Suicide

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Suicide

Psychological disorders

Mood disorders

Major depressive disorder

Suicide

Bipolar disorder

Seasonal affective disorder

Premenstrual dysphoric disorder

Anxiety disorders

Generalized anxiety disorder

Social anxiety disorder

Panic disorder

Agoraphobia

Phobias

Obsessive-compulsive disorders

Obsessive-compulsive disorder

Body focused repetitive disorders

Body dysmorphic disorder

Stress-related disorders and abuse

Post-traumatic stress disorder

Physical and sexual abuse

Psychotic disorders

Schizoaffective disorder

Schizophreniform disorder

Delusional disorder

Schizophrenia

Cognitive and dissociative disorders

Delirium

Amnesia

Dissociative disorders

Eating disorders

Anorexia nervosa

Bulimia nervosa

Personality disorders

Cluster A personality disorders

Cluster B personality disorders

Cluster C personality disorders

Somatoform and factitious disorders

Somatic symptom disorder

Factitious disorder

Substance use disorders and drugs of abuse

Tobacco dependence

Opioid dependence

Cannabis dependence

Cocaine dependence

Alcohol use disorder

Sleep disorders

Bruxism

Nocturnal enuresis

Insomnia

Night terrors

Narcolepsy (NORD)

Sexual dysfunction disorders

Erectile dysfunction

Male hypoactive sexual desire disorder

Orgasmic dysfunction

Female sexual interest and arousal disorder

Genito-pelvic pain and penetration disorder

Pediatric disorders

Attention deficit hyperactivity disorder

Disruptive, impulse control, and conduct disorders

Learning disability

Fetal alcohol syndrome

Tourette syndrome

Autism spectrum disorder

Rett syndrome

Shaken baby syndrome

Enuresis

Encopresis

Psychiatric emergencies

Suicide

Serotonin syndrome

Neuroleptic malignant syndrome

Psychological disorders review

Mood disorders: Pathology review

Amnesia, dissociative disorders and delirium: Pathology review

Personality disorders: Pathology review

Eating disorders: Pathology review

Psychological sleep disorders: Pathology review

Psychiatric emergencies: Pathology review

Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review

Malingering, factitious disorders and somatoform disorders: Pathology review

Anxiety disorders, phobias and stress-related disorders: Pathology Review

Trauma- and stress-related disorders: Pathology review

Schizophrenia spectrum disorders: Pathology review

Drug misuse, intoxication and withdrawal: Stimulants: Pathology review

Drug misuse, intoxication and withdrawal: Alcohol: Pathology review

Developmental and learning disorders: Pathology review

Childhood and early-onset psychological disorders: Pathology review

Assessments

Suicide

Flashcards

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USMLE® Step 1 questions

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Flashcards

Suicide

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Questions

USMLE® Step 1 style questions USMLE

of complete

A 21-year-old woman presents to the emergency department for evaluation of suicidal ideation. The patient was brought by her roommate, who found the patient’s journal with notes regarding a detailed suicide plan via a self-inflicted gunshot wound. The patient is currently a junior in college and has been under increased stress due to a recent break-up with her partner and failing two classes this semester. Past medical history is notable for bipolar disorder, cocaine and alcohol use, and depression. She has a history of two prior psychiatric admissions, one due to an attempted suicide during high school and another due to a manic-depression episode. On evaluation the patient is evasive and unwilling to provide any history. Scattered superficial lacerations are noted on the forearms. Given this patient’s presentation, which of the following is the strongest risk factor for suicide completion?

External References

First Aid

2022

2021

2020

2019

2018

2017

2016

Alcohol use

suicide and p. 585

Depression

suicide and p. 585

Substance abuse

suicide and p. 585

Suicidal patients p. 274

confidentiality exceptions and p. 270

elderly p. 270

Suicide

bipolar disorder and p. 584

borderline personality disorder and p. 588

deaths from p. 277

major depressive disorder and p. 584

physician-assisted p. 274

risk factors for p. 585

schizophrenia and p. 583

Suicide (physician-assisted) p. 274

Transcript

Every 40 seconds someone around the world dies by suicide.

The US Centers for Disease Control cite suicide as the second leading cause of death among individuals aged 15 to 34, right after unintentional injuries like car crashes.

And it’s a major cause of death among the elderly as well.

In fact, for every one that dies by suicide, there are over 20 others that have attempted suicide!

Now, prior to any suicide or attempted suicide, a person usually has suicidal thoughts, and that’s called suicidal ideation.

There’s a range - from passive suicidal ideation, where a person thinks they would be better off dead, to active suicidal ideation, where a person starts to make specific plans to die by suicide.

Fortunately, most people with suicidal ideation never attempt suicide, but there’s no reliable way to identify those who will.

Having said that, there are some predictive risk factors to consider.

To identify individuals at higher risk of completing suicide, there’s a risk assessment scale, which can be remembered with the acronym SAD PERSONS.

S stands for male sex, A for age younger than 19 or older than 45, D for Depression, P for Previous suicide attempt, E for Excess alcohol or substance use, R for Rational thinking loss - having a distorted sense of reality, S for Separated or Single, O for Organized plan - like overdosing on pills, N for No social support and S for Sickness.

More risk factors - means a higher suicide risk.

There are a few mental health conditions that can increase the risk for suicide- in particular, clinical depression and alcohol or substance addiction.

Clinical depression, which is sometimes called major depressive disorder or unipolar depression, is a relatively common but very serious condition that interferes with someone’s day to day life like working, studying, eating, sleeping— essentially leading to an overall feeling that life isn’t enjoyable.

Summary

Suicide is the act of intentionally causing one's own death. Suicide is often carried out as a result of despair, the cause of which is frequently attributed to a mental disorder, alcoholism, or drug abuse, as well as stress factors such as financial difficulties and bullying. Suicide prevention efforts include limiting access to lethal methods of suicide such as firearms and poisons, treating mental illness and drug misuse, and improving economic conditions.
Elsevier

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