Psychology - book info for depression suicide

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Author:
tmlindquist
ID:
303993
Filename:
Psychology - book info for depression suicide
Updated:
2015-06-22 13:52:23
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Psychology
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Psychology
Description:
Information from text highlighted in lectures, suicide section
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  1. Side effects of SSRIs
    • agitation
    • insomnia
    • HA
    • N/V
    • sexual dysfunction
    • hyponatremia
  2. Side effects of tricyclic antidepressants (TCAs)
    • dry mouth
    • constipation
    • urinary retention
    • blurred vision
    • hypotension
    • cardiac toxicity
    • sedation
  3. Side effects of MAOIs
    • insomnia
    • nausea
    • agitation
    • confusion
    • hypertensive crisis
  4. Sx of serotonin syndrome
    • hyperactivity or restlessness
    • tachycardia, cardiovascular shock
    • fever
    • HTN
    • altered mental states
    • irrationality, mood swings, hostility
    • seizures
    • myoclonus
    • abdominal pain, diarrhea, bloating
    • apnea, death
  5. This type of medication should not be stopped abruptly
    • SSRIs
    • can lead to serotonin withdrawal
  6. Toxic effect of MAOIs can cause this
    HTN crisis: severe headache, tachycardia, palpitations, hypertension, N/V
  7. Define suicide intent
    the degree to which a person intends to act on suicidal ideation
  8. Top four risk factors for suicide
    • suicidal ideation with intent
    • lethal suicide plan
    • history of suicide attempts
    • family history of suicide
  9. mechanisms of suicidality
    • acutely overwhelming physical, social and/or psychological situation (stressors)
    • Usual coping methods are overwhelmed and person sees no way out
    • high ambivalence
    • ~50% have EtOH in their blood at time of suicide
  10. Risk assessment considerations
    • current suicidal ideation and/or plan
    • past hx
    • current mindset (seeing no alternatives, etc.)
    • substance abuse/dependence
    • minimization of distress, lack of forthcomingness about feelings, unwilling to admit to suicidal ideation/plan, high ambivalence
    • current depression and treatment response (enough energy to care out plan?)
  11. What is "Flight into Health"?
    • A patient demonstrates rapid improvement, but it is "too good to be true".
    • A sign of possible suicidal intention (get released from care/in-patient setting so that they will be able to complete their plan).
  12. Assessment questions for suicide risk
    • Life isn't worth living?
    • Hopeless?
    • Others would be better off?
    • How often do you think above?
    • do you want to kill yourself?
    • have you ever tried?  How?
    • If you try, plan?
    • when did you last have these thoughts?
    • feel like acting on them?
    • What stopped you? (VERY IMPORTANT)
    • When might you do it?
    • lethality assessment (do you have the means?)
    • who can you call before suicide? (interpersonal resource)
  13. Intervention policy - hierarchy of needs
    • SAFETY
    • biological/physical needs
    • social interaction/doing
    • self-esteem/self-worth
  14. What is the 'contracting approach' with inpatients?
    • Have an agreement with pt to let you know if feeling out of control/ready to act on suicidal ideation/plan.
    • DO NOT rely on exclusively
  15. Suicide intervention
    • work with the side of teh person that wants to live
    • Detemine what prevents
    • help activate social support
    • provide structure to day (reduce rumination
    • provide statements of hope

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