Term
| Van Orden What is a paradox of later life? |
|
Definition
| Characterized by greater well being and greater risk of suicide. |
|
|
Term
| Van Orden explain the paradox of later life? |
|
Definition
| Suicide death is the outcome of veering off the expected developmental trajectory due to risk factors, or lack of protective factors. |
|
|
Term
| Van Orden FIVE major risk factors |
|
Definition
Psychiatric Illness - Depression
Social Isolation - Friends, Family, Community
Functional Impairment
Physical Illness
Pain |
|
|
Term
| Van Orden birth cohorts with highest suicide rates |
|
Definition
|
|
Term
| Van Orden How often do older adults who die by suicide visit PCP |
|
Definition
2/3 or more see PCP within a month of deaths.
1/2 within 1 week.
Short forms of GDS are effected in detecting ideation. |
|
|
Term
| Which factors do Van Orden report may raise suicide risk by increasing probability of one or more of the five major risk factors? |
|
Definition
Mood Disorders
Distrust of Medical Providers - fear losing autonomy. |
|
|
Term
| According to Chesney what mental disorders had substanitially increas >10 times of suicide for both genders? |
|
Definition
Bi-Polar
Schizophrenia
Personality Disorders
Substance Abuse
Depression |
|
|
Term
| According to Chesney what mental disorders increase for women |
|
Definition
Alcohol Use Disorder
Anorexia |
|
|
Term
| According to Chesney what risk for individuals with autism |
|
Definition
| 2.8 times the risk of general population |
|
|
Term
| According to Chesney what type of risk for individuals with cocaine and ampehtamine use? |
|
Definition
Cocaine 4 to 8 times the risk
Amphetamines 6.2 times the risk |
|
|
Term
| According to Chesney what is true of mortality risk for any mental disorders? |
|
Definition
| All have higher risk from 1.4 to 14.7 times the risk |
|
|
Term
| Silverman Babel nomenclature inclues what two major areas? |
|
Definition
| Suicidal threat and Suicide plan |
|
|
Term
| Within clinical context, Silverman conceptulaized definitons for suicide -related ideation, threat, self-harm and suicide with what common basis |
|
Definition
| Presence or Absence of suicidal intent |
|
|
Term
| Silverman separates Suicide-Related thoughts and behaviors into what three major categories? |
|
Definition
| Suicide-related ideations, Suicide-related communications, and suicide-related behaviors |
|
|
Term
| What is the overriding premise regarding Silverman nomenclature for suicide related ideations, communications, and behaviors? |
|
Definition
| All three are self-initiated. |
|
|
Term
| Differentiating between the presence or absence of what two domains form the basis regarding the new silverman et al nomenclature? |
|
Definition
| Presence or absence of SUICIDE INTENT and presence/absence of SUICIDE INJURY. |
|
|
Term
| What comprises suicide-related communications |
|
Definition
| Any interpersonal act of imparting conveying, or transmitting thoughts, wishes, desires, or intent; for which there is evidence that it is not a self-inflicted or self-injurous behavior. |
|
|
Term
| Examples of unknown intent |
|
Definition
Being unconscious
Under the influence of substances
Psychotic
Delusional
Demented
Dissociated
Disoriented |
|
|
Term
| How does medical examiner class system utilize undetermined suicide-related behavior |
|
Definition
|
|
Term
| What is suicide gesture replaced with by SIlverman et al |
|
Definition
Self-Harm I, II, and III if no itent
Two types of undetermined suicide-related behavior I, and II |
|
|
Term
| What are three potential outcomes for suicide attempts? |
|
Definition
|
|
Term
|
Definition
| A suicide attempt that results in death. |
|
|
Term
| Silverman nomenclature are a description of |
|
Definition
| concepts and not an explanations, no value or theory driven. |
|
|
Term
| According to Schwartz what research supported idea among all for lower suicide rates in university students |
|
Definition
| Diminished use of firearms as a method of suicide |
|
|
Term
| What is true regarding suicide by firearm by males 20-24 from mid 90s-mid2000s? |
|
Definition
| Dropped from 67 to 50 percent |
|
|
Term
| What is true regarding suicide by firearm by femals 20-24 from 80s to 2000s |
|
Definition
| dropped from 53 to 30 percent |
|
|
Term
| What is true regarding suicide rates by US 4-year degree-seeking students age 20-24? |
|
Definition
| Higher than previous 7.7, lower than nat'l average 13.7 |
|
|
Term
| What happened to suicide rate in 20-24 group nat'l b/t 90 and 06 |
|
Definition
| dropped from 13.7 to 12.1 |
|
|
Term
| Schwartz said suicide protective benefit is |
|
Definition
|
|
Term
| Linehan said ____ and ____ both achieved improvement in dperession, reduced suicide ideation and increased reasons for living. |
|
Definition
| DBT and community treatment by experts |
|
|
Term
| Stanley said substance use and parental divorce |
|
Definition
| were not predictions of future adolescent behavior |
|
|
Term
| Mishna, to practice ethically, soc works must be familier with evidence based internvetions |
|
Definition
| and do not require to follow client's desires. |
|
|
Term
| Stanley indicated treatments for adolescents with depression may not be appropriate to import for use with suicidal adolescents because |
|
Definition
| trails in which it was found helpful excluded suicidal adolescents. |
|
|
Term
| Linehan indicated taht DBT |
|
Definition
| targets suicidal behaviors |
|
|
Term
| Mishna, failure to prevent suicide is one of the leading reasons for |
|
Definition
| malpractice suits against MH profeessionals |
|
|
Term
| Weingberg said confrontation of distortions and vaidation are two of several patient-centered intervention chracteristics |
|
Definition
| probably critical in reducing suicidal behavior. |
|
|
Term
| According to research by LIneham, what percentage of patients of BPD engage in suicidal behavior |
|
Definition
|
|
Term
| According to Stanley, depressive disorders and what other risk factor identify adolescents as a high -risk group for repeated and completed suicide? |
|
Definition
| History of suicidal behavior |
|
|
Term
| What component in the initial phase of Acute Treatment for CBT-SP does stanley describe as including a description of events that led to and followed suicide attempt? |
|
Definition
|
|
Term
| Linehan cites research that describes the high service-use pattersn among patients with BPD who also have high rates of what? |
|
Definition
|
|
Term
| Weinberg concluded that three treatment characteristics might be effective for patients at risk for suicide. Three include |
|
Definition
Addressing self-defeating behaviors
Regluar framework for treatment
Active therapist |
|
|
Term
| According to Mishna, what is described as professional acting in a manner in wich an ordinary, reasonable, and prudent professional woulda ct? |
|
Definition
|
|
Term
| Pitman concluded an increased risk of suicide did exist for some individuals bereaved by suicide versus those by other causes, including |
|
Definition
|
|
Term
| According to linehan, the relationship of services use between patients with BPD and patients with major depression and personality disorders |
|
Definition
| BPD had higher use of services |
|
|
Term
| Within the context of providing CBT-SP in an open cinical trial with adolescents who were suicidal and diagnosed with depression, Stanly results supported the ______- |
|
Definition
| feasibility and acceptability of implementing CBT-SP. |
|
|
Term
|
Definition
| Special type of resource that provides concrete implementation of the patient's reasons to stay alive. during Acute Treatment |
|
|
Term
| Two of four superior outcomes Linehan reported among patients with DBT instead of CTBE |
|
Definition
Lower rates of suicide attempts
Lower use of emergency services in regards to suicide ideation/behavior |
|
|
Term
| Five reaserch supported interventions to reduce behavior have established manuals |
|
Definition
| Transference-Focused Psychotherapy, Schema-Focused Therapy, DBT Dialectical behavioral therapy. |
|
|
Term
| Public awareness and education campaigns are not shown to be |
|
Definition
| extremely effect at changing behavior |
|
|
Term
|
Definition
| is the recipe while suicide risk assessment is the list of ingredients. |
|
|
Term
| According To Yip et al measn restriction can be ________ applied and related approaches can be _______________________ applied for individuals |
|
Definition
| Broadly (universal)/ specifically (indicated) |
|
|
Term
| According to Rudd is a witness signature on a CTS as a means to legally encourage witness to help |
|
Definition
| No there is not one, for any reason. |
|
|
Term
| According to Yip et all as a universal approach to suicide prevention means restriction is most effective when |
|
Definition
| the method being restricted is common, highly lethal, and accounts for a large percentage of deaths by suicide. |
|
|
Term
| Rudd identified the lack of standard definition as |
|
Definition
| one major gap/issues with no-suicide contracts. |
|
|
Term
| Man cites research listing contributory factors to suicide, which are: |
|
Definition
Alcohol/Drug Abuse
acces to treatment
attitudes to suicide
help-seeking behavior
marital status
age
sex
Availability of lethal means
physical illness |
|
|
Term
|
Definition
| Many people at low risk might give rise to more cases than would a small number at high risk. |
|
|
Term
| Protective factors for suicide do not seem to bugger against risk when what is present? |
|
Definition
|
|
Term
| How do clinical experience and expertis influence accuracy of judgemen in determining risk. |
|
Definition
| The add little to accuracy |
|
|
Term
| What evidence is there for effectiveness of no-harm contracts? |
|
Definition
| There is no empirical evidence |
|
|
Term
| What strategies for increasing ablity and motiveation to use safety plan is suggested? |
|
Definition
Ask the patient to identify most helpful aspects of plan
Clinician collaborates with patient to identify and problem solve
Original document is given to the patient to take
Discusses where patient will keep the safety plan |
|
|
Term
| How does safety planning differ from most other planning efforts |
|
Definition
| INcorporates internal coping and distracting strategies |
|
|
Term
|
Definition
| community or organizational individuals whose contact with potentially vulnerable populations provides an opportunity to identify at-risk individuals and direct them to appropriate assessment and treatment. |
|
|
Term
|
Definition
| The modification of the environment to decrease general access to suicide means. |
|
|
Term
| What is available to replace no suicide contracts? |
|
Definition
| CTS commitment to treatment statement |
|
|
Term
|
Definition
| what language or term may result in the added burden of appearing to attempt to free the clinician from blame? |
|
|
Term
| How effective are means restriction efforts? |
|
Definition
| Effective if alternatives are less lethal |
|
|
Term
|
Definition
Ideation
Substance Use
Purposelessness
Anxiety
Trapped
Hopelessness
Withdrawal
Anger
Recklessness
Mood Changes |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| The occurrence of suicidal behavior is usually an outcome of complex interactions of |
|
Definition
Socio-environmental
behavioral
psychiatric factors |
|
|
Term
| What three deficits impede measures of suicide and nonfatal suicidal behavior? |
|
Definition
Lack of standard nomenclature
clear operational definitions
standard lethality measures. |
|
|
Term
| What is required for development, targeting and evalutation of national and reginal suicide prevention strategies |
|
Definition
Reliable stats on numbers
types and methods of nonfatal intentional self injuries
National and regional mortality data. |
|
|
Term
| What is most difficult part of an investigation of self-injurious behaviors |
|
Definition
|
|
Term
| What evidence is considered when assessing intent? |
|
Definition
Intent to action
Intent to harm self by action
Intent to die from action
Understanding consequences of act, at the time |
|
|
Term
| Present of intent assumes four assumptions including: |
|
Definition
Desire to end life
knowledge of the risk
perceived available means
knowledge of means and methods |
|
|
Term
| Silverman three categories |
|
Definition
No itent
Some intent
Intent |
|
|
Term
| A number of factors are related to issue of lethality, including: |
|
Definition
Availability of method
knowledge of lethal effect
familiarity of means
Contributing factors
discoverability
timing |
|
|
Term
| A number of factors are related to assigned/assess value of suicide threats including |
|
Definition
Frequency
Duration
Intensity
Lethality |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Intentional self injury resulting in death. |
|
|
Term
| What are some of the substantial achievements in suicid prevention since the 2001 Nat. Strat. |
|
Definition
G.L. Smith Memorial Act
National Suicide Lifeline
SPRC
Increased training |
|
|
Term
| What is major public-private partnership advancing national strategy |
|
Definition
| National Action Alliance for Suicide Prevention |
|
|
Term
|
Definition
|
|
Term
| Numerical Number for SP lifeline |
|
Definition
|
|
Term
|
Definition
| characteristics make suicide ideation and behavior more likely |
|
|
Term
| Define Protective factors |
|
Definition
| promote strength & resilience, ensure vulnerable have support and connectiveness |
|
|
Term
| Three components to definition of suicide |
|
Definition
Self directed injurious behavior
Any level of intent
Fatal |
|
|
Term
| What are four levels of influence related to social ecological models of factors |
|
Definition
Individual
Relationship
Community
Societal |
|
|
Term
| Whare are some barriers for determining frequency of suicidal behaviors |
|
Definition
Underreported
Data missing on subgroups
Data sources are not linked |
|
|
Term
| What is relationship between men and women regarding ideation, attempts, and completed suicides? |
|
Definition
Men kill themselves more often
Women have higher levels of ideation and attempts. |
|
|
Term
| Top two risk factors for suicidal behaviors |
|
Definition
Mental (mood) disorders
Drug/Alcohol Abuse |
|
|
Term
| Five warning signs of suicide |
|
Definition
Talking about suicide
Disruptive sleep patterns
Mood swings
Anxiety
Talk of hopelessness or unbearable pain
Withdrawing (anhedonistic) |
|
|
Term
| Three levels of suicide prevention strategies |
|
Definition
Universal - target population
Selective - subgroups with increased risk
Indicated - individual with high risk |
|
|
Term
| Four interconnected stategic directions |
|
Definition
Health and empowered individuals, families, communities
Clnical and Community Preventative Services
Treatment and Support Services
Surveillance, Research, and evaluation. |
|
|
Term
| What is true about time frame for most adolescents to move from ideation to a plan or ideation to attempt? |
|
Definition
|
|
Term
| How frequent is lifetime prevalance of adolescent suicide ideation? |
|
Definition
|
|
Term
| How many adolescents with SI continue and develop a suicide plan |
|
Definition
|
|
Term
| How many adolescents with SI go on to attempt suicide |
|
Definition
|
|
Term
| What is relationship between adolescent females and males regarding suicidal behaviors |
|
Definition
Suicide ideation and unplanned attempts higher in females
Planned attempts are more likely for male |
|
|
Term
| How many adolescents with a lifetime history of ideation and attempts meat criteria for 1 of the mood disorders? |
|
Definition
90 % ideation
96 % attempt |
|
|
Term
| What are the most prevalent lifetime disorders among suicidal adolescents? (Top six) |
|
Definition
Depression
Phobia
Opposition defiant disorder
IED
Drug abuse
conduct disorder |
|
|
Term
| For adolescents what mood disorder predicted development of suicide plan? |
|
Definition
| Major Depressive Disorder |
|
|
Term
| How can awareness campaigns and social marketing interventions help in promoting suicide prevention? |
|
Definition
Changing knowledge
attitudes
behaviors |
|
|
Term
| Crisis senters can do these to help with prevention |
|
Definition
Connect people in criss with local soruces of support
Risk assessment
thoughtful intervention
*followup calls
*services after an acute crisis |
|
|
Term
| What two suicide prevention resources are available to news media |
|
Definition
Reporting on Suicide: For media
Picture this: depression and suicide prevention |
|
|
Term
| Top five means of suicide deaths |
|
Definition
Firearms
Suffocation
poison and Drug Overdose
CO gas
Jumps |
|
|
Term
| Individuals who own firearms and suicide attempts |
|
Definition
People who attempt via firearms are more likely to die.
Firearm ownership does not increase mental health issues. |
|
|
Term
| What therapy can reduce behaviors in survivor of suicide attempt? |
|
Definition
DBT Dialectical Behavior Therapy
CBT-SP Cognitive Behavior Therapy for Suicide Prevention |
|
|
Term
| What two medications are effective to reduce suidical behaviors for schizophrenic and mood disorders? |
|
Definition
Clozapine for Schizophrenia
Lithium for mood disorders |
|
|
Term
| What thoroughly researched program reduced suicides by one third? |
|
Definition
| US Air Force Suicide Program |
|
|
Term
| What is true about period after release from inpatient psychiatric unit? |
|
Definition
| Death by suicide more frequent than any other time during treatment. |
|
|
Term
| What is required by veteran's administration to treat suicide risk? |
|
Definition
|
|
Term
| According to CDC what happend to suicide rates for 10-34 year old? |
|
Definition
|
|
Term
| According to CDC what happend to suicide rates for 35-64 year old? |
|
Definition
|
|
Term
| According to CDC what happend to suicide rates for 65+ year old? |
|
Definition
|
|
Term
| Between 1999 and 2010 the greates increase in suicide rates was for which two ethnic groups? |
|
Definition
American Indians Alaska Natives
Whites |
|
|
Term
| What were three most common suicide mechanisms for adults 35-64 between 1999-2010 |
|
Definition
|
|
Term
| What group of mean showed the highest increase in suicide |
|
Definition
| 50-54 (49%) and 55-59 (47.8%) |
|
|
Term
| What specific group of women showed increase in suicide between 1999-2010 |
|
Definition
| 60-64 (59%) year old women |
|
|
Term
|
Definition
| Intense and intolerable emotional pain that is different from depression and hopelessness |
|
|
Term
| What two types of needs does Dr. Shneidman postulate? |
|
Definition
Primary - Biological
Secondary - Psychological |
|
|
Term
| Psychological needs are essential and include |
|
Definition
love and belonging
sense of control
positive self image
meaningful relationships |
|
|
Term
| There is a strong correlation between psychache and what |
|
Definition
| Depression and hopelessness |
|
|
Term
| Who designed the interpersonal theory of suicide? |
|
Definition
|
|
Term
| What two separate interpersonal psychological states comprise joiners IPTS desire to die? |
|
Definition
Perceived Burdensomeness
Thwarted belongingness |
|
|
Term
| What can overcome desire to die |
|
Definition
| Instinct of self-preservation |
|
|
Term
| Acquired capability for suicide |
|
Definition
Acquire fearlessness of pain, injury and death
repeated experience of pain |
|
|
Term
| What two type of individuals does Joiner distingquish? |
|
Definition
Individuals who think about suicide wihtout acting
and individuals who translate ideation to action. |
|
|
Term
| What happens if both perceived burdensomeness and thwarted belongingness are both experienced by an individual? |
|
Definition
| Suicide Ideation and a desire to die |
|
|
Term
| What components of Joiner's are necessary for individual to complete suicide |
|
Definition
| Desire to die, acquired means capability |
|
|
Term
| Why is intervening important in emergency department for individuals at risk of suicide |
|
Definition
| 11 to 50% of attempters refuse outpatient treatment or drop otu of outpatient therapy very quickly |
|
|
Term
| Stanley and brown developed Safety Planning Intervention (SPI) for use in what setting? |
|
Definition
| Emergency or acute care services provided |
|
|
Term
| What is descriptive about the first three months following a suicide attempt? |
|
Definition
| Individuals are at a higher risk for suicide ebehavior |
|
|
Term
| How are safety planning interventions differetn from CT or DBT? |
|
Definition
| Safety planning efforts don't have focus on internal coping and distracting strategies. |
|
|
Term
| What are basic components of safety plan? |
|
Definition
Recognizing warning signs of an impending suicidal crisis
Employing internal coping strategies
Utilizing social contacts as a means of distraction from suicidal thoughts
containg family members or friends who may help to resolve the crisis
contacting mental health professionals or agencies
Reducing the potential use of lethal means |
|
|
Term
| What is a major contributing facot to more than 90% of suicides |
|
Definition
|
|
