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Suicide & mood disorder
 

Suicide & mood disorder

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  • 1 POINT FOR EACH “YES” ANSWER 3 PSYCHOTIC SYMPTOMS THAT SHUD GIVE US CLUE THAT PT IS GOING TO COMMIT SUICIDE: Auditory hallucination commanding suicidal act Thought of external control - Religious preoccupation

Suicide & mood disorder Suicide & mood disorder Presentation Transcript

  • SUICIDE & MOOD DISORDER NOOR HAFIZAH BINTI HASSAN 2007287236
  • REFERENCES
    • Suicide risk in mood disorders, Zoltan Riehmer,
    • Curr Opin Psychiatry. 2007;20(1):17-22 .
    • 2. Principle of suicide risk assessment
    • How to interview depressed patient and tailor treatment
    • Richard L. Frierson, Margaret Melikian, Peggy C. Wadman
    • Postgrad Med 2002;112(3):65-71
  • DEFINITION
    • SUICIDE: self-inflicted death with evidence that the person intended to die
    • SUICIDE ATTEMPT: self-injurious behavior with nonfatal outcome with intention of dying
    • SUICIDAL IDEATION: thoughts of wanting to die; seriousness varies
    Kaplan & Sadock’s Pocket Handbook of Clinical Psychiatry 5 th edition
  • WHY BOTHER ?
    • 90% of suicide victims & attempters  1 current axis 1 major mental disorder (mainly untreated)
      • Major Depressive Episode (MDE) : 56-87 %
      • Substance Use Disorder : 26-55 %
      • Schizophrenia : 6-13 %
    • “ state-dependent” phenomenon:
      • During MDE: 78-89 %
      • Dysphoric Mania: 11-20 %
      • Euphoric Mania / Euthymia: 0-7 %
  •  
  • PREDICTING RISK FACTORS
    • SAD PERSONS (Patterson and colleagues)
  • SCORE
  •  
  • APPROACHING SUICIDAL PATIENT
    • What was the precipitant for the event?
    • Was it planned?
    • What was the method of self harm?
    • Did you leave a suicidal note?
    • Was you alone at the time of event?
    • Was you intoxicated?
    • Did you seek any precautions against discovery?
    • Did you seek help after the attempt?
    • How did you feel when you was found?
    HISTORY OF PRESENT ILLNESS
  • EXTENT OF SUICIDAL IDEATION
    • When did you begin to have suicidal thoughts?
    • Did any event precipitate the suicidal thoughts?
    • How often do you think about suicide?
    • How much control do you have over your suicidal ideas?
    • Do you regard yourself as a burden, or that your life isn’t worth living?
    • What makes you feel better : contact with family member/use of substance
    • What makes you feel worse?
    • Do you have a plan to end your life?
    • What stops you from killing yourself?
  • PLANS FOR FURTHERANCE AND LETHALITY
    • Do you own a gun or access to firearms?
    • Do you have access to potentially harmful medications / drugs?
    • Have your imagined your funeral / how people will react to your death?
    • Have you practiced your suicide; put gun to head / held meds in hands
    • Have you change your will / life insurance policy / give away your possessions?
  • ASSESS CURRENT SITUATION
    • If you are to going to the same situation again, has anything change?
    • Outlook on the future
  •