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  #1  
Old 03-19-2013
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Psyche Suicide Risk Factors

A Married 78 year old man is brought to the ER after ingesting ten 15-mg temazepam tablets. After he is stabilized medically, he undergoes psychiatric evaluation. Which of the following is most important in assessing his risk of suicide?
A. Early morning awakening with decreased appetite.
B. Family history of suicide
C. Male gender
D. Marital status
E. Patientís belief that temazepam would kill him

Please explain the answer. Many thanks!
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  #2  
Old 03-19-2013
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E. Patient’s belief that temazepam would kill him (Got this one on exclusion but I would say that cos he took too many at a time, he was definitely going to kill himself. So that should be the main reason for his assessment risk of Suicide.).

A. Elderly people wake up early and have decreased appetite anyway.
B. Family history does not put one at high risk.
c. Male gender may have a bit higher ratio of suicide in this age but that should not be the reason for assessing his risk of suicide.
d. Marital status (I don't think so).

I hope someone comes up with a better explanation.
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  #3  
Old 03-19-2013
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and for option A early morning awakening and decreased appetite can point to depression but just 15% of those having depression die of suicide ...... I would go with E as well
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  #4  
Old 03-19-2013
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The most important risk factors for suicide is a previous suicide attempt and that the person in fact believes that his action would kill him.
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  #5  
Old 03-20-2013
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so Its E right ??
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