Week 7 Flashcards

(40 cards)

1
Q

What are the key steps in suicide risk assessment that need to be determined?

A

Plan
Means
Timeframe
History of previous attempts

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2
Q

What is a suicide safety plan?

A

list of coping strategies for use during suicidal crisis

should be first intervention

enhances patients sense of control

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3
Q

what are some suicide risk factors?

A
History
Life stressors
Psychiatric disorders
Physical changes
Behaviour
Demographics
Thoughts
Feelings
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4
Q

how many people die from suicide in australia?

A

9.1%
3/4 being male

leading cause of death for people 15-44

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5
Q

What is Dysthymia?

A

less severe but usually longer lasting type of depression

involving chronic symptoms that don’t disable a person but prevent them form being 100%

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6
Q

What are some major complications that can arise from CNS stimulant toxicity?

A

Hyperthermia

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7
Q

What are some examples of ‘Psychiatric disorders’ as a suicide risk factor?

A

depression
schizophrenia
personality disorders
alcohol/substance abuse

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8
Q

What are the key ECG findings of TCA Toxicity?

A
QRS widening
PR prolonged
QT prolonged
Right axis deviation
RBBB
Tachnycardia
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9
Q

What is the triad of symptoms of serotonin syndrome?

A

Autonomic instability
neuromuscular hyperactivity
mental status changes

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10
Q

what are the cardio vascular effects of Amitryptyline

A

sinus tachy/hypertensionhypotension/

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11
Q

What are some examples of ‘History’ as a suicide risk factor?

A
  • past attempt
  • family history of completed suicide
  • know someone who has
  • childhood trauma
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12
Q

What are the primary classifications of bipolar disorder?

A

Bipolar 1
Bipolar 2
Cyclothymic disorder

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13
Q

what are the 5 stages to the Kubler-Ross grief cycle?

A
  1. Shock and denial
  2. Anger
  3. Depression and detachment
  4. Dialogue and Bargaining
  5. Acceptance
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14
Q

What are some examples of ‘Physical changes’ as a suicide risk factor?

A

lack of energy
insomnia
loss of appetite
physical illness

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15
Q

What are some examples of ‘Behaviour’ as a suicide risk factor?

A

substance abuse
impulsivity
withdrawl
recklessness

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16
Q

WHat is the difference between Bipolar 1 & 2?

A

1 and 2 differ in length and intensity of the high.

1 requires one experience of mania but does not require episode of depression.

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17
Q

what are the CNS effects of Amitryptyline

A

delirium/confusing/sedation/seizures/coma

18
Q

what are trycyclic antidepressants?

A

noradrenaline and serotinin reuptake inhibitors

and

GABA -A receptor blockers

19
Q

What are the signs and symptoms of TCA toxicity?

A
  • drowsiness/confusion
  • tachycardia
  • slurred speech
  • hyperreflexia
  • hypertension

Sever symptoms:

  • coma
  • resp depression
  • dysrhythmias
  • hypotension
  • seizures
20
Q

What are some examples of ‘Life stressors’ as a suicide risk factor?

A
lack of supports
relationship problems
unemployment
sexual abuse
pain
21
Q

What causes the cardiotoxic effects of trycyclic antidepressants?

A

blackade of inactivated fast sodium channels

22
Q

What are key protective factors to depression?

A
strong relationships
social networks
religion
school/employment
dependent children
23
Q

What is postnatal depression?

A

lasts more than a 1-2 weeks and affects functioning on daily basis

24
Q

What are common clinical symptoms of CNS stimulants?

A
tachycardia
hypotension
dilated pupils
dysrhythmias
diaphoresis
agitation
hyperthermia
seizures
25
What can happen with TCA OD?
Life threatening cardiac dysrhythmias
26
What level of QRS widening in TCA toxicity is associated with seizures?
>100ms >160ms is associated with cardiac dysrhthmias
27
What are the 2 types of suicidal ideation?
Passive - thoughts without nay intent | Active - plans etc
28
What are some examples of 'feelings' as a suicide risk factor?
``` hopelessness desperate disconnected worthless agitation ```
29
what is australias major cause of OD fatalities?
trycyclic antidepressants
30
What are some examples of 'demographics' as a suicide risk factor?
``` male living alone divorced/widowed LGBTI indigenous ```
31
What is serotonin syndrome?
too much serotonin in brain or periphery
32
What are the 4 branches in the AV CPGS under overdose?
Opioids TCA antidepressants Sedatives Psychostimulants
33
According to AV CPG's what are the 3 signs of TCA toxicity?
- QRS >0.12 - hypotension - ventricular arrhythmias
34
Quetiapine OD effects include?
coma anticholinergic delirium prolonged QT Doses >3g cause coma
35
What are common psychotherapies for major depressive disorder?
cognitive-behavioural therapy Interpersonal psychotherapy Mindfulness based cognitive therapies
36
What are the primary classifications of depressive disorders?
Disruptive mood dysregulation disorder persistent depressive disorder major depressive disorder
37
What are some examples of 'thoughts' as a suicide risk factor?
``` current plan talk of death no future escape alone ```
38
What are the cardiovascular effects of CNS stimulants?
sympathomimetic, vasospastic and sodium channel blocking blocks fast sodium channels increased intracranial haemorrhage risk acute cardiomyopathy pulmonary oedema
39
What are some symptoms of bipolar?
``` elevated irritable mood increased activity or energy increased self esteem decreased need for sleep pressured speech distractibility ```
40
WHat are the 2 categories of mood disorders?
Bipolar disorders | Depressive disorders