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From ANCC Review

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Suicide risk factors   divorced, single, separated, youth (15-24) >45 yo M, >55 yo F; elderly >65, white, M, lives alone, physical illness, Mood d/os (80% schiz., 10% dementia, 5% delirium), substance use, family hx of suicide, previous attempt, recent loss, various occupations  
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Occupations associated with suicide risk factors   law enforcement, dentists, artists, mechanics, lawyers, insurance agents, physicians  
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Life stressor risk factors for suicide   early loss/separation from parents, death of partner, loss of job/income, sudden fall of SES, LGBTQI, recent childbirth, sexual abuse, prior attempts or copycat, hallucinations, delusions, severe psych or chronic physical illness, severe family pathology  
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Copycat suicides are more common in   children  
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Suicide PROTECTIVE Factors   married, employed, stable family/work rxnshps, health, low substance use/social drinker, optimism, achievement (school/work/community), 1st suicide attempt, low lethality method w/ rescue inevitable, primary wish for change/good insight, social support  
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When assessing someone for suicide, one should look at both   risk and protective factors  
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When assessing suicidal thoughts   look at suicidal ideas or fantasizing  
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When assessing a suicide plan consider   lethality of method  
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These are associated with high lethality   guns, hanging, jumping, drowning, high ASA/tylenol overdose, carbon monoxide, car crash. Tricyclic and trazadone too  
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Speaking of trazadone, it is from what class?   Serotonin Antagonist & Reuptake Inhibitor (SARI)  
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Indicators for inpatient treatment for suicidal patient   history of impulsive behavior, suicidal plan with intent to act, absence of strong support system.  
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During inpatient treatment, it is important to determine the need for   close observation vs. constant observation  
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Close observation is   q15 min checks  
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Constant observation is   1:1 arms length  
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This should always be considered   the least restrictive environment 24-72 hour crisis stabilization in community respite care Patient Aligned Care Team (PACT)  
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According to the reviewer, this is the strongest predictor of suicide   hopelessness, but through my own google search, previous attempts and severity of depression were cited as well.  
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Homicide Risk Factors   past hx of threats/acts of violence, direct threats to others, substance use/tx noncomp., young, male, low SES, culture of violence, access to weapons, psychotic symptoms, manic symptoms, hx of head injury/epilepsy/neuro impairment, hx of psych dx  
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Psych hx associated with homicide risk factors   impulsive, explosive, suspicous, persecutory manner  
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Intimate Partner Violence - victim is at highest risk when   leaving abuser  
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the number of female victims killed by an intimate   1/3, 3% male murder victims by intimate. Female rate dropped and rose and male rate dropped.  
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Risk factors for intimate partner violence homicide   abuser threats use of weapon, prior attempts, hx of jealousy, rape, increase in violence, illicit drug use, violence outside home, beating while pregnant, prior reports of child abuse, killed/harmed pet, recently discussed separation, victim belief  
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