This document provides an overview of suicide epidemiology and risk factors. It summarizes US suicide statistics such as annual rates and methods used. It also discusses risk factors like psychiatric disorders, substance abuse, and social isolation. Clinical assessments and interventions are outlined, including evaluating suicidal thoughts, risk factors, and deciding between inpatient versus outpatient care. The document aims to inform about suicide prevention.
- A body was found in a bag floating in a river by a fisherman. Preliminary investigation revealed it was a body of an unidentified white female.
- Forensic analysis estimated she had been in the water for at least two weeks and was in her mid-thirties with blonde hair and no jewelry.
- Using crime statistics, the preliminary profile predicted the victim was most likely a white male and the offender was most likely a black male. However, the autopsy report did not match this profile.
Facts: Substance Abuse and Suicide (MA version)Franklin Cook
Substance abuse is strongly associated with increased risk of suicide in several ways:
1) Individuals with substance use disorders have a much higher lifetime risk of suicide attempts and deaths by suicide.
2) The presence of acute intoxication increases risk of suicide by exacerbating feelings of depression and hopelessness while impairing judgment.
3) Risk is particularly high following discharge from substance abuse treatment or psychiatric facilities. Substance use disorders commonly co-occur with mood disorders to form a "vicious circle" increasing suicide risk.
White males ages 20-29 are most likely to be victims of a crime based on analysis of victim demographics and crime statistics in the given metropolitan area. Violent crimes like aggravated assault are most common, accounting for 50% of reported crimes. A body found in the area would have a 71% chance of being male, with the highest probabilities being a white (52%) or black (45%) male between 20 and 29 years old.
This document summarizes firearm deaths in the United States, providing international comparisons. It finds that nearly 34,000 Americans die from gun deaths each year, a rate significantly higher than other developed nations. This high rate is attributed to the prevalence of guns in American homes, with studies finding higher rates of homicide, suicide and accidental gun deaths where gun ownership is more common. The document examines gun deaths by demographics and method.
The document provides an overview of the 2012 U.S. elections, including:
1) Republicans retained a majority in the House but lost 8 seats, while Democrats gained 7 seats. Ninety new members of Congress were elected, with 78 in the House and 12 in the Senate.
2) Democrats strengthened their Senate majority by two seats, gaining seats in Massachusetts, Indiana, Connecticut, and Virginia while losing one in Nebraska.
3) Republicans retained control of 30 governorships, the highest number in 12 years, with 11 states and 2 territories holding gubernatorial elections.
4) Over 1,300 state senate and 4,700 state house seats were up for election across numerous state legisl
The 2012 presidential election resulted in Barack Obama being re-elected as President. Obama maintained many aspects of the coalition that elected him in 2008, including strong support from youth, Latinos, African Americans, and women, especially unmarried women. While Romney led on some economic issues like taxes, Obama was seen as caring more about average Americans and was credited with supporting the auto industry bailout, which helped him win key Midwestern swing states like Ohio. Turnout among key parts of Obama's coalition increased from 2008. The election reinforced that the country remains closely divided along partisan lines.
This document summarizes research on elderly individuals selling prescription drugs. It discusses three potential causes: 1) supplementing limited income from social security, 2) continuing lifelong drug dealing behaviors, and 3) new addictions resulting from overprescribing by physicians. Interviews with former drug dealers suggest some saw it as a way to earn income, not as illegal. However, drug abuse experts believe true drug dealers do not usually live to an old age. The document also discusses poverty rates among the elderly and risks of homelessness without additional income or family support. It concludes that lack of screening tools and overprescribing by physicians may also contribute to elder drug abuse and dealing.
- A body was found in a bag floating in a river by a fisherman. Preliminary investigation revealed it was a body of an unidentified white female.
- Forensic analysis estimated she had been in the water for at least two weeks and was in her mid-thirties with blonde hair and no jewelry.
- Using crime statistics, the preliminary profile predicted the victim was most likely a white male and the offender was most likely a black male. However, the autopsy report did not match this profile.
Facts: Substance Abuse and Suicide (MA version)Franklin Cook
Substance abuse is strongly associated with increased risk of suicide in several ways:
1) Individuals with substance use disorders have a much higher lifetime risk of suicide attempts and deaths by suicide.
2) The presence of acute intoxication increases risk of suicide by exacerbating feelings of depression and hopelessness while impairing judgment.
3) Risk is particularly high following discharge from substance abuse treatment or psychiatric facilities. Substance use disorders commonly co-occur with mood disorders to form a "vicious circle" increasing suicide risk.
White males ages 20-29 are most likely to be victims of a crime based on analysis of victim demographics and crime statistics in the given metropolitan area. Violent crimes like aggravated assault are most common, accounting for 50% of reported crimes. A body found in the area would have a 71% chance of being male, with the highest probabilities being a white (52%) or black (45%) male between 20 and 29 years old.
This document summarizes firearm deaths in the United States, providing international comparisons. It finds that nearly 34,000 Americans die from gun deaths each year, a rate significantly higher than other developed nations. This high rate is attributed to the prevalence of guns in American homes, with studies finding higher rates of homicide, suicide and accidental gun deaths where gun ownership is more common. The document examines gun deaths by demographics and method.
The document provides an overview of the 2012 U.S. elections, including:
1) Republicans retained a majority in the House but lost 8 seats, while Democrats gained 7 seats. Ninety new members of Congress were elected, with 78 in the House and 12 in the Senate.
2) Democrats strengthened their Senate majority by two seats, gaining seats in Massachusetts, Indiana, Connecticut, and Virginia while losing one in Nebraska.
3) Republicans retained control of 30 governorships, the highest number in 12 years, with 11 states and 2 territories holding gubernatorial elections.
4) Over 1,300 state senate and 4,700 state house seats were up for election across numerous state legisl
The 2012 presidential election resulted in Barack Obama being re-elected as President. Obama maintained many aspects of the coalition that elected him in 2008, including strong support from youth, Latinos, African Americans, and women, especially unmarried women. While Romney led on some economic issues like taxes, Obama was seen as caring more about average Americans and was credited with supporting the auto industry bailout, which helped him win key Midwestern swing states like Ohio. Turnout among key parts of Obama's coalition increased from 2008. The election reinforced that the country remains closely divided along partisan lines.
This document summarizes research on elderly individuals selling prescription drugs. It discusses three potential causes: 1) supplementing limited income from social security, 2) continuing lifelong drug dealing behaviors, and 3) new addictions resulting from overprescribing by physicians. Interviews with former drug dealers suggest some saw it as a way to earn income, not as illegal. However, drug abuse experts believe true drug dealers do not usually live to an old age. The document also discusses poverty rates among the elderly and risks of homelessness without additional income or family support. It concludes that lack of screening tools and overprescribing by physicians may also contribute to elder drug abuse and dealing.
This document provides an overview of key concepts in developmental psychology across the lifespan. It discusses fundamental issues like nature vs nurture and critical periods. It then summarizes development from prenatal stages through infancy, childhood, adolescence, and adulthood. For each life stage, it outlines major physical, cognitive, social, and emotional milestones and theories like Piaget's stages of cognitive development and Erikson's psychosocial stages. The document emphasizes that development is shaped by both biological and environmental factors.
This document summarizes key topics related to consciousness and its variations, including circadian rhythms, sleep stages, dreams, and psychoactive drugs. It discusses how consciousness can be characterized and describes the body's biological clock and various brain wave patterns associated with different states of awareness. The stages of sleep are outlined as well as theories about the functions of sleep and dreams. Finally, it covers various sleep and dream disorders and how psychoactive drugs can alter consciousness.
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
10.29.08: Cluster C - Dependent Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
10.29.08: Cluster A - Paranoid Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
Narcissistic personality disorder[1] (2)Hannah Kim
Narcissistic personality disorder is characterized by an inflated sense of self-importance, need for admiration, and lack of empathy. It is caused by factors such as permissive parenting that results in an unrealistic self-view. Symptoms include believing oneself to be superior to others, expecting constant praise, and taking advantage of others. Treatment may involve psychotherapy or hospitalization for severe cases.
10.29.08: Cluster B - Antisocial Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
10.29.08: Cluster B - Borderline Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
Overview of Suicide Risk Assessment & Preventionmilfamln
Managing suicide risk can often be a challenging experience for patients and providers alike. This 60 minute webinar will highlight various techniques that will help better prepare providers on how to manage these challenging situations. The presenter will provide you with a step-by-step approach for assessing, mitigating, and documenting suicide risk when working with military service members and their families.
This document provides an overview of interventions for geriatrics in mental health. It discusses several topics including geriatrics population trends in the US, neurocognitive disorders like dementia and Alzheimer's, delirium, depression, loss and grief. For each topic, it outlines characteristics, assessment tools, and treatment options. Key interventions discussed are pharmacological treatments, cognitive behavioral therapy, support groups and counseling. The document emphasizes the importance of early diagnosis and treatment for conditions affecting older adults' mental health.
Mental illness is a major public health problem that affects a significant portion of the population. Approximately 1 in 4 adults in the United States meets the criteria for a mental illness in a given year, while 1 in 17 experience a serious mental illness. Mental illness is associated with substantial disability and reduced quality of life. It also imposes a huge financial burden and is linked to increased rates of suicide, homelessness, and incarceration. Despite its prevalence and impacts, there remains a large unmet need for treatment and services.
This document discusses self-harm, including definitions, causes, statistics, treatments, and consequences. Some key points include:
- Self-harm refers to deliberately harming one's own body through behaviors like cutting, burning, head banging, and eating disorders.
- Common causes of self-harm include intense emotions, abuse, low self-esteem, and a desire to feel numb or alive. Nearly 50% of those who engage in self-harm have a history of sexual abuse.
- Statistics show that about 2 million cases of self-harm are reported annually in the US, with females comprising 60% of those who engage and rates highest among teens and young adults.
- Without treatment
Addiction and Suicide Prevention - December 2012 Dawn Farm
“Addiction and Suicide Prevention” was presented on Tuesday December 18, 2012; by Raymond Dalton, MA; Dawn Farm therapist. There is an alarmingly high prevalence of suicide among people with addiction and people in early recovery. This program will raise awareness of the signs of suicidal thinking and describe ways to offer support and obtain help for people who may be contemplating suicide. Viewers will learn how to recognize suicidal thinking, reach out and offer support to others contemplating suicide, obtain help when suicidal thoughts are present, and access local and national suicide prevention and intervention resources. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
This document discusses sexual abuse of elders, including demographics, signs of abuse, and effects. Some key points:
- In 2010, 0.04% of elders experienced sexual abuse, with the median victim age being 77.9.
- Signs of sexual abuse in elders can include painful intercourse, urinary infections, STDs, and wounds/bruises.
- Psychological effects of past sexual abuse can resurface in late adulthood, such as anxiety, PTSD, and substance abuse.
- The most common type of sexual abuse in late adulthood is resident-to-resident abuse, and dementia is a major risk factor.
The document discusses the development of a comprehensive suicide deterrent strategy for those with serious mental illness. It provides background on advances in the last decade including increased funding and programs for suicide prevention. It also discusses current understanding and efforts around suicide prevention including training staff in Applied Suicide Intervention Skills Training (ASIST) and a goal of training over 2,000 staff across agencies. Barriers and stigma around discussing suicide are also addressed.
This document discusses sexual abuse of elders, including demographics, signs of abuse, and effects. Some key points:
- In 2010, 0.04% of elders experienced sexual abuse, with the median victim age being 77.9.
- Sexual abuse can have especially harmful physical and psychological effects on elders due to age-related factors.
- Prevention and intervention efforts are needed to address elder sexual abuse, which is often underreported due to issues like victim credibility and cultural norms around secrecy.
This document discusses suicide and deliberate self harm. It begins by noting that suicide is among the top 10 causes of death globally and the second leading cause of death among young people. For every suicide, 30 episodes of non-fatal self harm occur. Depression, substance abuse and other mental illnesses are common in those who engage in deliberate self harm. The risk of suicide is greatly increased in the year following an episode of self harm. The document then examines the definition of suicide, common methods, warning signs, and risk factors like sociodemographic variables, psychiatric disorders and psychological traits. It provides details on assessing risk and managing suicide at different risk levels.
special thanks and acknowledgement goes out to the contributors of the slide:
meroshana, haziman fauzi, griselda pearl, widad ulya, atiqah shakira, halim latiffi, farith che man and marwan omar.
Hopefully this is able to help medical students to understand about the psychiatry topic, suicide.
This is made by students so if there are any mistakes, please do correct us. We are open to constructive criticism. thank you :)
Miller SYI Presentation on dealing with suicide and suicidal thoughts for those in ministry. Presented at Pittsburgh Theological Seminary as a response to requests for youth ministry conversations.
This talk was delivered by Glen Poole as part of a session on male suicide at the NACCHO Ochre Day 2017 Aboriginal & Torres Strait Islander Male Health Conference in Darwin, Australia (4th & 5th October).
The conference was convened by NACCHO (National Aboriginal Community Controlled Health Organisation) and the conference theme was "Men's Health, Our Way, Let's Own It!"
Glen Poole is Development Officer at the Australian Men's Health Forum.
This document provides an overview of key concepts in developmental psychology across the lifespan. It discusses fundamental issues like nature vs nurture and critical periods. It then summarizes development from prenatal stages through infancy, childhood, adolescence, and adulthood. For each life stage, it outlines major physical, cognitive, social, and emotional milestones and theories like Piaget's stages of cognitive development and Erikson's psychosocial stages. The document emphasizes that development is shaped by both biological and environmental factors.
This document summarizes key topics related to consciousness and its variations, including circadian rhythms, sleep stages, dreams, and psychoactive drugs. It discusses how consciousness can be characterized and describes the body's biological clock and various brain wave patterns associated with different states of awareness. The stages of sleep are outlined as well as theories about the functions of sleep and dreams. Finally, it covers various sleep and dream disorders and how psychoactive drugs can alter consciousness.
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
10.29.08: Cluster C - Dependent Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
10.29.08: Cluster A - Paranoid Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
Narcissistic personality disorder[1] (2)Hannah Kim
Narcissistic personality disorder is characterized by an inflated sense of self-importance, need for admiration, and lack of empathy. It is caused by factors such as permissive parenting that results in an unrealistic self-view. Symptoms include believing oneself to be superior to others, expecting constant praise, and taking advantage of others. Treatment may involve psychotherapy or hospitalization for severe cases.
10.29.08: Cluster B - Antisocial Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
10.29.08: Cluster B - Borderline Personality MinilectureOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M2 Psychiatry sequence
View additional course materials on Open.Michigan: openmi.ch/med-M2Psych
Overview of Suicide Risk Assessment & Preventionmilfamln
Managing suicide risk can often be a challenging experience for patients and providers alike. This 60 minute webinar will highlight various techniques that will help better prepare providers on how to manage these challenging situations. The presenter will provide you with a step-by-step approach for assessing, mitigating, and documenting suicide risk when working with military service members and their families.
This document provides an overview of interventions for geriatrics in mental health. It discusses several topics including geriatrics population trends in the US, neurocognitive disorders like dementia and Alzheimer's, delirium, depression, loss and grief. For each topic, it outlines characteristics, assessment tools, and treatment options. Key interventions discussed are pharmacological treatments, cognitive behavioral therapy, support groups and counseling. The document emphasizes the importance of early diagnosis and treatment for conditions affecting older adults' mental health.
Mental illness is a major public health problem that affects a significant portion of the population. Approximately 1 in 4 adults in the United States meets the criteria for a mental illness in a given year, while 1 in 17 experience a serious mental illness. Mental illness is associated with substantial disability and reduced quality of life. It also imposes a huge financial burden and is linked to increased rates of suicide, homelessness, and incarceration. Despite its prevalence and impacts, there remains a large unmet need for treatment and services.
This document discusses self-harm, including definitions, causes, statistics, treatments, and consequences. Some key points include:
- Self-harm refers to deliberately harming one's own body through behaviors like cutting, burning, head banging, and eating disorders.
- Common causes of self-harm include intense emotions, abuse, low self-esteem, and a desire to feel numb or alive. Nearly 50% of those who engage in self-harm have a history of sexual abuse.
- Statistics show that about 2 million cases of self-harm are reported annually in the US, with females comprising 60% of those who engage and rates highest among teens and young adults.
- Without treatment
Addiction and Suicide Prevention - December 2012 Dawn Farm
“Addiction and Suicide Prevention” was presented on Tuesday December 18, 2012; by Raymond Dalton, MA; Dawn Farm therapist. There is an alarmingly high prevalence of suicide among people with addiction and people in early recovery. This program will raise awareness of the signs of suicidal thinking and describe ways to offer support and obtain help for people who may be contemplating suicide. Viewers will learn how to recognize suicidal thinking, reach out and offer support to others contemplating suicide, obtain help when suicidal thoughts are present, and access local and national suicide prevention and intervention resources. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
This document discusses sexual abuse of elders, including demographics, signs of abuse, and effects. Some key points:
- In 2010, 0.04% of elders experienced sexual abuse, with the median victim age being 77.9.
- Signs of sexual abuse in elders can include painful intercourse, urinary infections, STDs, and wounds/bruises.
- Psychological effects of past sexual abuse can resurface in late adulthood, such as anxiety, PTSD, and substance abuse.
- The most common type of sexual abuse in late adulthood is resident-to-resident abuse, and dementia is a major risk factor.
The document discusses the development of a comprehensive suicide deterrent strategy for those with serious mental illness. It provides background on advances in the last decade including increased funding and programs for suicide prevention. It also discusses current understanding and efforts around suicide prevention including training staff in Applied Suicide Intervention Skills Training (ASIST) and a goal of training over 2,000 staff across agencies. Barriers and stigma around discussing suicide are also addressed.
This document discusses sexual abuse of elders, including demographics, signs of abuse, and effects. Some key points:
- In 2010, 0.04% of elders experienced sexual abuse, with the median victim age being 77.9.
- Sexual abuse can have especially harmful physical and psychological effects on elders due to age-related factors.
- Prevention and intervention efforts are needed to address elder sexual abuse, which is often underreported due to issues like victim credibility and cultural norms around secrecy.
This document discusses suicide and deliberate self harm. It begins by noting that suicide is among the top 10 causes of death globally and the second leading cause of death among young people. For every suicide, 30 episodes of non-fatal self harm occur. Depression, substance abuse and other mental illnesses are common in those who engage in deliberate self harm. The risk of suicide is greatly increased in the year following an episode of self harm. The document then examines the definition of suicide, common methods, warning signs, and risk factors like sociodemographic variables, psychiatric disorders and psychological traits. It provides details on assessing risk and managing suicide at different risk levels.
special thanks and acknowledgement goes out to the contributors of the slide:
meroshana, haziman fauzi, griselda pearl, widad ulya, atiqah shakira, halim latiffi, farith che man and marwan omar.
Hopefully this is able to help medical students to understand about the psychiatry topic, suicide.
This is made by students so if there are any mistakes, please do correct us. We are open to constructive criticism. thank you :)
Miller SYI Presentation on dealing with suicide and suicidal thoughts for those in ministry. Presented at Pittsburgh Theological Seminary as a response to requests for youth ministry conversations.
This talk was delivered by Glen Poole as part of a session on male suicide at the NACCHO Ochre Day 2017 Aboriginal & Torres Strait Islander Male Health Conference in Darwin, Australia (4th & 5th October).
The conference was convened by NACCHO (National Aboriginal Community Controlled Health Organisation) and the conference theme was "Men's Health, Our Way, Let's Own It!"
Glen Poole is Development Officer at the Australian Men's Health Forum.
The document discusses improving care for those experiencing mental health issues associated with suicidal behaviors. It provides statistics on suicide globally and in New Zealand. Key points for improving care include early intervention, treatment of mental illness, restricting access to lethal means, and educating the public to recognize signs and seek help. Reducing stigma and myths around suicide is also important.
Suicidal tendencies in late life depressionRavi Soni
This document discusses suicidal tendencies and prevention in the elderly. It provides statistics on elderly suicide rates globally and in India. Key points include that nearly 10% of Indian suicides are among those aged 65+, though the rate is lower than other countries due to family support of elders. Common risk factors for elderly suicide are depression, physical illness, social isolation and loss of spouse. Treatment of depression and pain are important for prevention, though SSRIs may increase short-term risk which decreases after the initial period. Goals for prevention include raising awareness of suicide and depression.
This document discusses suicide from several perspectives. It begins by explaining that suicide is no longer a crime in most Western countries, though it was historically. It then discusses philosophical debates around whether suicide can be a rational choice. The document outlines common suicide methods and risk factors like mental illness, substance abuse, and genetics. It also discusses neurobiological and social factors. Finally, it notes differences in suicide rates by religion and outlines some suicide prevention strategies.
This document outlines training objectives and materials for a pro-life movement session. It discusses ten sources of influence in societies, how anti-life groups attack church and family, and the four levels of the pro-life mission. It also examines leadership styles and how to improve morale. The overall goal is to equip participants to advance the pro-life cause through nonviolent and grassroots means.
Prevention of Substance Abuse and Suicide in the Elderly PopulationSande George
Bill Fitzpatrick, Senior Services Coordinator, Lines For Life, presents at the OSRAA Fall Conference 2018.
Incidences of substance abuse and suicide are rising in the older adult population. Learn to identify the warning signs. Discover how you can help. Know where to get help.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Jim Holliman, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Alterations in Body Temperature: The Adult Patient with a Fever- Reside...Open.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Rapid Sequence Intubation & Emergency Airway Support in the Pediatric E...Open.Michigan
This is a lecture by Michele Nypaver, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This document provides an overview of ocular emergencies. It begins with an introduction to the Project: Ghana Emergency Medicine Collaborative and author information. The bulk of the document consists of slides reviewing various eye conditions and emergencies, including styes, chalazions, conjunctivitis, iritis, orbital cellulitis, subconjunctival hemorrhages, and scleritis. Treatment approaches are provided for many of the conditions. The document concludes with a discussion of the eye examination approach and areas to be reviewed.
GEMC- Disorders of the Pleura, Mediastinum, and Chest Wall- Resident TrainingOpen.Michigan
This document provides an overview of disorders of the pleura, mediastinum, and chest wall. It discusses several topics in 1-3 sentences each, including costochondritis (inflammation of the costal cartilages), mediastinitis (infection of the mediastinum), mediastinal masses, pneumothorax (air in the pleural space), and catamenial pneumothorax (recurrent pneumothorax associated with menstruation). The document aims to enhance understanding of the major clinical disorders commonly encountered in emergency medicine involving the pleura, mediastinum, and chest wall.
GEMC- Dental Emergencies and Common Dental Blocks- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Arthritis and Arthrocentesis- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Bursitis, Tendonitis, Fibromyalgia, and RSD- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Right Upper Quadrant Ultrasound- Resident TrainingOpen.Michigan
This is a lecture by Jeff Holmes from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
The document summarizes cardiovascular topics including pericardial tamponade, pericarditis, infective endocarditis, hypertension, tumors, and valvular disorders. It provides details on the causes, signs and symptoms, diagnostic studies, and management of these conditions. The document also includes bonus sections on cardiac transplant patients, pacemakers and ICDs, and EKG morphology.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Nursing Process and Linkage between Theory and PracticeOpen.Michigan
This is a lecture by Jeremy Lapham from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
2014 gemc-nursing-lapham-general survey and patient care managementOpen.Michigan
This is a lecture by Dr. Jeremy Lapham from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This document discusses the evaluation and management of patients with kidney failure presenting to the emergency department. It covers causes of acute kidney injury including pre-renal, intra-renal and post-renal failure. It also discusses evaluation of kidney function, risks of intravenous contrast, dialysis indications and complications in chronic kidney disease patients including infection, cardiovascular issues and electrolyte abnormalities. Special considerations are outlined for resuscitating, evaluating and treating kidney failure patients in the emergency setting.
GEMC: The Role of Radiography in the Initial Evaluation of C-Spine TraumaOpen.Michigan
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10.30.08(c): Suicide
1. Author: Michael Jibson, M.D., Ph.D., 2009
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3. Suicide
M2 Psychiatry Sequence
Michael Jibson
Fall 2008
4. “The moment one inquires about the sense of
value of life, one is sick.”
Sigmund Freud
5. Epidemiology
US Suicide Data (2004)
• Annual rate is 11.1 suicides per 100,000
• >32,000 deaths annually
• 15th leading cause of death overall
• 3rd leading cause of death at ages 10-24
6. US Suicide Statistics (2004)
Rate
Group Number (per 100,000) % of Deaths
US Population 32,439 11.1 1.4
Male 25,566 17.7 2.2
Female 6,873 4.6 0.6
White 29,251 12.3 1.4
Black 2,019 5.2 0.7
Nonwhite 3,188 5.8 0.9
Elderly (>65 yrs) 5,198 14.3 0.3
Young (15-24 yrs) 4,316 10.4 12.9
State of Connecticut Department of Mental Health and Addiction Services
7. US Suicide Statistics
Rate
Group Number (per 100,000)
White Male 23,081 19.6
White Female 6,170 5.1
Black Male 1,655 9.0
Black Female 364 1.8
Nonwhite Male 2,485 9.3
Nonwhite Female 703 2.4
State of Connecticut Department of Mental Health and Addiction Services
9. Prevalence Rates for Subpopulations
• Age: Highest rates among elderly
• Gender: Men complete suicide 3-4x more often
than women; however, women attempt suicide 3x
more often than men
• Race: Whites have highest rate; African
Americans the lowest
• Region: Highest rates in Mountain States (inc
Alaska)
10. Prevalence Rates for Subpopulations
Profession
• Highest rates for professions that deal with death
and violence, and that have access to lethal means
• Physicians (men & women: 38/100,000)
• Police officers
• Military personnel
11. Methods for Subpopulations
Completed Suicides
• Firearms most common method for men and
women in the U.S. (57%)
• Hanging second most common for men
• Toxic ingestion (poison, drug overdose) second
most common for women
12. Lethality of Means
Most Lethal 90% Firearms
70% Falls
50% Hanging
10% Ingestion
Least Lethal <1% Cutting
M. Jibson
13. Recent Trends and their
Public Health Implications
• Increases among young and women
• Increases in suicide by firearms
14. Suicide Rates for Various Nations
• U.S. has a moderate suicide rate relative to other
nations
• Hungary has the highest rate; Finland, Denmark,
Austria, Switzerland, France, Japan, Norway,
among others, also have higher rates than the U.S.
• Italy, Ireland, England, Portugal, Spain, Israel,
Greece, Venezuela, among others, have lower
rates than the U.S.
15. Previous Attempt and Help Seeking Histories
• 30-40% of completers have attempted suicide
before
• Nearly two-thirds of suicide completers
communicated their suicidal intentions to others
(including to health-care providers)
• Most suicide attempters are able to experience a
reduction in suicidality and a return to full
function
17. Depression
• >50% clinically depressed at time of suicide
• Nearly 15% of persons with significant mood
disorders will commit suicide
• Depression is genetically predisposed, and there is
a strong link between depression and suicide
• Suicide can occur in all phases of depressive
episode
• Risk may be highest during early recovery phase
18. Alcoholism/Drug Abuse
• Nearly one-third of suicides occur in persons with
chronic alcoholism
• 2-4% of chronic alcoholic patients commit suicide
• Positive blood alcohol levels are found in 30-40%
of suicides
19. Schizophrenia
• 5-10% of schizophrenic patients commit suicide
• In general population studies, schizophrenia
accounts for 5% of suicides
20. Other Disorders
• Other mental disorders increase risk to
5-10%
• Serious physical illness increases risk
21. Social Isolation/
Interpersonal Loss or Conflict
• Among alcoholics who commit suicide, 50% have
a history of interpersonal loss within previous
year
• Suicide more common among divorced, widowed,
and single/never married than among married
22. Social Isolation/
Interpersonal Loss or Conflict
• Among adolescents & young adults, interpersonal
conflict and disciplinary or legal problems often
precipitate suicide
• Break-up with boyfriend or girlfriend
• Hopelessness regarding a dilemma, especially with
the prospect of public humiliation
• Failing class but don’t dare drop out
• Sexual impropriety about to come to light
23. Suicidal Indices
Suicidal Ideation
• Passive – no plan or intent
• I wish I were dead
• I wish I could just go to sleep and not wake up
• Active –specific plan and intent to act
• Intrusive and obsessional vs
• Researched and thought out
24. Suicide Indices
• History of attempts (esp if highly lethal)
• Highest predictive value in past 2 months
• Suicide rehearsals or preparation
• Counting pills
• Holding gun
• Checking out high places
26. Current Mental Status
• Hopelessness
• Acute agitation
• Intoxication
• Psychosis (especially with command
hallucinations or delusions)
27. Summary of Risk Factors
Demographic Psychiatric Mental Status Other
Older Depression Suicidal ideation Medical Illness
White Substance abuse Hopeless Recent losses
Male Psychosis Agitated Intractable
Living alone Other psychiatric Command dilemma
Not working disorders hallucinations or Prospect of public
delusions humiliation
Availability and
Lethality of the Means Firearms>Falls>Hanging>Ingestion>Cutting
M. Jibson
28. Clinical Assessments/Interventions
General Principles of Intervention
• Recognize the "cry for help" or the expressed
suicidal ideation/intent
• Ask questions in an objective, straightforward,
nonjudgmental manner
• Assess depression, substance abuse, impulsivity,
and psychosis
• Ask specifically about availability of firearms
29. Clinical Assessments/Interventions
General Principles of Intervention
• Do not alienate the patient with sarcasm, ridicule, or
disbelief
• Do not minimize their perceived problems
• Talk calmly and openly about problems
• Convey a sense of hope; counteract hopelessness
30. Clinical Assessments/Interventions
General Principles of Intervention
• Always seek corroborative information
• Family and friends
• Outpatient mental health providers
• Ask the tough questions that need to be asked
• What will keep this from happening again?
• What is be different now?
31. Clinical Assessments/Interventions
Clinical Decision Making
• Gather as much information as possible
• Carefully assess the risk and protective factors
• Discuss the case with another clinician
• Establish limit-setting on self-destructive behavior
32. Clinical Assessments/Interventions
Clinical Decision Making
• Assess and discuss reasons for living
• Involve family or friends whenever possible
• Convey knowledge that depression (or other treatable
condition that is present) is treatable
33. Clinical Assessments/Interventions
• Hospitalize if:
• An attempt is clinically serious
• Risk factors suggest high risk
• There is no established outpatient care
• There is a discrepancy between the patient’s story
and other information
34. Clinical Assessments/Interventions
• Consider outpatient care if:
• Risk is relatively low
• Stressors can be immediately addressed
• The patient already has a mental health provider
• Other safeguards can be implemented (eg, family
support)
• Suicide threats or attempts are repeatedly used to
communicate distress or manipulate others
35. Myths
• People who talk about suicide won't commit suicide
• People who want to commit suicide won’t tell you
• Suicide happens without any warning
• All suicidal persons are "insane"
• Suicide stems from a single mental disorder
• Asking about suicide "plants" the idea in the
patient's mind
36. Additional Source Information
for more information see: http://open.umich.edu/wiki/CitationPolicy
Slide 6: State of Connecticut Department of Mental Health and Addiction Services, http://www.ct.gov/dmhas/lib/dmhas/prevention/cyspi/AAS2004data.pdf
Slide 7: State of Connecticut Department of Mental Health and Addiction Services, http://www.ct.gov/dmhas/lib/dmhas/prevention/cyspi/AAS2004data.pdf
Slide 8: National Institute of Mental Health, http://www.nimh.nih.gov/index.shtml
Slide 12: Michael Jibson
Slide 27: Michael Jibson