Chapter 9 Single best answer questions

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. Mr Reed is a 58 year old man with a history of depression. He presents to A&E following an overdose of 16 paracetamol, which he believed to be lethal. His wife came home from work at the usual time, and found him slumped on the couch in the lounge. She was able to tell you that that the front door was on the latch, and there was a suicide note beside him, which said that he was sorry, but couldn't go on anymore. Mr Reed says he bought the paracetamol a week ago "just in case", and is glad that he was found by his wife.
Which of the following REDUCE the likelihood that this was a serious attempt at suicide?

Took only 16 paracetamol correct incorrect

Few precautions to avoid being found correct incorrect

Left suicide note correct incorrect

Purchased the paracetamol only a week in advance correct incorrect

Isolation at the time of the act correct incorrect

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. Mr Reed now wants to self-discharge, though he has not yet received investigations or treatment for his overdose.
What will you do now?

Check paracetamol levels immediately correct incorrect

Arrange compulsory admission to hospital under Section 2 of the Mental Health Act. correct incorrect

Assess his capacity to self-discharge correct incorrect

Give naloxone correct incorrect

Give N-acetyl cysteine correct incorrect

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. Xiu Mei is 16 and has been cutting herself for the past 3 years. She is worried about the longer term scarring and wants to cut down her self-harm.
Which of the following is a useful strategy to reduce the drive to self-harm?

Staying in a private place in order to calm down correct incorrect

Looking at pictures of self-harm instead of performing it correct incorrect

Avoiding talking to friends and family correct incorrect

Using a washable red pen to mark the skin instead of cutting it correct incorrect

Drinking a small amount of alcohol to relax correct incorrect

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. Which of the following is true of the epidemiology of suicide?

People who recurrently self-harm are at lower risk of suicide than the general population. correct incorrect

Globally the suicide rate is decreasing as a result of reduced access to means. correct incorrect

Suicide is the leading cause of death in new mothers. correct incorrect

1 in 1000 deaths are suicides. correct incorrect

Women tend to use more violent methods than men. correct incorrect

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. A 21 year old man is brought into A&E by his mother. He reports that MI5 agents are telling him to kill himself to avoid being tortured for information. He was recently diagnosed with schizophrenia following eight months of gradually worsening auditory hallucinations and the delusion that he was an undercover spy. His illness caused him to drop out of university where he studied ecology, though he hopes to return to complete his studies in a year's time. He has never believed himself to be ill and has been poorly compliant with his medication.
In schizophrenia, which of the following REDUCES his risk of suicide?

Youth correct incorrect

Early stages of illness correct incorrect

Command hallucinations correct incorrect

Good premorbid functioning correct incorrect

Hope correct incorrect