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Psychiatry pro +1700 > Suicide > Flashcards

Flashcards in Suicide Deck (56)
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1

For every suicide, how many attempted suicides are there?

11

2

What is a crisis?

The point in an individual's life situation, when urgent intervention is required to avoid precipitous deterioration of his/her condition

3

What is the most common source of error in the ED with psychiatric concerns?

Overlooking physical conditions as an underlying cause of emotional distress

4

True or false: psychiatric dx usually stay on a patient's chart, even after the true etiology is later confirmed

True

5

What is the usual resulting behavior in a provider, when they are afraid of a patient? What are the consequences of this?

-More restrictive measures than necessary
-Start action to regain autonomy

6

What is the usual resulting behavior in a provider, when they over identify with the patient? What are the consequences of this?

Relaxing of precautions and lack of appropriate response

7

What is the usual resulting behavior in a provider, when they are angry at a patient? What are the consequences of this?

-Over-react and control/punish
-Fear in the patient and decreased self closure

8

What is the usual resulting behavior in a provider, when they are feel any measures they provide for a patient are hopeless? What are the consequences of this?

-passive or slow to intervene
-Lack of appropriate response, pt feels more hopeless

9

What are the common chronic medical condition that usually cause thoughts of suicide?

-AIDS
-TBI
-CA
-Epilepsy/Huntington's
-Spinal cord injuries
-Cardiopulmonary disease

10

What are the three major reasons for suicidal ideation from the internal mental state?

-Feelings of absolute guilt
-Need to escape
-Intolerable emotional states

11

True or false: psychotic patients are more likely to be violent than non-psychotic patients

True

12

True or false: psychotic patients are more likely to be victims of violence, than be perpetrators

True

13

What types of psychotic disorders are more likely to lead to violence?

-Paranoia
-Command hallucinations

14

What type of hallucinations are more likely to lead to violence?

Command hallucinations

15

Which two PDs are particularly prone to violence?

Borderline PD
Antisocial PD

16

What two lobes of the brain that, if injured, lead to violence?

frontal and temporal lobe

17

Is childhood or adolescent aggression more concerning for future violent behavior?

Childhood

18

True or false: a h/o having been victimized leads to a lower incidence of violence in the future

False--risk factor for violence

19

Are males or females a risk factor for violent behavior?

Male

20

What is the triad of symptoms that predicts violent behavior in kids?

-Firesetting
-Cruelty to animals
-enuresis

21

Is a younger or older age a risk factor for violent behavior?

Younger

22

What are the three major questions to ask to assess for violent behavior?

-Thoughts of harming others
-h/o seriously injuring another
-Most violent act ever committed

23

What are the four major steps to take when talking to a potentially violent patient?

1. Multiple communications
2. Alert staff
3. Watch for physical signs and indicators
4. Have all emergency info in place

24

Should you avoid direct eye contact with violent patients?

Yes

25

What should be the character of your voice with violent patients?

Remain calm and speak quietly

26

Where should you be relative to the patient and the door?

Closer to the door, but not blocking it

27

How far should you stand away from a violent patient?

Leg length

28

True or false: it is best to hospitalize all "at risk" patients, in terms of suicide potential

False

29

What is the only reason to psychiatrically hospitalize a patient?

If they're not safe anywhere else

30

What is the major issue with suicide contracts?

Takes away an "out" patients feel that they have