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chsrscteristics of suicide
beleif that things will never change and that suicide is the only solution
desire to escape psychological pain and distressing thoughts and feelings
triggering events including conflicts and feelings of depression, hoplessnes, guilt, anger, or shame
perceived inability to make progress toward goals or to solve problems; related feelings of failure, worthlessness, and hoplessness
ambivalence about suicide; there is a strong underlying desire to live
scuicidal intent is communicated directly through verbal or behavioral cues
3 step assessment process for scuicide
Step 1: Identify Suicidal Ideation
Step 2: Assess Suicidal Intent, Plan, and Means
Step 3: Evaluate Suicide Risk Level and Take Action
statistics for scuice
18-25 10.5% serious thoughts about suicide
3.7% had scuice plans
1.9% attempted
extra scuice death stats
every 15 minutes someone takes their life
132 ppl die from scuice each day
men are 3.6 times more likely to kts
white men are most likely
high lethality
many risk factors present
plan well thought out and method extremely fatal
imminent danger
high lethality actions
hospitilization
suicide watch
moderate lethality
some risk factors present
scuicide ideation, but not specific
less lethal method considered
moderate ;lethality actions
preventive counseling
monitoring
develop a crisis plan
low lethality
minimal risk factors present
vague reference to suicide, but no real intent verbalized
low lethality actions
asess for suicidal ideation
referral for potential counseling
provide crisis number
scuicide rates for young kids
scuidice rates for children is at its highest
gap between boys and girls is narrowing
higher percentage for kids with higher screen times
young black children 2x likely to kts than white kids
higher percentage for black girls 60% B 182% G
hypomania
a mild form of mania, marked by elation and hyperactivity.
mania
a state of abnormally elevated mood, energy, and activity levels that can last for several days or weeks
depression mood
sadness, emptiness, worthlessness, apathy
hypomania/mania mood
elevated mood, extreme confidence, grandiosity, irritability, hostility
depression cognitive symptoms
pessimism, guilt, difficulty concentrating, negative/suicidal thoughts
hypomania/mania cognitive symptoms
disorentation, racing thoughts, decreased focus and attention, creativity, poor judgement
depression behavioral symptoms
social withdrawal, crying, low energy, lowered productivity, agitation, poor hygeine
hypomania/mania behavioral symptoms
overactivity, rapid or incoherent speech, impulsivity, risk taking behaviors
depression Physiological
appetite and weight changes, sleep disturbances, aches and pain, loss of sex drive
hypomania/mania physiological
high levels of arousal, decreased sleep, increased sex drive
Rumination
continually thinking about upsetting topics or repeatedly reviewing distressing events
emotional lability
unstable and rapidly changing emotions and mood
grandiosity
feeling superior to others
major depressive disorder
much higher in females
persistent depressive disorder (dysthymia)
much higher in females
chronic depressive symptoms that are present most of the day than most for a 2 year period
premenstural dysphoric disorder
serious symptoms of depression, irritability, and tension that appears the week before menstration and dissapear after menstruation ends
major depressive disorder with season pattern
higher in women
classified as a condition involving at least two seasonal episodes of severe depression ending at a predictable time of year combined with a pattern of depressive episodes that occur more seasonally.
persistent complex bereavement disorder
intense and peristent deliberating sorrow for over a year after a loved one has died
bipolar 1 disorder
at least one weeklong manic episode (most severe)
mixed features or depressive episodes are common, but not required for diagnosis
possible psychotic features
bipolar 2 disorder
at least one major depressive episode
at least one hypomanic episode
no history of mania
cyclothymic disorder
periods involving milder hypomanic symptoms alternating with milder depression for at least 2 years(with no more than 2 months free)
symptoms have never met criteria for hypomanic, manic, or major depressive disorder
panic disorder
recurrent unexpected panic attacks in combination with apprehension over having another attack or worry about the consequences of an attack
or changes in behavior or activities designed to avoid another panic attacks
generalized anxiety disorder
persistent, high levels of anxiety and excessive difficult to control worry over life
obsessive compulsive disorder
obsessions, which are persistent anxiety producing thoughts or images and hour long a day compulsions which involve the overwhelming need to engage in activities or mental acts to counteract anxiety or prevent the occurrence of a dreaded event
adjustment disorder
when someone has difficulty coping with or adjusting to a specific life stressors/ reactions are disproportionate to the severity
acute stress disorder vs post traumatic stress disorder
ASD is a short-term, immediate reaction to trauma, while PTSD is a long-term, persistent disorder that develops if symptoms continue beyond a month.
acrophobia
heights
aliurophobia
cats
algophobia
pain
astrapophobia
storms, thunder, lightning
dementophobia
insanity
genophobia
fear of sexual relations
hematophobia
blood
microphobia
germs
monophobia
being alone
mysophobia
contamination/germs
nyctophobia
dark
pathophobia
disease
trypophobia
holes
phonophobias
phobias
pyrophobia
fire
xenophobia
strangers
agoraphobia
Agoraphobia is an anxiety disorder characterized by an intense fear of situations where escape might be difficult or help may not be available
anorexia Nervosa
extreme thiness where body image is distorted/ fear of gaining weight
purging
bulimia nervosa
reccurent episodes of binge eating that occur once a week for 3 months or more
avoid weight by purging
binge eating disorder
binge eating one a week for at least 3 months
no purging
men and women body image issues
women want to be slimmer and men want to be more muscular
weight in men and women
black women is heavyset
white man is heavyset
treatment for AN, BM, and BE
AN: restore weight and address medical complications associated with starvation, family therapy
BM: encouraging consumption of three balanced meals a day, reducing rigid food rules, sometimes antidepressants
BE: reduction of weight and healthy diet, antidepressants and cognitive behavioral therapy
black vs white women body images
white - thinner
black thicker
white- perfect body
black- confidence, grooming, and confidence
white- beauty leaves in age
black- more beautiful in age
stimulants
induce feelings of euphporia/elation
ex: caffeine, amphetemines, coke crack
depressants
slows person down/ relaxers
ex: alcohol
hallucinagens
produce vivid sensory images
ex: lsd, saliva, psilocybin, mescaline
substances with mixed chemicals
intensifies/synergies effects
nicotine, inhalants, cannabis
dissociative anesthetics
dreamlike detachment
ex: phencylidine “angel dust”, ketamine (special K), dextrometrophan
unipolar disorders
major depressive disorder, persistent depressive disorder, seasonal depression
bipolar disorders
bipolar 1, bipolar 2, cyclothymic disorder
anxiety disorders
panic disorders
situation bound
situationally predisposed
unexpected
generalized anxiety disorder- worry about everything
obsessive compulsive disorder