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Complete Package Verified
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Who has the highest risk for suicide?
✔✔ Individuals at greatest risk include elderly white males, those diagnosed with
schizophrenia, people who are single, divorced, widowed, those with prior suicide
attempts, and adolescents experiencing depression, bullying, or with a family
history of suicide.
Which group is most likely to complete suicide?
✔✔ Older white males have the highest rate of completed suicide.
What are common protective factors against suicide?
✔✔ Having children, participation in religious or spiritual practices, and strong,
supportive relationships with healthcare or mental health providers can help
reduce risk.
What does "lethality" mean in a suicide assessment?
✔✔ Lethality refers to the likelihood that a suicide attempt will result in death.
How is “intent” defined in suicide risk?
✔✔ Intent is the individual’s desire and expectation to die as a result of their
actions.
What qualifies as a suicide attempt?
✔✔ A suicide attempt includes any deliberate, self-inflicted act meant to be fatal
that did not result in death.
What is suicidal ideation?
✔✔ Suicidal ideation involves thinking about or planning suicide, often
accompanied by emotional and cognitive distress.
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Which part of the brain is linked to aggression and violent behavior?
✔✔ The prefrontal cortex is associated with impulse control, decision-making, and
regulation of aggressive behavior.
How do you assess someone for homicidal thoughts?
✔✔ Ask direct, clear questions:
• “Do you have thoughts of harming someone?”
• “Who is the target?”
• “Do you have a plan?”
• “Do you have access to weapons or means?”
• “Do you intend to act on these thoughts?”
What is the legal responsibility if a patient expresses homicidal ideation?
✔✔ Duty to warn: Mental health providers may be legally obligated to inform the
intended victim and authorities, depending on state laws.
Obsession - ANSWER✔✔1. Recurrent and persistent thoughts, urges, or images
that are experienced, at some time during the disturbance, as intrusive and
unwanted, and that in most individuals cause marked anxiety or distress
2. The individual attempts to ignore or suppress such thoughts, urges, or images, or
to neutralize them with some other thought or action (i.e. by performing a
compulsion)
Compulsion - ANSWER✔✔1. Repetitive behaviors or mental acts that the
individual feels driven to perform in response to an obsession or according to rules
that must be applied rigidly
2. The behaviors or mental acts are aimed at preventing or reducing anxiety or
distress, or preventing some dreaded event or situation, however, these behaviors
or mental acts are not connected in a realistic way with what they are designed to
neutralize or prevent, or are clearly excessive
Obsessive-Compulsive Disorder (OCD) - ANSWER✔✔A. Presence of obsessions,
compulsions, or both
B. The obsessions or compulsions are time-consuming (e.g. take more than one
hour per day) or cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning
C. The obsessive-compulsive symptoms are not attributable to the physiological
effects of a substance or another medical condition
D. The disturbance is not better explained by the symptoms of another mental
disorder
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PANDAS - ANSWER✔✔Pediatric Autoimmune Neuropsychiatric Disorders
Associated with Streptococcal infections
OCD common co-morbid conditions - ANSWER✔✔MDD (Major depressive
disorder)
Skin Picking
Hair Pulling
Most Common Compulsions - ANSWER✔✔Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
Differentiation between OCD and eating disorders - ANSWER✔✔Those with
eating disorders will be counting calories, focused on weight loss or maintaining a
specific weight
Treatment for OCD - ANSWER✔✔Cognitive Behavioral Therapy
Pharmacological Treatment for OCD - ANSWER✔✔First line treatment-SSRI
(Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
DSM-5 Body Dysmorphic Disorder - ANSWER✔✔Preoccupation with perceived
flaw on body taht is not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin picking,
reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder
BDD common preoccupations - ANSWER✔✔Facial flaws
genitalia
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Who has the highest risk for suicide?
✔✔ Individuals at greatest risk include elderly white males, those diagnosed with
schizophrenia, people who are single, divorced, widowed, those with prior suicide
attempts, and adolescents experiencing depression, bullying, or with a family
history of suicide.
Which group is most likely to complete suicide?
✔✔ Older white males have the highest rate of completed suicide.
What are common protective factors against suicide?
✔✔ Having children, participation in religious or spiritual practices, and strong,
supportive relationships with healthcare or mental health providers can help
reduce risk.
What does "lethality" mean in a suicide assessment?
✔✔ Lethality refers to the likelihood that a suicide attempt will result in death.
How is “intent” defined in suicide risk?
✔✔ Intent is the individual’s desire and expectation to die as a result of their
actions.
What qualifies as a suicide attempt?
✔✔ A suicide attempt includes any deliberate, self-inflicted act meant to be fatal
that did not result in death.
What is suicidal ideation?
✔✔ Suicidal ideation involves thinking about or planning suicide, often
accompanied by emotional and cognitive distress.
, For more files >>> Tutor3570@ gmail .com
Which part of the brain is linked to aggression and violent behavior?
✔✔ The prefrontal cortex is associated with impulse control, decision-making, and
regulation of aggressive behavior.
How do you assess someone for homicidal thoughts?
✔✔ Ask direct, clear questions:
• “Do you have thoughts of harming someone?”
• “Who is the target?”
• “Do you have a plan?”
• “Do you have access to weapons or means?”
• “Do you intend to act on these thoughts?”
What is the legal responsibility if a patient expresses homicidal ideation?
✔✔ Duty to warn: Mental health providers may be legally obligated to inform the
intended victim and authorities, depending on state laws.
Obsession - ANSWER✔✔1. Recurrent and persistent thoughts, urges, or images
that are experienced, at some time during the disturbance, as intrusive and
unwanted, and that in most individuals cause marked anxiety or distress
2. The individual attempts to ignore or suppress such thoughts, urges, or images, or
to neutralize them with some other thought or action (i.e. by performing a
compulsion)
Compulsion - ANSWER✔✔1. Repetitive behaviors or mental acts that the
individual feels driven to perform in response to an obsession or according to rules
that must be applied rigidly
2. The behaviors or mental acts are aimed at preventing or reducing anxiety or
distress, or preventing some dreaded event or situation, however, these behaviors
or mental acts are not connected in a realistic way with what they are designed to
neutralize or prevent, or are clearly excessive
Obsessive-Compulsive Disorder (OCD) - ANSWER✔✔A. Presence of obsessions,
compulsions, or both
B. The obsessions or compulsions are time-consuming (e.g. take more than one
hour per day) or cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning
C. The obsessive-compulsive symptoms are not attributable to the physiological
effects of a substance or another medical condition
D. The disturbance is not better explained by the symptoms of another mental
disorder
, For more files >>> Tutor3570@ gmail .com
PANDAS - ANSWER✔✔Pediatric Autoimmune Neuropsychiatric Disorders
Associated with Streptococcal infections
OCD common co-morbid conditions - ANSWER✔✔MDD (Major depressive
disorder)
Skin Picking
Hair Pulling
Most Common Compulsions - ANSWER✔✔Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
Differentiation between OCD and eating disorders - ANSWER✔✔Those with
eating disorders will be counting calories, focused on weight loss or maintaining a
specific weight
Treatment for OCD - ANSWER✔✔Cognitive Behavioral Therapy
Pharmacological Treatment for OCD - ANSWER✔✔First line treatment-SSRI
(Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
DSM-5 Body Dysmorphic Disorder - ANSWER✔✔Preoccupation with perceived
flaw on body taht is not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin picking,
reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder
BDD common preoccupations - ANSWER✔✔Facial flaws
genitalia
