Term
| factors that count as 1 point when assessing suicide risk: (SAD person test) |
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Definition
Sex
Age
Depression
Previous attempt
Ethanol abuse
Rational thought loss
Social supports lacking
Organized plan
No spouse
Access to lethal means
Sickness |
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Term
| Higher scores indicate greater patient suicide risk. Shea (1999) warns that the scale could fail as a predictive instrument. The example given by him is of a middle-aged woman who lacks 9 of the 10 factors but who has postpartum psychosis. She is hearing voices that are convincing her that if she doesn't kill herself, demons will torture her daughter forever. Even though the woman is scoring only 1 point according to the SAD PERSON scale, her suicide risk is potentially very high. The author concludes that the strength of the scale is not as a precise risk predictor but rather as a way of alerting the clinician the client may be at higher risk. |
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Definition
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Term
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Definition
Assess presence/history of alcohol or drug abuse (especially disinhibitory drugs or medications). A history of abuse greatly increases level of risk.
Include awareness of demographic risks in determination- male, ages 45-60 and 65 and above, marital status (single or widowed much higher risk)
Family history of suicide
Past personal history of suicide attempts
Slight lifting of severity of depression with antidepressants especially if presentation includes anergia |
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Term
| assessing risk for homocide and violence: |
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Definition
- demographic risks: young, male, poorly educated, unemployed
- personal history of violent acts: animal torture, criminal acts
- peronal history of family violence: victim of abuse
- Environmental access to weapons- violent surroundings, gang membership, socially sanctioned, glorified in media |
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Term
| ___ especially ___ and ____ are more prone to violence. |
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Definition
| psychosis, paranoid, and toxic |
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Term
| psychiatric disorders more prone to violence: |
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Definition
Psychosis especially paranoid and toxic
Substance-related Disorders
Antisocial Personality Disorder
Borderline Personality Disorder
Intermittent Explosive Disorder
Delirium
Dementia
Brain Trauma |
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Term
| clinical risk factors for violence: |
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Definition
Anger control problems
History of reckless and impulsive behavior
Paranoid ideation or frank psychosis
Command hallucinations
Stated desire to harm or kill another person
Presence of acting out personality disorder
Dementia or delirium
Alcohol/Drug intoxication or withdrawal |
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Term
| factors showing increased risk for homocidal potential: |
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Definition
- verbalizations of violent intent
- verbalizations of justification of actions
- specifications about victims or type of victims
- specification of means
- availability of means
- lack of constraints |
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