Download presentation
We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Buttons:
Presentation is loading. Please wait.
Published byMary Houston
Modified over 3 years ago
پیشگیری از خودکشی ppt
1
پیشگیری و درمان خودکشی
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/1/%D9%BE%DB%8C%D8%B4%DA%AF%DB%8C%D8%B1%DB%8C+%D9%88+%D8%AF%D8%B1%D9%85%D8%A7%D9%86+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%DB%8C.jpg”,
“name”: “پیشگیری و درمان خودکشی”,
“description”: “پیشگیری و درمان خودکشی”,
“width”: “8”
}
2
مداخله و درمان خودکشی تعریف خود کشی: هر نوع اقدام بدست خود برای نابودی خویشتن یا پایان دادن تدریجی یا فوری به زندگی خودکشی یده می شود
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/2/%D9%85%D8%AF%D8%A7%D8%AE%D9%84%D9%87+%D9%88+%D8%AF%D8%B1%D9%85%D8%A7%D9%86+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%DB%8C+%D8%AA%D8%B9%D8%B1%DB%8C%D9%81+%D8%AE%D9%88%D8%AF+%DA%A9%D8%B4%DB%8C%3A+%D9%87%D8%B1+%D9%86%D9%88%D8%B9+%D8%A7%D9%82%D8%AF%D8%A7%D9%85+%D8%A8%D8%AF%D8%B3%D8%AA+%D8%AE%D9%88%D8%AF+%D8%A8%D8%B1%D8%A7%DB%8C+%D9%86%D8%A7%D8%A8%D9%88%D8%AF%DB%8C+%D8%AE%D9%88%DB%8C%D8%B4%D8%AA%D9%86+%DB%8C%D8%A7+%D9%BE%D8%A7%DB%8C%D8%A7%D9%86+%D8%AF%D8%A7%D8%AF%D9%86+%D8%AA%D8%AF%D8%B1%DB%8C%D8%AC%DB%8C+%DB%8C%D8%A7+%D9%81%D9%88%D8%B1%DB%8C+%D8%A8%D9%87+%D8%B2%D9%86%D8%AF%DA%AF%DB%8C+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%DB%8C+%D9%86%D8%A7%D9%85%DB%8C%D8%AF%D9%87+%D9%85%DB%8C+%D8%B4%D9%88%D8%AF..jpg”,
“name”: “مداخله و درمان خودکشی تعریف خود کشی: هر نوع اقدام بدست خود برای نابودی خویشتن یا پایان دادن تدریجی یا فوری به زندگی خودکشی یده می شود.”,
“description”: “مداخله و درمان خودکشی تعریف خود کشی: هر نوع اقدام بدست خود برای نابودی خویشتن یا پایان دادن تدریجی یا فوری به زندگی خودکشی یده می شود.”,
“width”: “8”
}
3
میزان شوع خود کشی Anderson, 22))سومین عامل مرگ و میر بین جوانان 1 تا 14 سال و سال خودکشی است Grunbaum et al., 22))از هر 5 نوجوان امریکایی یکی در معرض خطر خود کشی است در سال 16 نوجوان امریکایی در اثر خودکشی فوت می کنند در هر 16 دقیقه یک نفر در امریکا اقدام به خودکشی می کند در هر 2 ساعت یک نفر در ااثر خودکشی فوت می کند
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/3/%D9%85%DB%8C%D8%B2%D8%A7%D9%86+%D8%B4%D9%88%D8%B9+%D8%AE%D9%88%D8%AF+%DA%A9%D8%B4%DB%8C+Anderson%2C+22%29%29%D8%B3%D9%88%D9%85%DB%8C%D9%86+%D8%B9%D8%A7%D9%85%D9%84+%D9%85%D8%B1%DA%AF+%D9%88+%D9%85%DB%8C%D8%B1+%D8%A8%DB%8C%D9%86+%D8%AC%D9%88%D8%A7%D9%86%D8%A7%D9%86+1+%D8%AA%D8%A7+14+%D8%B3%D8%A7%D9%84+%D9%88+%D8%B3%D8%A7%D9%84+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%DB%8C+%D8%A7%D8%B3%D8%AA..jpg”,
“name”: “میزان شوع خود کشی Anderson, 22))سومین عامل مرگ و میر بین جوانان 1 تا 14 سال و سال خودکشی است.”,
“description”: “Grunbaum et al., 22))از هر 5 نوجوان امریکایی یکی در معرض خطر خود کشی است. در سال 16 نوجوان امریکایی در اثر خودکشی فوت می کنند. در هر 16 دقیقه یک نفر در امریکا اقدام به خودکشی می کند. در هر 2 ساعت یک نفر در ااثر خودکشی فوت می کند.”,
“width”: “8”
}
4
بررسی وضعیت خودکشی در جوانان امریکا نشان می دهد19 درصد در معرض خطر جدی تصمیم به خودکششی هستند 15 درصد درای طرح خودکشی هستند 8.8 درصد اقدام به خودکشی کرده اند 2.6 درصد اقدام جدی منجر به مداخله پزشکی شده است
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/4/%D8%A8%D8%B1%D8%B1%D8%B3%DB%8C+%D9%88%D8%B6%D8%B9%DB%8C%D8%AA+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%DB%8C+%D8%AF%D8%B1+%D8%AC%D9%88%D8%A7%D9%86%D8%A7%D9%86+%D8%A7%D9%85%D8%B1%DB%8C%DA%A9%D8%A7+%D9%86%D8%B4%D8%A7%D9%86+%D9%85%DB%8C+%D8%AF%D9%87%D8%AF.jpg”,
“name”: “بررسی وضعیت خودکشی در جوانان امریکا نشان می دهد”,
“description”: “19 درصد در معرض خطر جدی تصمیم به خودکششی هستند. 15 درصد درای طرح خودکشی هستند. 8.8 درصد اقدام به خودکشی کرده اند. 2.6 درصد اقدام جدی منجر به مداخله پزشکی شده است.”,
“width”: “8”
}
5
Mood Disorder % Antisocial Disorder % Substance Abuse % Anxiety Disorder %
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/5/Mood+Disorder+6%25+Antisocial+Disorder+5%25+Substance+Abuse+35%25.jpg”,
“name”: “Mood Disorder 6% Antisocial Disorder 5% Substance Abuse 35%”,
“description”: “Anxiety Disorder 27%”,
“width”: “8”
}
6
مدت زمان ابتلای به بیماری قبل ار اقدام به خودکشی> 12 months % 3-12 months % 12 months 63% 3-12 months 13% < 3months 4%",
"width": "8"
}
7
عمده حوادثی بعد از آن خودکشی رخ داده استdمشکلات انضباطی و قانونی مشکلات ارتباطی تحقیر واگیری و سرایت از دیگران شکست مالی مصرف دارو
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/7/%D8%B9%D9%85%D8%AF%D9%87+%D8%AD%D9%88%D8%A7%D8%AF%D8%AB%DB%8C+%D8%A8%D8%B9%D8%AF+%D8%A7%D8%B2+%D8%A2%D9%86+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%DB%8C+%D8%B1%D8%AE+%D8%AF%D8%A7%D8%AF%D9%87+%D8%A7%D8%B3%D8%AA.jpg”,
“name”: “عمده حوادثی بعد از آن خودکشی رخ داده است”,
“description”: “dمشکلات انضباطی و قانونی. مشکلات ارتباطی. تحقیر. واگیری و سرایت از دیگران. شکست مالی. مصرف دارو.”,
“width”: “8”
}
8
شیوع خودکشی در زن و مرد در سنین مختلف1.6 19.5 17.4 21.3 24 19.1 19.8 25.7 17.1 .9 3.7 3.3 7.1 6.9 4.2 2.3 * 5 1 15 2 25 3 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Age group Deaths per 1, population Males Females شیوع خودکشی در زن و مرد در سنین مختلف
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/8/%D8%B4%DB%8C%D9%88%D8%B9+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%DB%8C+%D8%AF%D8%B1+%D8%B2%D9%86+%D9%88+%D9%85%D8%B1%D8%AF+%D8%AF%D8%B1+%D8%B3%D9%86%DB%8C%D9%86+%D9%85%D8%AE%D8%AA%D9%84%D9%81.jpg”,
“name”: “شیوع خودکشی در زن و مرد در سنین مختلف”,
“description”: “* Age group. Deaths per 1, population. Males. Females. شیوع خودکشی در زن و مرد در سنین مختلف.”,
“width”: “8”
}
9
فاصله شروع ایده خود گشی تا اقدام به آن69% دقیقه 24% دقیقه 7%=== 2 ساعت
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/9/%D9%81%D8%A7%D8%B5%D9%84%D9%87+%D8%B4%D8%B1%D9%88%D8%B9+%D8%A7%DB%8C%D8%AF%D9%87+%D8%AE%D9%88%D8%AF+%DA%AF%D8%B4%DB%8C+%D8%AA%D8%A7+%D8%A7%D9%82%D8%AF%D8%A7%D9%85+%D8%A8%D9%87+%D8%A2%D9%86.jpg”,
“name”: “فاصله شروع ایده خود گشی تا اقدام به آن”,
“description”: “69%3 دقیقه. 24% دقیقه. 7%=== 2 ساعت.”,
“width”: “8”
}
1
نشانه های خودکشب Talk If a person talks about: Killing themselves.Having no reason to live. Being a burden to others. Feeling trapped. Unbearable pain.
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/1/%D9%86%D8%B4%D8%A7%D9%86%D9%87+%D9%87%D8%A7%DB%8C+%D8%AE%D9%88%D8%AF%DA%A9%D8%B4%D8%A8+Talk+If+a+person+talks+about%3A+Killing+themselves..jpg”,
“name”: “نشانه های خودکشب Talk If a person talks about: Killing themselves.”,
“description”: “Having no reason to live. Being a burden to others. Feeling trapped. Unbearable pain.”,
“width”: “8”
}
11
رفتار های پرخطر Increased use of alcohol or drugs.Looking for a way to kill themselves, such as searching online for materials or means. Acting recklessly. Withdrawing from activities. Isolating from family and friends. Sleeping too much or too little. Visiting or calling people to say goodbye. Giving away prized possessions. Aggression.
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/11/%D8%B1%D9%81%D8%AA%D8%A7%D8%B1+%D9%87%D8%A7%DB%8C+%D9%BE%D8%B1%D8%AE%D8%B7%D8%B1+Increased+use+of+alcohol+or+drugs..jpg”,
“name”: “رفتار های پرخطر Increased use of alcohol or drugs.”,
“description”: “Looking for a way to kill themselves, such as searching online for materials or means. Acting recklessly. Withdrawing from activities. Isolating from family and friends. Sleeping too much or too little. Visiting or calling people to say goodbye. Giving away prized possessions. Aggression.”,
“width”: “8”
}
12
خلق People who are considering suicide often display one or more of the following moods. Depression. Loss of interest. Rage. Irritability. Humiliation. Anxiety.
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/12/%D8%AE%D9%84%D9%82+People+who+are+considering+suicide+often+display+one+or+more+of+the+following+moods.+Depression..jpg”,
“name”: “خلق People who are considering suicide often display one or more of the following moods. Depression.”,
“description”: “Loss of interest. Rage. Irritability. Humiliation. Anxiety.”,
“width”: “8”
}
13
عوامل خطر ساز Suicide Risk FactorRisk factors are characteristics or conditions that increase the chance that a person may try to take their life. The more risk factors, the higher the risk Health Factors Mental health conditions. Depression. Bipolar (manic-depressive) disorder. Schizophrenia. Borderline or antisocial personality disorder. Conduct disorder. Psychotic disorders, or psychotic symptoms in the context of any disorder Anxiety disorders. Substance abuse disorders. Serious or chronic health condition and/or pain.
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/13/%D8%B9%D9%88%D8%A7%D9%85%D9%84+%D8%AE%D8%B7%D8%B1+%D8%B3%D8%A7%D8%B2+Suicide+Risk+Factor.jpg”,
“name”: “عوامل خطر ساز Suicide Risk Factor”,
“description”: “Risk factors are characteristics or conditions that increase the chance that a person may try to take their life. The more risk factors, the higher the risk. Health Factors. Mental health conditions. Depression. Bipolar (manic-depressive) disorder. Schizophrenia. Borderline or antisocial personality disorder. Conduct disorder. Psychotic disorders, or psychotic symptoms in the context of any disorder. Anxiety disorders. Substance abuse disorders. Serious or chronic health condition and/or pain.”,
“width”: “8”
}
14
عوامل محیطی Contagion would include exposure to another person’s suicide, or to graphic or sensationalized accounts of suicide. Access to Lethal Means including firearms and drugs. Prolonged Stress Factors which may include harassment, bullying, relationship problems, and unemployment. Stressful Life Events which may include a death, divorce, or job loss. عوامل تاریخچه ای Previous Suicide Attempts. Family History of Suicide Attempts.
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/14/%D8%B9%D9%88%D8%A7%D9%85%D9%84+%D9%85%D8%AD%DB%8C%D8%B7%DB%8C+Contagion+would+include+exposure+to+another+person%E2%8%99s+suicide%2C+or+to+graphic+or+sensationalized+accounts+of+suicide..jpg”,
“name”: “عوامل محیطی Contagion would include exposure to another persons suicide, or to graphic or sensationalized accounts of suicide.”,
“description”: “Access to Lethal Means including firearms and drugs. Prolonged Stress Factors which may include harassment, bullying, relationship problems, and unemployment. Stressful Life Events which may include a death, divorce, or job loss. عوامل تاریخچه ای. Previous Suicide Attempts. Family History of Suicide Attempts.”,
“width”: “8”
}
15
Suicide SUICIDE: A MULTI-FACTORIAL EVENTPsychiatric Illness Co-morbidity Personality Disorder/Traits Neurobiology Impulsiveness Substance Use/Abuse Hopelessness Severe Medical Illness Suicide Family History Access To Weapons Psychodynamics/ Psychological Vulnerability Life Stressors Suicidal Behavior
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/15/Suicide+SUICIDE%3A+A+MULTI-FACTORIAL+EVENT.jpg”,
“name”: “Suicide SUICIDE: A MULTI-FACTORIAL EVENT”,
“description”: “Psychiatric Illness Co-morbidity. Personality Disorder/Traits. Neurobiology. Impulsiveness. Substance Use/Abuse. Hopelessness. Severe Medical. Illness. Suicide. Family History. Access To Weapons. Psychodynamics/ Psychological Vulnerability. Life Stressors. Suicidal. Behavior.”,
“width”: “8”
}
16
Areas to Evaluate in Suicide AssessmentPsychiatric Illnesses Comorbidity, Affective Disorders, Alcohol / Substance Abuse, Schizophrenia, Cluster B Personality disorders. History Prior suicide attempts, aborted attempts or self harm; Medical diagnoses, Family history of suicide / attempts / mental illness Individual strengths / vulnerabilities Coping skills; personality traits; past responses to stress; capacity for reality testing; tolerance of psychological pain Psychosocial situation Acute and chronic stressors; changes in status; quality of support; religious beliefs Suicidality and Symptoms Past and present suicidal ideation, plans, behaviors, intent; methods; hopelessness, anhedonia, anxiety symptoms; reasons for living; associated substance use; homicidal ideation Adapted from APA guidelines, part A, p. 4
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/16/Areas+to+Evaluate+in+Suicide+Assessment.jpg”,
“name”: “Areas to Evaluate in Suicide Assessment”,
“description”: “Psychiatric. Illnesses. Comorbidity, Affective Disorders, Alcohol / Substance Abuse, Schizophrenia, Cluster B Personality disorders. History. Prior suicide attempts, aborted attempts or self harm; Medical diagnoses, Family history of suicide / attempts / mental illness. Individual strengths / vulnerabilities. Coping skills; personality traits; past responses to stress; capacity for reality testing; tolerance of psychological pain. Psychosocial situation. Acute and chronic stressors; changes in status; quality of support; religious beliefs. Suicidality and Symptoms. Past and present suicidal ideation, plans, behaviors, intent; methods; hopelessness, anhedonia, anxiety symptoms; reasons for living; associated substance use; homicidal ideation. Adapted from APA guidelines, part A, p. 4.”,
“width”: “8”
}
17
RISK FACTORS (blue = modifiable)Demographic male; widowed, divorced, single; increases with age; white Psychosocial lack of social support; unemployment; drop in socio-economic status; firearm access Psychiatric psychiatric diagnosis; comorbidity Physical Illness malignant neoplasms; HIV/AIDS; peptic ulcer disease; hemodialysis; systemic lupus erthematosis; pain syndromes; functional impairment; diseases of nervous system Psychological Dimensions hopelessness; psychic pain/anxiety; psychological turmoil; decreased self-esteem; fragile narcissism aggression; severe anxiety; panic attacks; agitation; intoxication; prior suicide attempt Cognitive Dimensions thought constriction; polarized thinking Childhood Trauma sexual/physical abuse; neglect; parental loss Genetic widowed, divorced, single; increases with age; white. Psychosocial. lack of social support; unemployment; drop in socio-economic status; firearm access. Psychiatric. psychiatric diagnosis; comorbidity. Physical Illness. malignant neoplasms; HIV/AIDS; peptic ulcer disease; hemodialysis; systemic lupus erthematosis; pain syndromes; functional impairment; diseases of nervous system. Psychological Dimensions. hopelessness; psychic pain/anxiety; psychological turmoil; decreased self-esteem; fragile narcissism
18
PROTECTIVE FACTORS Children in the home, except among those with postpartum psychosis Pregnancy Deterrent religious beliefs Life satisfaction Reality testing ability Positive coping skills Positive social support Positive therapeutic relationship
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/18/PROTECTIVE+FACTORS+Children+in+the+home%2C+except+among+those+with+postpartum+psychosis.+Pregnancy.+Deterrent+religious+beliefs..jpg”,
“name”: “PROTECTIVE FACTORS Children in the home, except among those with postpartum psychosis. Pregnancy. Deterrent religious beliefs.”,
“description”: “Life satisfaction. Reality testing ability. Positive coping skills. Positive social support. Positive therapeutic relationship.”,
“width”: “8”
}
19
SUICIDE RISKS IN SPECIFIC DISORDERSCondition RR %/y %-Lifetime Prior suicide attempt Eating disorders Bipolar disorder Major depression Mixed drug abuse Dysthymia Obsessive-compulsive Panic disorder Schizophrenia Personality disorders Alcohol abuse Cancer General population Adapted from A.P.A. Guidelines, part A, p. 16
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/19/SUICIDE+RISKS+IN+SPECIFIC+DISORDERS.jpg”,
“name”: “SUICIDE RISKS IN SPECIFIC DISORDERS”,
“description”: “Condition RR %/y %-Lifetime. Prior suicide attempt Eating disorders Bipolar disorder Major depression Mixed drug abuse Dysthymia Obsessive-compulsive Panic disorder Schizophrenia Personality disorders Alcohol abuse Cancer General population Adapted from A.P.A. Guidelines, part A, p. 16.”,
“width”: “8”
}
2
COMORBIDITY In general, the more diagnoses present, the higher the risk of suicide. Psychological Autopsy of 229 Suicides 44% had 2 or more Axis I diagnoses 31% had Axis I and Axis II diagnoses 5% had Axis I and at least one Axis III diagnosis Only 12 % had an Axis I diagnosis with no comorbidity Henriksson et al, 1993
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/2/COMORBIDITY+In+general%2C+the+more+diagnoses+present%2C+the+higher+the+risk+of+suicide.+Psychological+Autopsy+of+229+Suicides..jpg”,
“name”: “COMORBIDITY In general, the more diagnoses present, the higher the risk of suicide. Psychological Autopsy of 229 Suicides.”,
“description”: “44% had 2 or more Axis I diagnoses. 31% had Axis I and Axis II diagnoses. 5% had Axis I and at least one Axis III diagnosis. Only 12 % had an Axis I diagnosis with no comorbidity. Henriksson et al,”,
“width”: “8”
}
21
AFFECTIVE DISORDERS AND SUICIDEHigh-Risk Profile: Suicide occurs early in the course of illness Psychic anxiety or panic symptoms Moderate alcohol abuse First episode of suicidality Hospitalized for affective disorder secondary to suicidality Risk for men is four times as high as for women except in bipolar disorder where women are equally at risk
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/21/AFFECTIVE+DISORDERS+AND+SUICIDE.jpg”,
“name”: “AFFECTIVE DISORDERS AND SUICIDE”,
“description”: “High-Risk Profile: Suicide occurs early in the course of illness. Psychic anxiety or panic symptoms. Moderate alcohol abuse. First episode of suicidality. Hospitalized for affective disorder secondary to suicidality. Risk for men is four times as high as for women except in bipolar disorder where women are equally at risk.”,
“width”: “8”
}
22
SCHIZOPHRENIA AND SUICIDEHigh-Risk Profile: Previous suicide attempt(s) Significant depressive symptoms – hopelessness Male gender First decade of illness – (however, rate remains elevated throughout lifetime) Poor premorbid functioning Current substance abuse Poor current work and social functioning Recent hospital discharge
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/22/SCHIZOPHRENIA+AND+SUICIDE.jpg”,
“name”: “SCHIZOPHRENIA AND SUICIDE”,
“description”: “High-Risk Profile: Previous suicide attempt(s) Significant depressive symptoms – hopelessness. Male gender. First decade of illness (however, rate remains elevated throughout lifetime) Poor premorbid functioning. Current substance abuse. Poor current work and social functioning. Recent hospital discharge.”,
“width”: “8”
}
23
ALCOHOL / SUBSTANCE ABUSE AND SUICIDESuicide occurs later in the course of the illness with communications of suicidal intent lasting several years In completed suicides, men have higher rates of alcohol abuse, women have higher rates of drug abuse Increased number of substances used, rather than the type of substance appears to be important Most have comorbid psychiatric disorders, females have Borderline Personality Disorder High Risk Profile: Recent or impending interpersonal loss Comorbid depression
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/23/ALCOHOL+%2F+SUBSTANCE+ABUSE+AND+SUICIDE.jpg”,
“name”: “ALCOHOL / SUBSTANCE ABUSE AND SUICIDE”,
“description”: “Suicide occurs later in the course of the illness with communications of suicidal intent lasting several years. In completed suicides, men have higher rates of alcohol abuse, women have higher rates of drug abuse. Increased number of substances used, rather than the type of substance appears to be important. Most have comorbid psychiatric disorders, females have Borderline Personality Disorder. High Risk Profile: Recent or impending interpersonal loss. Comorbid depression.”,
“width”: “8”
}
24
PERSONALITY DISORDERS AND SUICIDEBorderline Personality Disorder Lifetime rate of suicide – 8.5% With alcohol problems -19% With alcohol problems and major affective disorder -38% (Stone 1993). A comorbid condition in over 3% of the suicides. Nearly 75% of patients with borderline personality disorder have made at least one suicide attempt in their lives. Antisocial Personality disorder Suicide associated with narcissistic injury / impulsivity.
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/24/PERSONALITY+DISORDERS+AND+SUICIDE.jpg”,
“name”: “PERSONALITY DISORDERS AND SUICIDE”,
“description”: “Borderline Personality Disorder. Lifetime rate of suicide – 8.5% With alcohol problems -19% With alcohol problems and major affective disorder -38% (Stone 1993). A comorbid condition in over 3% of the suicides. Nearly 75% of patients with borderline personality disorder have made at least one suicide attempt in their lives. Antisocial Personality disorder. Suicide associated with narcissistic injury / impulsivity.”,
“width”: “8”
}
25
FAMILY PSYCHOPATHOLOGYFamily history of abuse, violence, or other self-destructive behaviors place individuals at increased risk for suicidal behaviors (Moscicki 1997, van der Kolk 1991). Histories of childhood physical abuse and sexual abuse, as well as parental neglect and separations, may be correlated with a variety of self-destructive behaviors in adulthood (van der Kolk 1991).
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/25/FAMILY+PSYCHOPATHOLOGY.jpg”,
“name”: “FAMILY PSYCHOPATHOLOGY”,
“description”: “Family history of abuse, violence, or other self-destructive behaviors place individuals at increased risk for suicidal behaviors (Moscicki 1997, van der Kolk 1991). Histories of childhood physical abuse and sexual abuse, as well as parental neglect and separations, may be correlated with a variety of self-destructive behaviors in adulthood (van der Kolk 1991).”,
“width”: “8”
}
26
PSYCHOSOCIAL SITUATION:LIFE STRESSORS Recent severe, stressful life events associated with suicide in vulnerable individuals (Moscicki 1997). Stressors include interpersonal loss or conflict, economic problems, legal problems, and moving (Brent et al 1993b, Lesage et al 1994, Rich et al 1998a, Moscicki 1997). High risk stressor: humiliating events, e.g., financial ruin associated with scandal, being arrested or being fired (Hirschfeld and Davidson 1988) – can lead to impulsive suicide. Identify stressor in context of personality strength, vulnerabilities, illness, and support system. All studies are reviews
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/26/PSYCHOSOCIAL+SITUATION%3A.jpg”,
“name”: “PSYCHOSOCIAL SITUATION:”,
“description”: “LIFE STRESSORS. Recent severe, stressful life events associated with suicide in vulnerable individuals (Moscicki 1997). Stressors include interpersonal loss or conflict, economic problems, legal problems, and moving (Brent et al 1993b, Lesage et al 1994, Rich et al 1998a, Moscicki 1997). High risk stressor: humiliating events, e.g., financial ruin associated with scandal, being arrested or being fired (Hirschfeld and Davidson 1988) can lead to impulsive suicide. Identify stressor in context of personality strength, vulnerabilities, illness, and support system. All studies are reviews.”,
“width”: “8”
}
27
PSYCHOSOCIAL SITUATION: FIREARMS AND SUICIDEFirearms account for 55-6% of suicides (Baker 1984, Sloan 199). Firearms at home increase risk for adolescents: Guns are twice as likely to be found in the homes of suicide victims as in the homes of attempters (OR 2.1) or in the homes of control group (OR 2.2) (Brent et al 1991) Type of gun (handgun, rifle, etc.) was not statistically correlated with increased risk for suicide Risk management point: Inquire about firearms when indicated and document instructions and response.
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/27/PSYCHOSOCIAL+SITUATION%3A+FIREARMS+AND+SUICIDE.jpg”,
“name”: “PSYCHOSOCIAL SITUATION: FIREARMS AND SUICIDE”,
“description”: “Firearms account for 55-6% of suicides (Baker 1984, Sloan 199). Firearms at home increase risk for adolescents: Guns are twice as likely to be found in the homes of suicide victims as in the homes of attempters (OR 2.1) or in the homes of control group (OR 2.2) (Brent et al 1991) Type of gun (handgun, rifle, etc.) was not statistically correlated with increased risk for suicide. Risk management point: Inquire about firearms when indicated and document instructions and response.”,
“width”: “8”
}
28
PSYCHOLOGICAL VULNERABILITIES: CLINICAL OBSERVATIONSCapacity to manage affect. Ability to tolerate aloneness. Ability to experience and tolerate psychological pain (Shneidman) – Anguish, perturbation. Features of ambivalence. Tunnel vision (dyadic thinking). Nature of object relationships. Ability to use external resources
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/28/PSYCHOLOGICAL+VULNERABILITIES%3A+CLINICAL+OBSERVATIONS.jpg”,
“name”: “PSYCHOLOGICAL VULNERABILITIES: CLINICAL OBSERVATIONS”,
“description”: “Capacity to manage affect. Ability to tolerate aloneness. Ability to experience and tolerate psychological pain (Shneidman) Anguish, perturbation. Features of ambivalence. Tunnel vision (dyadic thinking). Nature of object relationships. Ability to use external resources.”,
“width”: “8”
}
29
DIRECT QUESTIONING ABOUT SUICIDE: THE SPECIFIC SUICIDE INQUIRYAsk About: Suicidal ideation Suicide plans Give Added Consideration to: Suicide attempts (actual and aborted) First episode of suicidality (Kessler 1999) Hopelessness Ambivalence: a chance to intervene Psychological pain history Emphasize increased risk of suicide attempts in year following initial onset of suicidal ideation. – Kessler Jacobs (1998)
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/29/DIRECT+QUESTIONING+ABOUT+SUICIDE%3A+THE+SPECIFIC+SUICIDE+INQUIRY.jpg”,
“name”: “DIRECT QUESTIONING ABOUT SUICIDE: THE SPECIFIC SUICIDE INQUIRY”,
“description”: “Ask About: Suicidal ideation. Suicide plans. Give Added Consideration to: Suicide attempts (actual and aborted) First episode of suicidality (Kessler 1999) Hopelessness. Ambivalence: a chance to intervene. Psychological pain history. Emphasize increased risk of suicide attempts in year following initial onset of suicidal ideation. – Kessler. Jacobs (1998)”,
“width”: “8”
}
3
COMPONENTS OF SUICIDAL IDEATIONIntent: Subjective expectation and desire for a self-destructive act to end in death. Lethality: Objective danger to life associated with a suicide method or action. Lethality is distinct from and may not always coincide with an individual’s expectation of what is medically dangerous. Degree of ambivalence – wish to live, wish to die Intensity, frequency Rehearsal/availability of method Presence/absence of suicide note Deterrents (e.g. family, religion, positive therapeutic relationship, positive support system – including work) Remember to read the suicide note and document that you read it. Beck et al. (1979)
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/3/COMPONENTS+OF+SUICIDAL+IDEATION.jpg”,
“name”: “COMPONENTS OF SUICIDAL IDEATION”,
“description”: “Intent: Subjective expectation and desire for a self-destructive act to end in death. Lethality: Objective danger to life associated with a suicide method or action. Lethality is distinct from and may not always coincide with an individuals expectation of what is medically dangerous. Degree of ambivalence – wish to live, wish to die. Intensity, frequency. Rehearsal/availability of method. Presence/absence of suicide note. Deterrents (e.g. family, religion, positive therapeutic relationship, positive support system – including work) Remember to read the suicide note and document that you read it. Beck et al. (1979)”,
“width”: “8”
}
31
CHARACTERISTICS OF A SUICIDE PLANRisk / Rescue Issues: Method Time Place Available means Arranging sequence of events Jacobs (1998)
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/31/CHARACTERISTICS+OF+A+SUICIDE+PLAN.jpg”,
“name”: “CHARACTERISTICS OF A SUICIDE PLAN”,
“description”: “Risk / Rescue Issues: Method. Time. Place. Available means. Arranging sequence of events. Jacobs (1998)”,
“width”: “8”
}
32
PSYCHIATRIC SYMPTOMS ASSOCIATED WITH SUICIDEHopelessness Impulsivity / Aggression Anxiety Command hallucinations
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/32/PSYCHIATRIC+SYMPTOMS+ASSOCIATED+WITH+SUICIDE.jpg”,
“name”: “PSYCHIATRIC SYMPTOMS ASSOCIATED WITH SUICIDE”,
“description”: “Hopelessness. Impulsivity / Aggression. Anxiety. Command hallucinations.”,
“width”: “8”
}
33
PSYCHIATRIC SYMPTOMATOLOGY: HOPELESSNESSResearch indicates relationship between hopelessness and suicidal intent in both hospitalized and non-hospitalized patients (Beck 1985, Beck 199) Subjective hopelessness was associated with fewer reasons for living and increased risk for suicide (Malone 2) Modifiable through various interventions
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/33/PSYCHIATRIC+SYMPTOMATOLOGY%3A+HOPELESSNESS.jpg”,
“name”: “PSYCHIATRIC SYMPTOMATOLOGY: HOPELESSNESS”,
“description”: “Research indicates relationship between hopelessness and suicidal intent in both hospitalized and non-hospitalized patients (Beck 1985, Beck 199) Subjective hopelessness was associated with fewer reasons for living and increased risk for suicide (Malone 2) Modifiable through various interventions.”,
“width”: “8”
}
34
PSYCHIATRIC SYMPTOMATOLOGY: IMPULSIVITY / AGGRESSIONMay contribute to suicidal behavior It is important to assess level of impulsiveness when assessing for suicidality (Sher 21, Fawcett et al, in press) Suicide attempters may be more likely to present traits of impulsiveness / aggression regardless of psychiatric diagnosis (Mann et al 1999). Important in assessing risk of murder-suicide
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/34/PSYCHIATRIC+SYMPTOMATOLOGY%3A+IMPULSIVITY+%2F+AGGRESSION.jpg”,
“name”: “PSYCHIATRIC SYMPTOMATOLOGY: IMPULSIVITY / AGGRESSION”,
“description”: “May contribute to suicidal behavior. It is important to assess level of impulsiveness when assessing for suicidality (Sher 21, Fawcett et al, in press) Suicide attempters may be more likely to present traits of impulsiveness / aggression regardless of psychiatric diagnosis (Mann et al 1999). Important in assessing risk of murder-suicide.”,
“width”: “8”
}
35
PSYCHIATRIC SYMPTOMATOLOGY: ANXIETYAnxiety symptoms (independent of an anxiety disorder) associated with suicide risk: Panic Attacks Severe Psychic Anxiety (subjective anxiety) Anxious Ruminations Agitation In a review of inpatient suicides 79% met criteria for severe or extreme anxiety or agitation
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/35/PSYCHIATRIC+SYMPTOMATOLOGY%3A+ANXIETY.jpg”,
“name”: “PSYCHIATRIC SYMPTOMATOLOGY: ANXIETY”,
“description”: “Anxiety symptoms (independent of an anxiety disorder) associated with suicide risk: Panic Attacks. Severe Psychic Anxiety (subjective anxiety) Anxious Ruminations. Agitation. In a review of inpatient suicides 79% met criteria for severe or extreme anxiety or agitation.”,
“width”: “8”
}
پیشگیری از خودکشی ppt
36
PSYCHIATRIC SYMPTOMATOLOGY: COMMAND HALLUCINATIONSExisting studies are too small to draw conclusions, patients with command hallucinations may not be at greater risk, per se, than other severely psychotic patients. However, the majority of patients with suicidal command hallucinations should be considered seriously suicidal Management of patients with chronic command hallucinations requires consultation and documentation Adapted from A.P.A. Guidelines, Part A, p
{
“@context”: “https://schema.org”,
“@type”: “ImageObject”,
“contentUrl”: “https://slideplayer.com/slide/685623/23/images/36/PSYCHIATRIC+SYMPTOMATOLOGY%3A+COMMAND+HALLUCINATIONS.jpg”,
“name”: “PSYCHIATRIC SYMPTOMATOLOGY: COMMAND HALLUCINATIONS”,
“description”: “Existing studies are too small to draw conclusions, patients with command hallucinations may not be at greater risk, per se, than other severely psychotic patients. However, the majority of patients with suicidal command hallucinations should be considered seriously suicidal. Management of patients with chronic command hallucinations requires consultation and documentation. Adapted from A.P.A. Guidelines, Part A, p”,
“width”: “8”
}
Suicide Back to Basics April 24, 28 Clare Gray MD FRCPC.
Dr. Saman Yousuf 15 June SOCIETY COMMUNITY FAMILY INDIVIDUAL.
Mental Health A better view of mental illness. What are mental disorders? A _____________________: is an illness of the mind that can affect the thoughts,
IN THE NAME OF GOD Suicide.
Child and Adolescent Psychopathology
Suicide Assessment Douglas Jacobs, MD
Mood Disorders. Level of analysis Depression as a symptom Depression as a syndrome Depression as a disorder.
Depression. Depression Signs and Symptoms At Least 5 of the 9 for a two week period Depressed mood most of the day Reduced interest in pleasurable activities.
Stephen Barron, PsychLaw Conference Police Officer Suicide: NSW Police Force to 25 Stephen W. Barron.
Assessing Risk for Suicide in the Primary Care Setting
MOOD DISORDERS DEPRESSION DR. HASSAN SARSAK, PHD, OT.
Suicide Assessment Base on the Harvard Medical School Guide to Suicide Assessment and Intervention. San Francisco, CA. Jossey-Bass Publisher, 1998.
MENTAL HEALTH Understanding Mental Illness. Defining Mental Illness Clinical definition Clinically significant behavioral problems Clinically significant.
Suicide Risk and Violence Threat Assessment Developed by DATA of Rhode Island through a grant from the RI Department of Human Services through a grant.
Safety Assessment 1. How do we think through a safety assessment? 2. How do we document the assessment?
Understanding Suicide Risk Factors A Guide for Suicide Prevention Workers.
Chapter 9 Warm-Up What are phobias? List a few of your own phobias.
Some Secrets SHOULD be Shared
Similar presentations
© 219 SlidePlayer.com Inc. All rights reserved.
ࡱ
نشانه‌های سجاوندی
عجب سازنده ی این علامت عرب دولاب است
