Which of the following individuals is at highest risk for a suicide attempt?
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a. John, who reports he is in deep emotional pain, feels hopeless, and says
"No one is there for me."
b. Kelly, who has been seeing a physician for chronic, intractable pain and
is taking pain medication.
c. Jim, an American Indian who just graduated from high school with
honors.
d. Mike, a physician who reports feeling burnt out and is considering
retirement.
, A
At risk groups for suicide
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Adolescents, college students
Older males
Euro-American ancestry
Limited emotional support
Therapeutic levels of lithium for acute mania?
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0.5 - 1.5mEq/L
Physiological effects of parasuicide and SIB
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increases serotonin and endorphins. does reduce emotional pain
What group targets parasuicide/SIB most?
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adolescents, are acting on impulse to manifest emotional pain into physical
pain. (cutting, burning)
Outcomes of lithium
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Acute mania and unipolar depression: Resolves hyperactivity, pressured
speech, poor judgment, insomnia
Anergia and Suicidality
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monitor for increased and spontaneous energy- this may be an indicator of
a possible attempt
External contributors to suicidality
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Recent losses ( job, spouse, child)
Rural (less social support and isolation)
History in family or friends
Prior suicide attempts
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a. John, who reports he is in deep emotional pain, feels hopeless, and says
"No one is there for me."
b. Kelly, who has been seeing a physician for chronic, intractable pain and
is taking pain medication.
c. Jim, an American Indian who just graduated from high school with
honors.
d. Mike, a physician who reports feeling burnt out and is considering
retirement.
, A
At risk groups for suicide
Give this one a try later!
Adolescents, college students
Older males
Euro-American ancestry
Limited emotional support
Therapeutic levels of lithium for acute mania?
Give this one a try later!
0.5 - 1.5mEq/L
Physiological effects of parasuicide and SIB
Give this one a try later!
increases serotonin and endorphins. does reduce emotional pain
What group targets parasuicide/SIB most?
, Give this one a try later!
adolescents, are acting on impulse to manifest emotional pain into physical
pain. (cutting, burning)
Outcomes of lithium
Give this one a try later!
Acute mania and unipolar depression: Resolves hyperactivity, pressured
speech, poor judgment, insomnia
Anergia and Suicidality
Give this one a try later!
monitor for increased and spontaneous energy- this may be an indicator of
a possible attempt
External contributors to suicidality
Give this one a try later!
Recent losses ( job, spouse, child)
Rural (less social support and isolation)
History in family or friends
Prior suicide attempts
