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18 Cards in this Set
- Front
- Back
suicide is the 3rd leading cause of death in persons age __
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15-24
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A 78 year-old white male, recently widowed, comes to your office complaining of insomnia. Further questioning reveals that the patient is feeling depressed and hopeless. He tells you he has “no reason to live” since his wife died. He started drinking whiskey to help him sleep but now he is drinking “more than he should”. His only son and grandchildren live in another state.
what are his risk factors for suicide? |
white male
late age recent loss substance abuse depression |
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give the demographic risk factors for suicide:
age gender race marital status religion occupation |
Age – elderly at highest risk for completed suicide
Gender – males at higher risk than females for completed suicide (more women will try) Race – white, Native American at highest risk Marital status – single, widowed, divorced Religion – Protestant, Jewish Occupation – professionals - especially physicians; unemployed |
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what two psychiatric disorders have increase rates for completed suicide?
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MDD 15%
Substance Related Disorders 15% |
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What are 2 of the biggest risk factors for suicide?
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History of previous suicide attempt!
Family history of suicide others: Feelings of hopelessness Suicidal ideation, plan for suicide Access to firearms Stressful life events, recent loss Lack of social support, lives alone Severe anxiety, panic attacks Insomnia or lack of sleep Chronic or terminal illness (e.g., AIDS, cancer) Prolonged pain, loss of function, disfigurement |
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what is Parasuicidal Behavior?
* |
Term that describes persons who engage in self harm (e.g., cutting the skin) without the expectation of dying.
Some are malingering – seeking admission to hospital to avoid situations such as incarceration Others want attention from significant others 10% go on to complete suicide More often: female; low lethality; <35 yr. old; high expectation of rescue Personality disorder, adjustment disorder, substance abuse common |
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when should you try to commit someone
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imminent risk to self or others
acutely psychotic/manic cant take care of themselves |
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15,000 homicides
2nd leading cause of death in ages ___ |
15-24
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Static Risk Factors: Demographic for violence:
age gender SEC |
Age
Risk increased in teens to early 20’s Increased violence among those > 70 (esp. if have dementia) Gender Men 3 times more likely than women Socioeconomic status Lower SES associated with increased risk Research with higher SES not extensive |
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what is the greatest risk of violence?
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Substance abuse
in patients with or without mental illness substantially increases risk (i.e. greatest risk is mentally ill patient that has substance abuse!) |
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what is the single best predictor of violence?
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Previous history of violence = single best predictor
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Men Vs. Women in Suicide:
-Who attempts more suicide? -Who completes more suicide? |
Women attempt more suicide (use less-lethal methods)
Men complete more suicide (use more lethal methods) |
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What are the demographics for parasuicidal behavior? (gender, age)
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• More often: female; low lethality; <35 yr. old; high
expectation of rescue |
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What are "static" risk factors?
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inherent risk factors that are UNLIKELY TO CHANGE
(Dynamic risk factors = likely to change) |
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What are three things that increase a person's LEVEL of suicidality?
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-Thoughts of suicide
-Plan (want to use gun) -Intent (buy gun) |
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Do you see more violence in treated mentally ill patients or persons without mental disorders?
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Rate of violence is the SAME!
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Tarasoff Rulings:
Tarasoff I: Tarasoff II: |
Tarasoff I:
healthcare professional has duty to INFORM victim of violent threat of their patient Tarasoff II: therapists have duty to PROTECT potential victims by informing the police |
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911, CPS, APS?
Adult on adult violence = ? Adult on child violence = ? Adult on Elderly violence = ? |
Adult on adult = counsel victim to report
Adult on child = 911, CPS (CPS only if suspect) Adult on Elderly = 911, APS (APS only if suspect) |