Psych Hx

Question 1

Risk ass

Answer 1

Self harm/suicide. 
Harm to others.
Self neglect.
Exploitat/ vuln. 
Risk to children or vuln adults. 
Fitness to drive.

Question 2

Basic struc

Answer 2

Sociodemog details
HPC
PPH
PMH
Drug hx
Fam hx
Personal hx- infancy and early child, adolescence and educ, occupat, sexual dev and rels, alc and drugs, forensic. 
Premorbid personality
MSE

Question 3

HPC

Answer 3

Onset
Severity
Duration
Aggrav and relieving
Assoc symps
Nature
Impairment caused
Eg dep- core symp and other eg conc, self esteem, guilt, future, salf harm, sleep, appet, libido, motor. 
Eg psychosis- detailed exploration of hallucins and testing of delusions. 
Eg anx- bio symps, avoidance, triggers.

Question 4

PPH

Answer 4

All prev psychiatric service contact incl admissions and MHA.
Prev self harm and details.
Community service inv.
tx hx.

Question 5

Personal hx

Answer 5

Gestat, birth, dev, serious illness. 
Abuse
School, friends, atitude, qualifs. 
Occupat hx and work rels.
Sexual orientation and adjustm, curr and past rels, kids. 
Drug and alc here or sep.

Question 6

Social

Answer 6

Housing
Finances
Changes in circumstance
Support network

Question 7

Risk

Answer 7

Para suicide if survived.
RFs suicide- male, living alone, unemploy, drug and alc, mental ill, past self harm, chronic physic ill, life stressor, access to weapons, fam hx.
Dep and schizo suicide risk around 15%
Alc abuse suicide risk 2-4%
PD suicide risk under 10%- us if dep or subst abuse too.
Intended self poison or inj RFs- prev self harm, psych contact, alc and drugs, unemploy, abuse, single, fam hx.
Hx taking- triggers, planning, final acts, precautions ag discovery, alc, the method, after (regret, fut intent).
Risk to others- curr disorder and its rel to prev violence.
Child protection
Self neglect and vulnerability.