After a recent suicide by one of his students, the local high school principal asks you to talk with teachers and students about adolescent suicide. Which of the statements is appropriate to include in the discussion?
- Girls tend to use more lethal means
- The number of attempted suicides is much higher among boys
- Those who are successful have a history of a prior attempt or prior serious suicidal ideation
- Inquiry by pediatricians, high school teachers, parents, or friends about suicidal thoughts precipitates the act
- The number of suicides in adolescents 10 to 19 years of age has decreased significantly since the 1950s
the answer is below…
The United States Medical Licensing Examination, or USMLE for short, is a three-part licensing examination that is required in order to receive a license to practice medicine within the United States.
The USMLE assesses a physician’s ability to apply knowledge, concepts, and principles, and to determine fundamental patient-centered skills that are important in health and disease and that constitute the basis of safe and effective patient care.Examination committees composed of medical educators and clinicians from across the United States and its territories prepare the examination materials each year.
This exam is designed by the Federation of State Medical Boards and the National Board of Medical Examiners to determine whether or not an individual understands and can apply the knowledge necessary to practice medicine safely and intelligently.
The USMLE is actually comprised of three different exams that are referred to as steps, which examine the individual’s knowledge of specific topics related to the field of medicine such as basic science, medical knowledge, medical skills, clinical science, and the application of all of these skills and areas of knowledge in the medical field.
All three steps of the USMLE include a series of computerized multiple-choice questions, but the format of the exam and the information covered in each multiple-choice section is different for each step of the USMLE. The USMLE Step II also has a clinical skills portion that examines an individual’s ability to work with real patients and the USMLE Step III has a computerized patient simulation portion in addition to the multiple-choice section of the exam. In order for an individual to receive a license to practice medicine, the individual must pass all three steps of the USMLE.
The answer is c, Those who are successful have a history of a prior attempt or prior serious suicidal ideation. [1-3]
Suicide among teenagers has increased steadily since 1950 and is now the third leading cause of adolescent death, following accidents and homicides. Suicide attempts occur more often in girls, but in all age groups males outnumber females in completed suicides because boys tend to use more lethal means, such as firearms, hanging, jumping, and inhalation of carbon monoxide. Most suicide attempters and completers (where history can be established) have a history of a prior attempt or prior serious suicidal ideation. Therefore, direct questioning of the adolescent about feelings of sadness, hopelessness, concerns about death, and thoughts of committing suicide is important. There are no data to indicate that such inquiry precipitates suicidal behavior.