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11 Cards in this Set
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- 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?
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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 |
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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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