Suicide prevention Flashcards

(52 cards)

1
Q

Death caused by self-directed injurious behavior with any intent to die as a result of the behavior

A

Suicide

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2
Q

T or F: The best way to describe “suicide” is “committed suicide”

A

False; “death by suicide” is preferred

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3
Q

A non-fatal self-directed potentially injurious behavior with any intent to die

A

Suicide attempt

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4
Q

The act of setting out on an obviously fatal course without directly committing the act upon oneself

A

Indirect suicide

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5
Q

A soldier enlisting in the army with the intention and expectation of being killed in combat is an example of what?

A

Indirect suicide

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6
Q

Suidice by cop is an example of

A

Indirect suicide

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7
Q

High risk-taking behaviors and unhealthy lifestyles may reflect what?

A

An intent to die

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8
Q

The intentional, direct injuring of body tissue most often done without suicide intentions

A

Self-harm or deliberate self-harm

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9
Q

Suicidal gestures include __________ or ____________

A

cutting, where the cut is not deep enough to cause significant loss
or taking a non-lethal overdose of medication

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10
Q

Any interpersonal action that a reasonable person would interpret as suggesting a suicidal act or related behavior might occur in the near future

A

Suicide threat

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11
Q

Why do some individuals habitually think of suicide or use thoughts of suicide when in stressful situations?

A

To enable them to feel better and more in control of a situation (in that they always have an escape)

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12
Q

What should you consider for suicide survivors?

A

This patient needs more frequent visits and more aggressive medication

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13
Q

What does it mean to be a suicide survivor?

A

A friend or family who has experienced the suicide of someone they cared about.

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14
Q

men are ____ times more likely die by suicide than women

A

3

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15
Q

As many as ____ % of suiciders are intoxicated with alcohol or other drugs

A

50

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16
Q

The majority of people who attempted suicide report less than ______ minutes from when they decided to attempt to when they took action

A

20

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17
Q

Only ___% of people with suicidal thoughts or behavior later die by suicide

A

10

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18
Q

85-90% of people who use _______ to attempt suicide die

A

a gun

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19
Q

A gun in the home leads to ___x risk of completed suicide

A

> 3x

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20
Q

What is the safest way to reduce access to firearms for someone at risk of suicide?

A

out-of-home

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21
Q

What are some ways to reduce the risk of suicide at home?

A

Firearm locks, medicine lock box, identify a support person, remove rope or other plans from the house

22
Q

Many clinicians have _________ feelings toward suicidal clients that may interfere with effective clinical care

A

Strong- often adverse

23
Q

if we truly hope to succeed with any suicidal client, we must first find a way to be ___________

A

empathetic of the suicidal wish

24
Q

________ may account for up to one-third of all patients in an outpatient psychiatric clinic

25
T or F: BPD affects men and women equally
True
26
What is the #1 greatest fear for clinicians?
prospect of losing a client to suicide
27
Recurrent suicidal behavior, gestures, threats, or self-harming behavior is one of the DSM-5 criteria for what disorder?
BPD
28
Constant suicidal ideations, history of multiple inpatient admissions for suicidality, history of self-harming behavior ----> think __________
Borderline personality disorder
29
The gold standard treatment for BPD is
DBT No medications are indicated for BPD but antidepressants and mood stabilizers can help manage some features.
30
What are some other recommendations for BPD treatment?
Some antidepressants and mood stabilizers Antipsychotics if patient has psychosis Learn about past suicide attempts and conduct a safety plan Hold an ice cube Consider higher levels of care DBT workbook Find ways to release endorphins (exercise)
31
asking about suicide ***does/does not*** create suicidal ideation
does not
32
asking about suicide generally brings ______________ to the person for whom no one has asked that question before
relief and hope
33
It is important to realize that suicide produces ________________________
a solution to intense personal pain
34
what is an important first step in a clinician's understanding of why suicide is relatively common?
Acceptance of the effectiveness of suicide
35
T or F: There is no research showing that the presence of any collection of risk factors can accurately predict the imminent danger to a client.
True
36
T or F: Individuals move in and out of periods of suicidal risk as their life circumstances fluctuate
True
37
In the suicidal state there is a pervasive feeling of __________- _____________
Helplessness-hopelessness
38
______________individuals had no previous history of suicide attempts, had greater survival and coping beliefs, feared social disapproval and had more moral objections
nonsuicidal depressed
39
clinicians should spend more time doing things that _____________ rather than just assessing and attempting to prevent risk
inoculate depressed individuals against suicide
40
What is an important component of the suicide assessment?
Asking directly about suicide
41
What areas should be evaluated in suicide assessment?
comorbidity, prior attempts, coping skills, acute and chronic stressors, plans, and behaviors
42
What are major risk factors for suicide
firearm access, psychiatric diagnoses, hopelessness, psychic pain/anxiety, agitation, prior suicide attempt
43
What is the Collaborative Assessment and Management of Suicidality (CAMS) method?
Suicidality is the central clinical problem and focus The client is the expert on his or her own experience and is ***engaged as an active collaborator in clinical care***
44
What are some key features of collaborative clinical effort?
Being on an equal basis Empathetic and non-judgemental listening Reassurring and affirmative Direct, respectful questions and suggestions
45
What are 3 common errors of suicidal interventions?
Sidestepping the issue (dont ask dont tell) Giving advice Not listening
46
Interventions are aimed at helping the patient answer what question?
What needs to change to make suicide a much less desirable option?
47
During an intervention what must the clinician and client do?
Systematically eliminate the reasons for dying and work to increase more reasons for wanting to live
48
What is the critical component for any good intervention?
relationship with the client
49
What is the black box warning for antidepressants in patients under 25
increased risk of suicidal thoughts or behavior
50
What are some clinical treatment options for suicidality?
Therapy (DBT, CAMS, CBT) ECT Lithium Ketamine
51
__________ has recently been recognized as a mitigator of suicidal behavior, even among patients who do not respond to its mood-stabilizing effects
Lithium
52