NURSING 2NN3 Lecture Notes - Lecture 8: Suicidal Ideation, Impulsivity, Cognitive Behavioral Therapy
2 Sep 2018
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Document Summary
Context: second most common cause of death among canadian adolescents, males are more likely to die from suicide; females are more likely to attempt. Mental illness: mental illness in 90% of individuals who died by suicide. Impulsivity: precipitating factors, feelings of rejection, inadequacy, humiliation, shame, breakup up, conflict, bullying, legal issues etc, family factors, poor child-parent communication, lack of connection to psychosocial support. Ideation: frequency, intensity, and quality of suicidal thoughts. Clinical features and epidemiology: persistent and pervasive sadness, along with a loss of interest or pleasure in activities, low self-esteem, excessive guilt, suicidal thoughts or behaviours, sleep and appetite disturbances, comorbidity is anxiety, adhd, odd. Continuities and discontinuities: chronic and recurrent condition, homotypic continuities, same disorder over time, heterotypic continuities, same disorder manifests differently across development. Inherited and psychosocial risks: family bereavement, separations and conflict, neglect, bullying, variation of 5-httlpr increases risk of depression.
