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Psychiatry MCQ Bank Forum Hot - Unanswered
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mugilakilSend an Instant Message to mugilakil  




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Quick Scroll suicide 11.16.05 (3 years ago) #1

Major Risk Factors For Suicide
- The presence of the following factors increases the risk of completed suicide

1. Age > 40 years
2. Male Sex
3. Staying Single
4. Previous suicidal attempt(s)
5. Depression (risk about 25 times more than normal)
i. Presence of guilt, self-accusation, agitation, nihilistic ideation,worth-lessness, Hypochondriacal delusions and / or severe insomnia.
ii. More at the beginning or towards the end of a 6. Suicidal preoccupation (e.g. a ‘suicide note’ is written or detailed plans are made for committing suicide)
7. Alcohol or drug dependence
8. Severe, disabling, painful or untreatable physical illness
Recent serious loss or major stressful life event
10. Social Isolation
depressive episode
Misconceptions Facts
People who talk about suicide, don’t commit suicide Nearly 80 % of persons who commit suicide
Suicide happens without warning give definite warnings and / or clues about their suicidal intentions
Suicidal persons are fully intent on dying Most suicidal persons are undecided about dying or living.
Once a person is suicidal, he is suicidal forever. Suicidal person is suicidal only for a limited period of time
All suicidal persons are mentally ill or psychotic Although the suicidal person is often extremely unhappy, he is not necessarily mentally ill
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Quick Scroll 12.14.05 (3 years ago) #2

What about Self Harm? is that a risk factor for suicide? possibly accidental or as in indicator of general psch issues
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Quick Scroll 12.21.05 (3 years ago) #3

5-Hydroxyindoleacetic Acid Associations have been reported between low CSF 5-HIAA and suicidal behavior, aggression, poor impulse control and impulsive suicidal acts, disturbed behavior in childhood, violent suicide attempts, and depression in patients with diagnoses including major depressive disorder, schizophrenia, alcohol use disorders, and adjustment disorder. Hence, although this marker might not have nosological specificity, it might mark problematic behaviors across a wide variety of psychiatric diagnoses. There have also been reports of an association between elevated CSF 5-HIAA concentrations and anxious, obsessional, or inhibited behaviors.
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Quick Scroll 12.22.05 (3 years ago) #4

major study in suicide is louis appelby's confidential enquiry into suicides, type loius appelby into google and read about the risk factors
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Quick Scroll Deliberate Self-Harm.. 04.11.06 (2 years ago) #5

DSH is a deliberate non-fatal act whether physical, drug overdosage or poisoning done in the knowledge that it was potentially harmful & in the case of drug-overdosaage that the amount taken was excessive.

male:female is in favour of females-1:2.2

common causes of it in India are- quarrels with in-laws, with spouse, chronic physical illness, failed love affair, failure in examinations..

it is usually committed under influence of pstchoactive drugs most commonly alcohol.

it is basically a behaviour aimed at manipulating external environment & significant internal tension.

impulsivity, high degree dysphoria & hopelessness are asso with DSH..
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Quick Scroll 04.16.06 (2 years ago) #6

Thank you Dr. Mugilakil and other doctors for your valuable contributions. In other way we can remember the risk factor for suicide is SAD PERSON

S- Sex Male
A- age <20, >45 years
D- Depression

P- Psychiatric histry
E- Excessive drug use
R-Rationality loss
S-Separated
O- Organised Plan
N- No supports
S- Sickness

There are many more as well.
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Quick Scroll 06.04.06 (2 years ago) #7

Detailed risk factors for suicide are:

Male gender

Elderly age

Low social status

Low economical status

Low educational status

Unmarried, separated, divorced or widowed person

Living alone in residence

Farmer, female doctor, student or sailor as profession

Unemployed, retired or insecure employement

Prisoners, immigrants, refugees or religious sects

Persons in hospitals, prisons or army

Adverse life events such as losses & separations, criminal charges

Low social support & lack of social integration

especially in Spring & automn, weekend, evening, anniversary
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Quick Scroll 10.07.07 (1 year ago) #8

suicide assosiated with depression in 70%
is this statement true? i know it is assosiated with depression but what about percentage?
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Quick Scroll 10.12.07 (1 year ago) #9

suicide risk factors .
Male ,elderly>65 common,inc by age after 14,2nd cause of death for age 15-24.
marital status :widow/divorced,lives alone,no children,stressful events,psychotic disorders,prior past attemp ,FHx.
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Quick Scroll 09.09.08 (4 months ago) #10

ok
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