Depression and Suicide austincc抑郁症和自杀austincc.pptVIP

Depression and SuicideAll Rights reserved Austin Community College Suicide Suicidal Ideations- Thoughts Suicidal threats-States intent Suicidal gesture- suicidal attempt-Serious method with intent Incidents of Suicide Ninth leading cause of death in US Third leading cause of death in the 15-35 age group Seventy three percent of suicides are white men Suicides, not homicide, is the leading cause of gun death-57% 10-19yr olds use a gun to kill themselves every six hours Adolescents and Suicide 15 to 19 year olds suicide rates have quadrupled in this decade Theory is that teens feeling alienated and isolated is factor in suicide Access to guns adds to problems in this population tend to be impulsive Can have “Copy cat” aspect to it Issues in Suicide Suicidal patients are ambivalent Themes are; loss hopelessness, loneliness, psychic pain, abandonment Escape, manipulation, retaliation, reunion,loss of self esteem, redemption Medical illness Risk factors for suicide Elderly single men with health problems Unemployed professional workers Previous attempts Women make more attempts; males more lethal Adolescents Certain Cultures Assessment of Suicidal Patients Plan; the more developed, greater risk Method—Lethality and availability Rescue—does person try to block Can patient carry out plan Pts. At greater risk as depression lifts Suicide and Mental Illness Are psychotic people more at risk than depressed? Only “Crazy”people commit suicide? 90% have Diagnosable mental conditions Substance abuse, bipolar depression, Major Depression, Schizophrenia Assessing Suicide Potential Does the Pt. have a plan? Lethality History of previous attempts Lives alone or feels alienated White males over age 50 most lethal group. Females make more attempts Recent loss and excessive guilt Poor physical health Cont. Suicide Assessment Agitated depression or when it lifts Drinking and drugging Often writes a suicide note Giving away their belongings Depression and anger Having schizo