Term
| What factors predispose a female to mood disorders during pregnancy or postpartum period? (8) |
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Definition
depression during previous pregnancy or postpartum course
family history of axis I disorders
depression before the pregnancy
maternal or paternal alcoholism
unspportive partner
adverse life effects
poor social support
ambivalence about the pregnancy |
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Term
| What test is used to screen for mood disorders in pregnancy? |
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Definition
EPDS
Edinburgh Postnatal Depression Scale |
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Term
| What are the 3 risks and 1 benefit for SSRIs in pregnancy? |
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Definition
Congenital anomolies
Perinatal complications
Nerobehavioral sequelae
Benefits: treat impuslivity and lack of attention to prenatal care |
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Term
| A major depressive episode that occurs within the first six months after delivery |
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Definition
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Term
| mildest of mood disturbances, seen within 2 weeks of delivery, symptoms resolve spontaneously and do not require treatment |
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Definition
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Term
| What number leading cause of death of all ages is suicide? What number for agese 15-24? |
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Definition
all ages 11th leading cause
15-24 3rd leading cause |
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Term
| Leading causes of suicide? |
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Definition
Firearms (51.6%)
hanging/suffocation
poison/overdoes |
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Term
Ratio of non-fatal attempts?
Estimated number of attempts annually? |
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Definition
suicides are 25:1
estimated 811,000 attempts annually |
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Term
| Suicide rates are most common in what age groups? |
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Definition
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Term
| What are the 6 demographic characteristics for suidcidal patient? |
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Definition
white
male
never married, widowed, divorced
over 65
15-24
unemployed |
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Term
| What are 5 behavioral characteristics of suicidal patient? |
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Definition
antisocial acts
poor impulse control, risk taking, aggressiveness
preparing for death
well-developed, detailed suicide plan
statements of intent to inflict harm on self or others |
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Term
| What does SAD PERSONS stand for? |
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Definition
Sex
Age
Depression
Previous attempt
Ethanol abuse
Rational thinking lost
Social support lacking
Organized plan
No spouse
Sickness |
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Term
What are the effects of
Clozapine
Lithium
Antidepressants
Anticonvulsants |
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Definition
Clozapine-reduces risk of suicide in schizophrenia
Lithium-reduces risk in bipolar and others mood disroders
Antidepressants-increases risk in children and adolescents but decreases risk in adults
Anticonvulsants-seizure disorder may have increased risk of suicide |
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Term
| What are the two types of involuntary admission? |
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Definition
Emergency admission-person is acting in danger of others or to themselves
2PC-2 physician commitment that says they need to be hospitalized |
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Term
| What are the 5 components of dangerousness? |
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Definition
1. Nature of harm or conduct
2. Magnitude of harm
3. Probablity
4. Imminence
5. Frequency |
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Term
| How does commitment vs. competency work in a psychiatric place? |
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Definition
| Just because a person is committed to a psychiatric ward does not mean that they give up any of their rights to refuse medication |
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Term
| Rivers vs. Katz gave 4 Medical Overrids what are they? |
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Definition
Have to prove the patient:
lacks capacity to make decisions
lacks this capacity because of a mental illness
there is a likely benefit for receiving treatment
no less restrictive treatment that will give them same benefit |
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Term
| What does CRAM stand for when determining a patients capacity? |
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Definition
Choice-preference or awareness
Relevant-factual understanding
Apreciate seriousness of the conditions
Manipulate information in a rational fashion (weigh pros and cons) |
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Term
| What service protects psychiatric patients? |
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Definition
MHLS
mental hygiene legal service |
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Term
| What are 4 hearings the MHLS could have? |
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Definition
discharge
treatment
over objetion
length of stay |
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Term
| What is the Tarasoff case for? |
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Definition
| It stats that psychiatrists have the duty to warn and protect third parties involved |
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Term
| What are 4 principles to follow when breaching confidentiality? |
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Definition
notify patient whenever possible
utilize therapeutic alliance
encourage patient to inform
document rationale for action |
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Term
| What are some medications and drugs associated with aggression? |
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Definition
| alcohol, analgesics, antidepressants, cocaine, amphetamines |
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Term
| What are some psychological predictions of violence? |
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Definition
| low frustration tolerance, low self-esteem, externalization(everything has to do w. out there no in themselves) |
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Term
| What are some guidelines to follow for physically approaching a patient? |
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Definition
| body posture, voice tone, facial expressions, stand atleast 1 1/2 arms length away, stay near an escape route, turn body sideways |
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Term
| Verbally approaching a patient? |
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Definition
| calm, direct reassuring manner, don't let your tone sound like a threat |
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Term
| What are some past history warnings for violent patient? |
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Definition
| arrest, fighting, sanctioned violence, head trauma, psychosis, seizures, encephaliitis |
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Term
| things to look for in the childhood? |
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Definition
degree to which violence was normative in family and culture oriding
fire setting, bed-wetting, cruelty to animals |
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