Suicide risk assessment, acute agitation management, and involuntary hold criteria scenarios tested on USMLE Step 2 CK.
33 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the single strongest predictor of a future completed suicide?
- A prior suicide attempt.
- Which sex has a higher rate of completed suicide in the United States?
- Male.
- Which sex has a higher rate of suicide attempts in the United States?
- Female.
- What is the most common method of completed suicide in the United States?
- Firearms.
- Which age and sex group has the highest suicide rate in the United States?
- Elderly white men (men over 65).
- Does directly asking a patient about suicidal thoughts increase their risk of attempting suicide?
- No, asking about suicide does not increase risk.
- What living or marital situation is associated with increased suicide risk?
- Living alone (divorced, widowed, or never married).
- During what time period after psychiatric hospital discharge is suicide risk highest?
- The first week to month after discharge.
- Which substance use disorder most significantly increases suicide risk?
- Alcohol use disorder.
- What type of hallucination specifically raises concern for imminent self-harm?
- Command auditory hallucinations telling the patient to hurt themselves.
- Name one key protective factor that lowers suicide risk.
- Strong social support, such as family, religious involvement, or children at home.
- A patient reports a detailed suicide plan and has access to a firearm at home. What is the required disposition?
- Immediate hospitalization, since this represents high acute risk.
- What is the first-line, non-pharmacologic step in managing an acutely agitated patient?
- Verbal de-escalation.
- What is the first-line medication class for agitation in a patient without psychotic features?
- Benzodiazepines.
- What is the preferred medication class for agitation caused by acute psychosis?
- Antipsychotics, such as haloperidol.