Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
25 Cards in this Set
- Front
- Back
|
3 psychiatric disorders that suicide "cuts across"
(i.e. has significant co-occurence with) |
Depression
Alcoholism (i.e. substance abuse) Schizophrenia |
|
|
% of people who commit suicide who have psych illness @ the time
|
90%
|
|
|
What is "parasuicide"?
|
Low lethality suicide attempts w/ greater expectation of rescue
|
|
|
Description of pt. more likely to "commit" "parasuicide"
(age, sex, disorders, etc.) |
Young (< 35)
Female Adjustment disorder, Cluster B Personality Disorder |
|
|
Description of pt. more likely to "complete" suicide
(age, sex, disorders, etc.) |
Older (> 60)
Male MDD, psychotic disorder, substance-related disorder (esp. alcohol) |
|
|
What is the major cause of death in jail?
|
Suicide
|
|
|
5 STATIC risk factors for suicide
|
Demographic variables
Psychiatric diagnosis Prior suicide attempts Medical illness Trait vulnerabilities (i.e. personality disorder) |
|
|
Do Males or Females attempt suicide more?
Which group is more successful at completing it? |
Females attempt it 3-4x more frequently
Males are successful 2-3x more frequently |
|
|
What is the age distribution for black & white males for the suicide rate?
|
BOTH groups peak between ages 20 and 40
Black males increase again after 75 White males increase again after 65 (continues to increase w/ age) |
|
|
Who makes more attempts at suicide, young people or old people?
Who is more likely to succeed? |
Younger people make more attempts
Older people are more likely to succeed |
|
|
Depression is found in what % of completed suicides?
|
30 - 70%
25% of MDD pts. attempt 15% ultimately succeed |
|
|
Sensitivity and specificity characteristics of symptom of hopelessness
|
High sensitivity
Low specificity |
|
|
% of those who commit suicide w/ diagnosis of alcoholism
|
20%
|
|
|
% of suicides that occur within 1 year of last hospitilization
|
40%
|
|
|
% of schizo pts. who attempt, and who succeed at suicide
When, in course of illness, do most suicides occur? |
30% attempt
10% of pts. succeed Most often during 1st year of illness (after multiple admissions) |
|
|
What is the best predictor of future behavior?
|
Past behavior
|
|
|
When is the risk highest for a suicide attempt?
(in a person who has attempted before) |
During the year following the previous attempt
|
|
|
Stressors in adolescents that are most likely to induce suicide
|
Interpersonal conflicts
Separations and rejections |
|
|
Stressors in 40-60 year olds that are most likely to induce suicide
|
Economic problems
|
|
|
Stressors in >60 year olds that are most likely to induce suicide
|
Medical illness becomes the most important factor
|
|
|
Most common personality disorder in those who attempt suicide
|
Borderline personality disorder
|
|
|
All suicide victims w/ personality disorders seem to have Axis 1 problems
95% of cases also include at least of one of what 2 Axis 1 disorders? |
Major Depression
Substance abuse disorder |
|
|
Suicide victims, compared to accident victims, have lower levels of what chemical?
|
CSF 5-HIAA
(major metabolite of 5-HT) NOTE: upregulation of 5-HT2A receptors in pts. w/ prev. suicide attempts |
|
|
Less amounts of what substance is assoc. w/ impulsive behavior?
|
5-HIAA
(major metabolite of 5-HT) Low serotonin is assoc. w/ low impulse control |
|
|
What substances appear to have facilitatory roles when it comes to impulsivity?
|
DA and NE
Borderline pts. on TCAs often have worsened hostility and paranoia |
