biological aging, environment

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8
Q

Suicide Global Rates

A

Highest in Korea

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9
Q

Military And Suicide

A

Escalating since beginning of War (Army)

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10
Q

Suicide rate timeline

A

Suicides dropping from 1990-2003, in 2003 1-14y/o rate of suicide markedly increased (hanging and suffocation)

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11
Q

Suicide Major Risks

A

Depression (20X), Substance Abuse (alcohol, heroin), Physical health (age, illness, immobile, etc)

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12
Q

Suicide Risks

A

Unemployed, Separated (divorce, death), Irritable, social disgrace, death trends, personality (impulse, perfectionist), Risk taker, Failed treatment, existential crisis

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13
Q

_____% of attempted suicide patients fir criteria for mental illness

A

80

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14
Q

Suicide Risk Factors

A

Poor Health, Psychoactive drugs, hopelessness, self doubt, adverse life events, marginalization

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15
Q

Suicide Protective Factors

A

Mental Healthcare, Safe and supportive environment, health relationships, ability to cope, problem solve and find meaning

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16
Q

Mental Disorders highly correlated to suicide

A

Mood Disorders (15%) panic attacks, psychic Panic Disorder (15%): attack severity, agitation Schizophrenia (10%) Borderline PD (7%) impulse, anitsocial, self-mutilation

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17
Q

Most people contacted __________prior to committing suicide

A

medical provider

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18
Q

Medical Population and suicide

A

Depression, traumatic news, risky behavior, hopelessness, noncompliance

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19
Q

Which Illnesses are linked to suicide the most

A

Dialysis patients (14%), Head and Neck Malignancies(11%), HIV, Lupus, Spinal cord injury

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20
Q

Suicide Causes

A

Sociological disruption, Struggle with Aggression, Manipulation, Identity Problems, Hopelessness

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21
Q

Indicator of long term risk of suicide

22
Q

Rational Suicide

Study These Flashcards
A

taking one’s life due to extreme illness

23
Q

Suicide Assessment

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A

Suicide Ideation/Recent events, Ambivalence, Previous Attempts, Plan, Affect (hopeless, calmness, euphoria, psychomotor retardation)

24
Q

Primary Care Suicide Assessment

Study These Flashcards
A

Diagnosis overwhelms coping, have family member present, follow-up in 24hr, sensitive to cultural factors

25
3 Identifiers for Suicide Assessment
Previous Attempts, Depression OR Substance Abuse, 1st degree relative suicide
26
Plan in Primary Care
Screen for depression, anxiety, psychosis, substance abuse, Ask about suicidal thoughts, plans, screen for medical conditions associated, cognitive changes, ask about previous attempts
27
Tips for Suicidal patients
Suicide intent is "state dependent", suicide state repeats, turn focus to causes, have family monitor risks
28
Imminent risk factors for suicide
Severe agitation, panic, obsessive rumination (bad thoughts), global insomnia, alcohol use, isolation, anhedonia, isolation, deception, publicity of suicide, incarcerated
29
Suicide Treatment
Hospitalization, antidepressants, antipsychotics, therapy Systems Approach, remove means, commitment of patient Reduce psychological pain
30
Tips for suicide prevention
Realistic approach to problems, emphasize past successes, patient's perception is distorted, mobilize support system, be objective, non-judgmental
31
Tips for suicide prevention
Other solutions, acknowledge patient's feelings, use social services, programs, "I'm going to help"
32
Spousal-Amorous Jealousy Suicide Type
chaotic relationships, infidelity real or imagines, separation from perpetrator
33
Spousal-Declining Health Suicide Type
Dependency of spouse, financial concerns, frustration, helplessness, "mercy" killing
34
Filicide Suicide
Parent killing own child 0-6mo highest risk, then commit suicide
35
Familicide Suicide
When 1 spouse and at least 1 child is murdered, then commit suicide
36
Extrafamilial Suicide
Killing relatives before self
37
Murder-Suicide Characteristics
over-valued attachement to relationship, fear of separation, impulsiveness, mental disorder present (mood, psychosis, substance abuse), stalking
38
Murder-Suicide Assessment
Assess for homicidal tendencies, depression, feeling overwhelmed, over-possessive, Female\>Male
39
Murder-Suicide Intervention
diffuse relationship, restore perspective, case management help, help survivors
40
Red Flags for Murder-Suicide
Domestic violence, jealous, declining health, financial problems, depression, over-possessive, desperation, "altruistic ideation"
41
Tips for Murder-Suicide
Assess risk of violence, treat underlying mental health, find social support
42
Risk Factors for Adolescent Suicide
Hypersensitive, suggestibility, magical thinking, fanaticism, rigid thinking, dichotomous thinking
43
Process of Adolescent Suicide
Long Standing History (family dysfunction), escalation of problems (conduct, rebellion, withdrawn), affiliation phase
44
Adolescent Suicide Trends
Increase due to social media in adolescents, militants due to war, general pop due to untreated depression bc of anti-depression warnings
45
Adolescent Suicide Rates
12% of adolescent deaths, hanging\>CO)
46
Suicide in children
-Vulnerability: parental mental health disorder, FHx - Childhood disorders or abuse - Following stress, followed by immature coping and impulsivity - Fewer precipitating events in combination with family/school transition
47
Risk Factors for
Precipitation Factors (parents mental health, FHx of suicide, genetics) compounded by family factors, school factors, cognitive immaturity, adverse life events, age-related impulsivity, access to suicide means, psychopathology
48
Initial Suicide Attempt
First attempt before high school, early first attempt linked to depression, high at age 12 increases to peak at age 15
49
Greatest risk factors for suicide
Direct verbal warnings, plan (specific, lethality, availability), past attempts, depression, hopelessness, indirect statements, intoxication, gender
50
Treating Suicidality
If imminent, admit patient, if not contact lifeline, treat underlying disorders or addictions, assess stressors, risk factors
51
Beck Depression Inventory
Sadness, pessimism, dissatisfaction, guilt, somatic problems, self dislike, etc

PSYCHOLOGY (6 decks)

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