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Emergency Psychiatry SPMM, SPMM Emergency Psychiatry: Questions & Correct Answers
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Emergency Psychiatry SPMM, SPMM Emergency Psychiatry: Questions & Correct Answers
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Emergency Psychiatry SPMM, SPMM EmergencyPsychiatry: Questions & Correct Answers
Catastrophic reaction Right Ans - response of a person with dementia to
overwhelming stimuli or when asked to perform tasks beyond their, now
impaired, performance level sudden agitation, anger, and occasional violence
Rate of suicide in patients with epilepsy Right Ans - 5x higher than general
population
Rate of attempted suicide in patients with schizophrenia Right Ans - 10-
50%
rate of completed suicide in patients with schizophrenia Right Ans - 5-15%
sign of possible suicidality in dementia Right Ans - perceived
burdensomeness to others is crucial interpersonal construct that may
influence desire to die by suicide
most common psychiatric diagnosis to die by suicide Right Ans - major
depressive disorder
country which had a higher suicide rate in females compared to males prior to
2006 Right Ans - china
in 1990s and prior to 2006, suicide rates in females where higher than males
in china
since 2006 rates have been higher in males, esp in rural residents
may be attributable to economic crisis, unemployment and lack of social
stability
suicide rates are much higher in rural areas than they are in urban areas,
which may be related to rural disadvantages in economy, medical resources
and other inequalities
lifetime prevalence of self harm in patients with schizophrenia Right Ans -
31%
most likely phase of bipolar disorder to die from suicide Right Ans -
depressive phase of illness, approx 17% of people with bipolar 1 disorder and
, 24% of bipolar 2 disorder attempted suicide during the course of their illness,
higher than in unipolar depression
8% of men and 5% of women with bipolar disorder
standardised mortality ratio (SMR) for suicide in bipolar Right Ans - 15 for
men
22.4 for women
in those who have been hospitalised for bipolar disorder
relative risk of suicide in people diagnosed with mental disorder compared
with those without Right Ans - 8 times
pooled attributable risk (PAR) for mental disorders Right Ans - 21% for
mood disorders
18% for anxiety disorders
7% for psychotic disorder
6% for personality disorders
4% substance use disorders
most significant risk factor for suicidal behaviour during and after FEP
Right Ans - depression
35% of first episode psychosis patients attempted suicide and completed
suicide is most common in early years of psychotic illness
risk of dying from suicide in the 2 years following self harm Right Ans - 1 in
% (50-100 times higher than mortality of suicide in general
population)
proportion of people experiencing a mental illness at the time of their suicide
Right Ans - 90% in high income countries like the UK
muscle tone in catatonia Right Ans - increased resting muscle tone that is
not present on active or passive movement (in contrast with parkinsons
disease)
% of global mortality accounted for by suicide Right Ans - 1.5%
for every death from suicide, 20 people make suicide attempted
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