Suicide prevalence? - Answers ~35,000 or more per year in United States
- 5-6% (1,800) are in-patient suicides
4th leading cause of death
- Ages 10 to 65
Stongest predictor of suicide? - Answers Psychiatric illness
% of pts who commit suicide have seen a physcian with month of death? - Answers 2/3
How do suicide rates change with age? - Answers Adolescence: age 10-24
- Suicide rates rise sharply
Midlife: age 25-69
- Suicide rates plateau
Elderly: 70-
- Suicide rates rise again
Elderly vrs Adolescents suicide attempts:suicide? - Answers Adolescents have more suicide attempts
200:1 (attempt:suicide) compared to 4:1 in elderly
Demographics - Race/ethnicity for Suicide - Answers Whites, Native Americans 2x's > Hispanics, African
Americans, & Asians
- Age > 65: Whites, Hispanics, Asian
- Teens/early 20's: Native Americans, African Americans
Protective factors for suicide? - Answers - Marriage
( Single 2x's/Divorced/Widowed 5x's > Married)
- Children (except for during teenage pregnancy or pregnant women in lower SE status)
Risk factors of suicide? (4) - Answers - Bisexual orientation
- Occupation: Physician, dentist, nurses, artist, social workers, mathematician, scietist
- Mood disorder
- Sexual/Physcial abuse
, Chronic vrs Fatal illness risk of suicide? - Answers Chronic
Highest lethality of suicide? - Answers Hanging85% (> firearm 75%)
Which psychiatric illness is at high risk for suicide? - Answers - Schizophrenia
HIgh risk profile for suicide? - Answers - Young, male, white, never married
- Good pre-morbid functioning, deteriorating health
- Post-psychotic depression
- History of substance abuse
- History of suicide attempts
- Hopelessness, fear further deterioration, loss of faith in
treatment
- Social isolation, limited external support, family stress,
recent loss or rejection
- Psychiatric Hospitalization
Xtics of suicide ideation and attempt - Answers Suicide Incidence:(- 10.7 per 100,000 or 0.0107%
population/year)
Suicidal Ideation: (- 5.6% population/year, Lifetime prevalence: 13.5%)
Suicide Attempts:- (0.7% population/year; - 10-20x's more prevalent than suicide)
Most suicidal thoughts/attempts do not die by suicide
Most significant risk factor for suicide attempt? - Answers ...
Determination of high intent? (5) - Answers - Taking measures to avoid discovery
- Using more lethal methods
- Physical injuries from attempt
- Suicide note
- Did pt expect to die?
Meds tx of suicide risk? (5) - Answers ECT Evidence for short-term reduction of suicide, but not long-
term.