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Social Pathology   ,[object Object],[object Object],[object Object],[object Object]
Social Pathology   ,[object Object]
Social Pathology ,[object Object]
[object Object]
Characteristics of Social Pathology ,[object Object]
[object Object],[object Object]
[object Object]
Out line ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object]
Definitions (APA) Guidelines 2003 ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Historical aspects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
 
Sociological Theories of Suicide ( Durkheim ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Egoistic Suicide ,[object Object],[object Object],[object Object],[object Object]
Altruistic suicide ,[object Object],[object Object],[object Object]
 
 
Anomic suicide ,[object Object],[object Object],[object Object]
Fatalistic suicide ,[object Object],[object Object],[object Object]
Importance of suicide ,[object Object],[object Object],[object Object],[object Object],[object Object]
Global Situation ,[object Object],[object Object]
Indian Situation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods of suicide  ,[object Object],[object Object]
Place of occurrence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Suicidal thought - attempt - act ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Facts  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SUICIDE:  A MULTI-FACTORIAL EVENT Neurobiology Severe Medical Illness Impulsiveness Access To Weapons Hopelessness Life Stressors Family History Suicidal Behavior Personality  Disorder/Traits Psychiatric Illness Co-morbidity Psychodynamics/ Psychological Vulnerability Substance  Use/Abuse Suicide
Causes of suicide
Legal aspects ,[object Object],[object Object]
Impact of suicide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recent trends ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Myths versus facts… ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
SUICIDE PREDICTION vs.  SUICIDE ASSESSMENT ,[object Object],[object Object]
COMPONENTS OF SUICIDE ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Areas to Evaluate in Suicide Assessment ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
RISK FACTORS  Demographic male; widowed, divorced, single, increases with age, white Psychosocial lack of social support; unemployment; drop in socio-economic status; firearm access Psychiatric psychiatric diagnosis; comorbidity Physical Illness malignant neoplasms; HIV/AIDS; peptic ulcer disease; hemodialysis; systemic lupus erthematosis; pain syndromes; functional impairment; diseases of nervous system Psychological Dimensions hopelessness; psychic pain/anxiety; psychological turmoil; decreased self-esteem; fragile narcissism & perfectionism Behavioral Dimensions impulsivity; aggression; severe anxiety; panic attacks; agitation; intoxication; prior suicide attempt Cognitive Dimensions thought constriction; polarized thinking Childhood Trauma sexual/physical abuse; neglect; parental loss Genetic & Familial family history of suicide, mental illness, or abuse
Risk factors for suicide ,[object Object],[object Object],[object Object],[object Object],[object Object]
DETERMINATION OF RISK Psychiatric Examination  Risk  Factors   Protective  Factors   Specific Suicide  Inquiry   Modifiable Risk  Factors  Risk Level: Low, Med., High
PROTECTIVE FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMORBIDITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AFFECTIVE DISORDERS AND SUICIDE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SCHIZOPHRENIA AND SUICIDE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],ALCOHOL / SUBSTANCE ABUSE AND SUICIDE
ALCOHOL / SUBSTANCE ABUSE AND SUICIDE ,[object Object],[object Object],[object Object],[object Object],[object Object]
PERSONALITY DISORDERS AND SUICIDE   ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
FAMILY HISTORY/GENETICS ,[object Object],[object Object]
FAMILY HISTORY/GENETICS ,[object Object],[object Object]
FAMILY PSYCHOPATHOLOGY ,[object Object],[object Object]
PSYCHOSOCIAL SITUATION: LIFE STRESSORS ,[object Object],[object Object]
PSYCHOSOCIAL SITUATION: LIFE STRESSORS ,[object Object],[object Object]
INDIVIDUAL STRENGTHS/ VULNERABILITIES: PSYCHODYNAMICS ,[object Object],[object Object],[object Object],[object Object]
PSYCHOLOGICAL VULNERABILITIES:  CLINICAL OBSERVATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIRECT QUESTIONING ABOUT SUICIDE: THE SPECIFIC SUICIDE INQUIRY ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPONENTS OF SUICIDAL IDEATION ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
CHARACTERISTICS OF A SUICIDE PLAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PSYCHIATRIC SYMPTOMS ASSOCIATED WITH SUICIDE ,[object Object],[object Object],[object Object],[object Object]
PSYCHIATRIC SYMPTOMATOLOGY: HOPELESSNESS ,[object Object],[object Object],[object Object]
PSYCHIATRIC SYMPTOMATOLOGY: IMPULSIVITY / AGGRESSION ,[object Object],[object Object],[object Object],[object Object]
PSYCHIATRIC SYMPTOMATOLOGY: ANXIETY   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DETERMINATION OF THE LEVEL OF RISK ,[object Object],[object Object],[object Object]
DETERMINE TREATMENT SETTING AND PLAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Psychotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SUICIDE CONTRACTS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHEN TO DOCUMENT  SUICIDE RISK ASSESSMENTS ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHAT TO DOCUMENT  IN A SUICIDE ASSESSMENT ,[object Object],[object Object],[object Object],[object Object]
Example ,[object Object]
WHEN A SUICIDE OCCURS? ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Each person  contemplating suicide  needs a supporting hand,  a comforting shoulder and  a patient hearing….
Preventing Suicide . . . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preventing Suicide. .  . ,[object Object],[object Object],[object Object],[object Object]
Preventing Suicide . . .  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preventing Suicide. . .  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Preventing Suicide. . . ,[object Object],[object Object],[object Object]
 
Organizations   ,[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object]
[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object]

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S U I C I D E F I N A L Original[1]

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
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  • 21.  
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  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.  
  • 32.
  • 33. SUICIDE: A MULTI-FACTORIAL EVENT Neurobiology Severe Medical Illness Impulsiveness Access To Weapons Hopelessness Life Stressors Family History Suicidal Behavior Personality Disorder/Traits Psychiatric Illness Co-morbidity Psychodynamics/ Psychological Vulnerability Substance Use/Abuse Suicide
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54. RISK FACTORS Demographic male; widowed, divorced, single, increases with age, white Psychosocial lack of social support; unemployment; drop in socio-economic status; firearm access Psychiatric psychiatric diagnosis; comorbidity Physical Illness malignant neoplasms; HIV/AIDS; peptic ulcer disease; hemodialysis; systemic lupus erthematosis; pain syndromes; functional impairment; diseases of nervous system Psychological Dimensions hopelessness; psychic pain/anxiety; psychological turmoil; decreased self-esteem; fragile narcissism & perfectionism Behavioral Dimensions impulsivity; aggression; severe anxiety; panic attacks; agitation; intoxication; prior suicide attempt Cognitive Dimensions thought constriction; polarized thinking Childhood Trauma sexual/physical abuse; neglect; parental loss Genetic & Familial family history of suicide, mental illness, or abuse
  • 55.
  • 56. DETERMINATION OF RISK Psychiatric Examination Risk Factors Protective Factors Specific Suicide Inquiry Modifiable Risk Factors Risk Level: Low, Med., High
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
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  • 77.
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  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 90.
  • 91.
  • 92.
  • 93.
  • 94.
  • 95.
  • 96.
  • 97. Each person contemplating suicide needs a supporting hand, a comforting shoulder and a patient hearing….
  • 98.
  • 99.
  • 100.
  • 101.
  • 102.
  • 103.  
  • 104.
  • 105.
  • 106.
  • 107.  
  • 108.