MEDI7111 Lecture Notes - Lecture 15: Substance Abuse, Peer Support, Twin
Suicide
Epidemiology
Lifetime suicidal ideation – 13%
Lifetime suicide plan – 4%
Lifetime suicide attempt – 3%
Suicide accounts for 30-35% of deaths in the 15-24yrs age group
Classification of Suicide
Egoistic Suicide
-Results from lack of integration into society
-Feel unattached, useless, helpless etc.
-Take their life due to feelings of inadequacy
Altruistic Suicide
-Results from a “higher calling”
-Something larger than themselves, usually religion
-E.g. martyrs, suicide bombers etc.
Anomic Suicide
-Results from lack of regulation of the individual society
-Where some big change has occurred in a society and their role in society is not as
clear
-Person loses their identity and dies by suicide
-E.g. global financial crisis, company closure etc.
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Pathophysiology
Risk Stratification
General Risk Factors
Individual factors
oSense of hopelessness
oFeeling of being a burden + feeling like they don’t belong
Within the first 3 weeks after discharge from psych inpatients (x200)
History of attempts at suicide (x10-30)
Family history of suicide
oMonozygotic twin suicide
Drug abuse
Unemployment (x2)
Prisoners after release (x5)
Adverse childhood experiences
Warning Signs
Threatening to hurt themselves or take their own life
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Document Summary
Suicide accounts for 30-35% of deaths in the 15-24yrs age group. Take their life due to feelings of inadequacy. Results from lack of regulation of the individual society. Where some big change has occurred in a society and their role in society is not as clear. Person loses their identity and dies by suicide. Individual factors: sense of hopelessness, feeling of being a burden + feeling like they don"t belong. Within the first 3 weeks after discharge from psych inpatients (x200) Family history of suicide: monozygotic twin suicide. Threatening to hurt themselves or take their own life. Looking at ways to take their own life or discussing plans. Expressing feelings of being trapped, there"s no other way out . Withdrawing from friends, family or the community. Thoughts of suicide: when they began, how often, how does the person feel when they think about it? (e. g. guilty, relieved etc. ) Do they have a plan: rough idea or elaborate.
