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Mood Disorders and Suicide PSYC 2340: Abnormal Psychology. What We’ll Cover. The nature of suicide Prevalence rates Risk factors for suicide Assessment of suicidal risk Treatment considerations. The Nature of Suicide. Relatively common cause of death in U.S. and around rest of world
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What We’ll Cover • The nature of suicide • Prevalence rates • Risk factorsfor suicide • Assessment of suicidal risk • Treatment considerations
The Nature of Suicide • Relatively common cause of death in U.S. and around rest of world • Varying levels of suicidal behavior • Ideation • Planning • Gestures • Attempts • Completion
Suicide Prevalence Rates • Around 3% of people attempt suicide, much higher rates of ideation • Rates may actually be higher • Higher rates among whites across the lifespan • Rates increase throughout lifespan, noticeably spike during: • Adolescence • Older adulthood • Gender differences • Females more likely to think about, plan, and attempt • Males more likely to complete
Risk Factors for Suicide • Hopelessness • Joiner’s Interpersonal Theory of Suicidal Behavior • Desire • Sense of disconnection/lack of belonging • Sense of being a burden on others • Ability • Desensitization to violence and pain • Acquired competence in one or more suicidal methods
Risk Factors for Suicide • Hopelessness • Joiner’s Interpersonal Theory of Suicidal Behavior • Desire • Sense of disconnection/lack of belonging • Sense of being a burden on others • Ability • Desensitization to violence and pain • Acquired competence in one or more suicidal methods • Other risk factors • Family history • Mental disorders (particularly mood disorders) • Impulsivity • Alcohol/substance use • Stressful life events
Assessing Suicidal Risk • To ask, or not to ask? • What to assess? • Suicidal desire • Feelings of social alienation/disconnectedness and being a burden on others • Hopelessness about positive change in the future • Suicidal intent • Detailed plan vs. vague ideation • Preparatory behavior • Suicidal capability • Available means • Lethality of means
Treatment Considerations • How high is the risk? • How accessible are the means? • Has the person recently been exposed to a suicide (e.g., school)? • What treatment techniques are used?