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what are gender risks?
male
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what are race risks?
white, indians, alaskan natives
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what are religion risks?
jews, protestants
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what are marriage risks?
divorced men
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what are profession risks?
professionals, high money people
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what does freud think about suicide?
agression turned inward.
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what did menninger think of suicide?
wish to kill, wish to be killed, wish to die
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what did Aaron beck think of suicide?
central emotional factor is hopelessness
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what is a copycat suicide?
mimicking to follow idol
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why are adolescents at risk for suicide?
premature frontal cortex
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how are african americans less at risk?
religion, role of extended family
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how are hispanics less at risk?
they're roman catholics.
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what is oregon's death with dignity act in '94?
terminally ill pts allowed physician assisted suicide.
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is assisted suicide legal in switerland?
yes.
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what are "overt statements" for suicidals?
open, observable, NOT secret.
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what are covert statements?
- "it's ok now, everything will fine"
- "things will never work out"
- "i won't be a problem much longer"
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how do you assess lethality of the suicide plan?
- - specific?
- - how lethal is the method?
- - access?
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what is the SAD PERSONS scale's 10 major risk factors?
- - Sex male
- - Age 25-44 or 65+
- - Depression
- - Previous attempt
- - Ethanol
- - Rational thinking (none)
- - Social supports lacking
- - Organized plan
- - No spouse
- - Sickness
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on the SADPERSONS scale, what are point systems and what do you do with the scale?
- -0-2: send home with followup
- -3-4: closely followup; consider hospitalization
- -5-6: strongly consider hospital
- -7-10: hospitalize or commit
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what are primary interventions for suicide?
activites that provide support, info, education to prevent suicide
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what is secondary intervention for suicide?
tx of suicide crisis
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what are tertiary intervention for suicide?
get with fam and friends to prevent aftereffects
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what is a suicide contract?
written contract in which the pt agrees not to harm and do something else
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what do we have to do to have effective counseling?
working relationship to engage in more realistic problem solving.
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it's a major part to reconnect the person to family and friends
gives them something to live for
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