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25 Cards in this Set
- Front
- Back
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What are 3 Main/Gen'l Methods of Assessing the Risk of Suicide?
Why should a suicide assess be done > once? |
1. Considering various risk factors
2. Suicide Screening Questions 3. Psychological Tests A person's risk for suicide may change over time. |
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When should suicide assessments be done?
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1. Initial Eval
2. During ea session after a hospital discharge 3. During ea suicide intervention 4. At the onset of a NEW, PAINFUL or disabling medical condition 5. At the onset of NEW or intensification of a co-existing psychiatric disorder 6. At the onset of signs of relapse or recurrence of symptoms 7. At the occurrence of a major stressor 8. On the emergence of other high-risk factors |
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When doing a suicide assessment, what tools should be considered or integrated?
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1. Various Risk Factors
2. Suicide Screen'g Ques 3. Psychological Tests |
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What are 7-9 gen'l risk factor categories for suicide?
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Thoughts/Behaviors
Psychiatric Dx Psychiatric Symptoms Physical Illness Psychosocial Factors Demographic Crc's Gender Age Race |
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When assessing for risk for suicide: What are some specific thoughts and behaviors to pay attention?
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Suicidal Plan
History of previous attempts or self-mutilation Giving Away Possession |
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What Diagnosis has an
Elevate Risk of Suicide > One that has Diagnosis with elevated risks? |
Major Depression, Severe with Psychotic Feat > BP1
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What Neurological Disorders can incr risk of suicide?
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Neurological Disorders
- MS - Huntington's - Seizure Disorder - Brain Injury |
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What other 3 Physical/Medical Illnesses can incr risk of suicide?
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HIV/AIDS
Pain Syndromes Cancer - head & neck (greater risk) |
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Name 5-7 Psychosocial Factors that can incr risk of suicide?
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- family hx of mental ill
- family hx of suicide - chronic stress - acute stress event - hx of DV - hx of childhood trauma - lack of social support |
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What 7 Demographic crcs should be considered as factors of risk to suicide?
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Male > Female
White/Native-Amer Older > Younger Widowed/Divorced/Sgl > Married Bi/Homosexual > Heterosexual Health Occupations > Non-Health Occupations |
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Name 6-7 perfect-storm factors that can incr risk of suicide with teens
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- Depressed+Aggressive/Hostile
- Aggression - Hostility - Impulsivity - Recent Interpersonal Conflict/Loss - Substance Abuse - History of Physical/Sexual Abuse - |
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Name risk factors for older adults
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- Physical illness
- Depression / Bipolar - Multiple losses assoc'd aging - Access to firearms |
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What are the ages of most risk for adults?
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Females 45-54
Males <74 |
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How is gender associated with: the difference b/w suicide attempts vs completed suicides?
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Attempts: Females > Males
Completion: Males > Females |
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Other than Whites what race is nearly doubled the national avg of their age group?
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Native-American ages 15-34
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Name 7-8 Protective Factors assoc'd with decreased risk of suicde
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- Good Coping/Problem-solving skills
- Intact Reality testing - Sense of Responsibility toward famliy - Access to social support - Motivation to seek help - Good/Positive Therapeutic Alliance - Cultural/Moral/Religious Values (discouraging suicide) - fear of suicide |
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Are there any existing formulas assoc'd with the prediction of suicide?
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No. However, the risk factors are significant when a person has a
- lethal, concrete & detailed plan - means of carrying out the plan |
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When should an Assessment lead to an Action?
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When the "ideation" becomes a "plan"
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Suicide Screening Questions should address...
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- feelings about living
- follow-up with their thoughts about self-harm, death, and suicide - ask about thoughts/ideations, intent, plan, lethality, and means. - if they have a hx, inquire about the incedents - as appropriate, follow up by addressing risk of harm to others |
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Suicidal Ideation: Name 6 types of Psychological Tests that can be administered to evaluate suicidal ideation + protective factors
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1. Beck Scale for Suicide Ideation (BSS)
2. Beck Depression Inventory-2nd Ed (BDI-ll) 3. Beck Hopelessness Scale (BHS) 4. Reasons for Living Inventory 5. MMPI 6. Rorschach |
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Treatment: Why are there 2 goals of treatment?
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Primary goals of treatment is to
- ensure the client's safety by eliminating/reducing access to common methods of suicide - establish therapeutic alliance - alleviate acute risk symptoms that will respond to tx Secondary Goal - to reduce future suicide risks |
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What are the 3 main treatment options for ppl at risk for suicide?
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1. Hospitalization
2. Outpatient Crisis Intervention 3. Outpatient Psychotherapy |
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Relatively, what factors can contribute more to the risk of suicide?
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White > Latino
Age 62 > 36 Epilepsy Seizures > Diabetes Social Worker > Psychologist |
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What occupations are at increased risk of suicide?
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Dentists
Nurses Physicians Social Workers |
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What disorders/illnesses predispose indvl's to increased risk of suicide?
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Neurological Disorders
Epilepsy Huntington's HIV / AIDS Pain Disorders (Chronic) Malignancies / Cancers of the head and neck MS |
