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Lecture 10

PSY341H1 Lecture 10 (last lecture, yay!)

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University of Toronto St. George
Hywel Morgan

PSY341H1S L10 Aug 12, 2013 o Shoots self after hesitation Teen Suicide  Next 24 hrs: 1429 teens will attempt suicide rd  3 leading cause of death among young ppl o On purpose Discussion o Premeditated, preplanned  What is going on in this boy’s life that he seems compelled to o Violence towards self take his own life?  Many ppl have 1 hand experience w this topic, since  No father absent unfortunately fairly common o Divorced in big correlating factor for attempted  Leading cause of death among teens = accidents suicide o Death by misadventure  Bullied o Any accident  Neglectful mother – has own mental health issues o Non-preplanned  Broken relationships  2ndleading cause of death in adolescence = illness, infection o #1 motivating factor for children who take other ppl’s  Talking about preventative measures instead of treatment – lives or their own: alienation, rejection intentional  Don’t feel like they fit in o Best friend abandons friend for sleeping w his sister Prevalence in Suicide in Teens  There are almost always warning signs – fairly obvious  A teen in this country commits successful suicide every 17 o Leaving notes saying why they’re attempting suicide minutes o Talking about no future o Non-successful much more common o Giving stuff away o Boys much more successful more frequently o Become very compliant  Usually more violent: w firearms  Don’t care anymore since won’t have to do it  If point gun at medulla  stop soon breathing  Unlike adult depression  Hang selves, jump off heights o Girls attempt more often  Many ppl don’t want to acknowledge warning signs of suicidal  Overdose – not as successful & homicidal bhvr because they feel that they’re “rocking the  Pills  throw up, fall asleep apple cart”  Success depends on methods  Teenage boys are more successful by a ratio of 3:1  Suicide rates tends to be high in teens who show above avg Suicide & Abnormal Bhvr intelligence & come from middle or upper class families  Correlation w depression  Not known why that teen suicides are more present in spring o Not all teens who commit suicide are depressed  In the MTV video, the kids were in time  Not known why strangulation or hanging is more common in psychological pain, but not clear if depressed early teen yrs & use of fire arms is more common in later teen o Not all depressed teens commit suicide o Suicide & depression are closely related, highly yrs  Suggested that suicide attempts are successful approx 80% of correlated time  But are dif phenomenons  Correlation w ADHD  Teens that are unsuccessful, who have been to counselling, often report it’s not a wish to die as much as it is a response toCorrelation w CD end psychological pain  Most adolescents who attempt suicide do not evidence discernible changes in bhvr that serve as reliable warning o Want to get rid of pain o Frequently show compliant bhvr – looks a lot Video – dramatic portrayal, not real different from adult depression & suicide  Usually nothing significant about event or circumstances that Requiem – A short video about teen suicide (on youtube)  Components quite important precipitate an event  Teen boy writes “Goodbye” on back of photo o Often common stressors such as fight w parents o Depression can prelude suicide  Leaves envelope labelled “For Mom”  Alcoholic mother – used to be loving, now inattentive o But natural for teens to be moody  Walks down street in backpack to old school  Pl often reluctant to confront teens are appear to be depressed o Memories of laughing  Go to friend’s house, puts the photo at the door  What should you say to them? o Prior disagreement, was punched for allegedly o Ask: Are you thinking about hurting yourself?  When abnormally depressed, don’t care sleeping w friend’s sister  Walks into forest about future  Mother grabs another beer, sees envelope  cries  Won’t change their bhvr  Direct Q  Friend returns home, sees photo & msg  looks worried  If answer no: keep monitoring  Gets under bridge  gets gun out of backpack – only item in it  If answer yes   Looks painfully at gun, aims at head o Do you have a plan? o Memories of good & bad w mother, good & bad w  They may tell you friend o Looks scared  Often when asked, will be honest  Red flag!! o Often somatic complaints o  get them hospitalized!  Commonly: headaches, stomach aches in  Can call police, or have parents to force them children w psychological disorders into hospital (since not adults yet) o Loss of interest in pleasurable activities  Better sign if they check themselves into  Also in depression hospital o Complaining of feeling rotten inside o Low self-esteem Causes & Predispositions o Statements such as : nothing matters, i won’t see you  Not well understood again, no future o Putting his or her affairs in order Biological  Giving away stuff, cleaning room, getting rid  Proposed some imbalance in monoamine neurotransmitters of things in adults (serotonin, noeprinephrine, dopamine) since drugs o Becoming suddenly cheerful after a period of that affect these seem to alleviate symptoms in adults & depression decrease suicide rate  Made up mind o Depression o In teens these drugs decrease the symptoms of depression but increase the suicide rates  Not well understood Prevention  Prevention – use this work since can’t treat suicide (dead)  Teens who take antidepressants are more likely to commit suicide  Prevention has typically focused on devised methods where  Canadian Medical Association: do not ppl at risk for suicide can be reliably predicted recommend treating teens w antidepressants  Clearly seems to be a biological component of depression & Identifying Signs suicidal idealation  Most common method of identifying: Are you thinking about o Not the whole story hurting yourself? o Not used much Psychological  Rejection, isolation, alienation Personality testing – 2 types  Feeling of low self-esteem, low self-worth  Projective tests (ex. ink blot, Rorschach, TAT)  Related to social factors o Give you ambiguous stimuli & ask you what’s going on Social  Inventories (ex. MMPI, suicide [ideation] inventories)  Alienation  Look at pattern of responses & suicidal ideation  Feeling of not belonging, not having a place in society  Some attempts to correlate personality w suicidal idealation o Studies have shown that teens who are more irritable,  Normal for a teenage to experience feeling of stress, confusion, impulsive, (-)ve about selves, and apt to be more rigid self-doubt (also pressure to succeed particularly if pressure is thinkers tend to attempt suicide more often to get a university education, financial uncertainty & other o Teens who associate w those items more often fears), divorce, moving to a new communi
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