Flashcards in Suicide Deck (56)
For every suicide, how many attempted suicides are there?
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
What is the most common source of error in the ED with psychiatric concerns?
Overlooking physical conditions as an underlying cause of emotional distress
True or false: psychiatric dx usually stay on a patient's chart, even after the true etiology is later confirmed
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
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
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
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
What are the common chronic medical condition that usually cause thoughts of suicide?
-Spinal cord injuries
What are the three major reasons for suicidal ideation from the internal mental state?
-Feelings of absolute guilt
-Need to escape
-Intolerable emotional states
True or false: psychotic patients are more likely to be violent than non-psychotic patients
True or false: psychotic patients are more likely to be victims of violence, than be perpetrators
What types of psychotic disorders are more likely to lead to violence?
What type of hallucinations are more likely to lead to violence?
Which two PDs are particularly prone to violence?
What two lobes of the brain that, if injured, lead to violence?
frontal and temporal lobe
Is childhood or adolescent aggression more concerning for future violent behavior?
True or false: a h/o having been victimized leads to a lower incidence of violence in the future
False--risk factor for violence
Are males or females a risk factor for violent behavior?
What is the triad of symptoms that predicts violent behavior in kids?
-Cruelty to animals
Is a younger or older age a risk factor for violent behavior?
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
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
Should you avoid direct eye contact with violent patients?
What should be the character of your voice with violent patients?
Remain calm and speak quietly
Where should you be relative to the patient and the door?
Closer to the door, but not blocking it
How far should you stand away from a violent patient?
True or false: it is best to hospitalize all "at risk" patients, in terms of suicide potential
What is the only reason to psychiatrically hospitalize a patient?
If they're not safe anywhere else