IGNOU PB Bsc Nsg.Entrance-2026
Mental Health Nursing (E5)
Easy
Prevalence of suicide is highest among patients with:
Appeared in: IGNOU PB Bsc Nsg.Entrance-2026
Explanation
- Major Depressive Disorder (MDD) is the most common psychiatric condition associated with suicide.
- The risk of suicide in an individual with a history of depressive disorder is approximately 10 times greater than in the general population.
- Core symptoms of depression, such as pervasive sadness, hopelessness, worthlessness, and guilt, are primary drivers of suicidal ideation and acts.
- Although other disorders have high relative risks, the higher prevalence of depression in the population leads to it being associated with the largest number of suicides.
Why Other Options Were Wrong
- Option A: While certain personality disorders, particularly Borderline Personality Disorder (BPD), have a high suicide rate (up to 10%), the overall prevalence of suicide across all personality disorders is lower than in depressive disorders.
- Option B: Neurotic disorders, such as anxiety disorders, are associated with an increased risk of suicide compared to the general population, but this risk is significantly lower than that for mood disorders, psychotic disorders, or personality disorders.
- Option C: Schizophrenia carries a very high lifetime risk of suicide, with up to 10% of patients taking their own lives. However, schizophrenia is less common in the general population than major depression, so the total number of suicides is lower.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Suicide risk associated with different psychiatric disorders as background academic context rather than a clinical decision trigger.
- A nurse's primary responsibility is patient safety, which includes rigorous and ongoing suicide risk assessment for all patients with mental health conditions.
- Recognizing that a sudden improvement in mood or an increase in energy in a depressed patient can be a red flag is critical. This 'lifting of depression' may provide the patient with the energy to carry out a suicide plan.
- What if? If a patient with depression suddenly appears calm and at peace after a long period of agitation and sadness, the nurse should not assume they are better. This can be a sign they have made the decision to commit suicide and feel relief. The nurse must increase observation and report this change immediately.
How to Approach the Question
- First, identify the core of the question, which is asking to compare the prevalence of suicide across four different categories of psychiatric disorders.
- This is a factual recall question. Access your knowledge about the epidemiology of suicide and its relationship with mental illness.
- Compare the known risk levels for each option. Recall that while many disorders increase suicide risk, mood disorders are the most common factor.
- Consider both the relative risk (how much a disorder increases risk) and the prevalence of the disorder itself. A very common disorder with a high risk (like depression) will account for more suicides than a rare disorder with a very high risk.
- Select the option that represents the largest public health burden in terms of suicide numbers, which is depressive disorders.
Concept Tested & Keywords
- Concept Tested: Suicide risk associated with different psychiatric disorders.
- Stem keywords: Prevalence, suicide, patients, psychiatric disorders
- Lead-in keywords: highest among
Question ID
Qv1oIaosEf4kDSNG0rh28v
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 8778-8780, 8782-8784
E6 Medicine Davidson Principles Practice 24e p. 1218-1220
Practise the full IGNOU PB Bsc Nsg.Entrance-2026
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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