DSH, suicide and risk assessment Flashcards

Question

What organisations can be helpful to signpost patient to and involved in their care?

Answer 1

``` Psychiatry/ psychology CPN Counselling: cruse, rape crisis, womens refuge Social work Addictions Samaritans ```

Answer 2

Passive death with Suicidal ideation vs suicidal intention Mild/ mod/ severe Fleeting/ intermittent/ constant

Answer 3

Establish patients intent Assess seriousness and perceived seriousness of attempt Assess how they feel about the attempts

Answer 4

Start of with the day in question and obtain a narrative/ autobiographical timeline of what happened Use open questions and then later use closed questions

Answer 5

Before During After

Answer 6

Was there a precipitant Was it planned, or impulsive? Did the patient carry out any final acts (suicide note, leaving a will, terminating contract e.g. mobile phone, gas and electricity) Any precautions taken against discovery? e.g. closing curtains, locking doors, going somewhere remote Was alcohol used?

Answer 7

``` What method Were they alone? Where were they? What went through their mind Did they think the self harm would kill them What did they do straight after? ```

Answer 8

Did the patient call anyone? How did they get to A+E? Who were they found by? How did they feel when help arrived? How do they feel about the attempt now? Do they regret it? What is the patients current mood? Do they still feel suicidal? If they were to go home today, what would they do? If they were to feel the same again, what would they do differently? Any protective factors? Will they accept treatment?

Answer 9

``` What meds? Where did you get them from? How many? What did you take them with? What did you think it would do? What made you decide to take them? How long haev you been thinking about taking an overdose? What did you do after? How did you get to the hospital? ```

Answer 10

Where are the cuts? Number of cuts? How deep? Can you describe how you felt whilst cutting? How did you feel when you saw the blood? What were you hoping the cutting would do?

Answer 11

Check for cardinal symptoms; anhedonia, low mood, anergia

Answer 12

Are the thoughts to harm ever not your own Do you ever feel like there are voices that you can hear telling you to harm yourself If YES; how to they know the voices are not their own worries in their head?

Answer 13

Depression Psychosis Alcohol dependency Anorexia

Answer 14

Previous episodes of self harm (what methods, any professional help) Any psychiatric diagnosis or admissions to psychiatric hospitals Medical conditions (any chronic pain or illnesses that increase risk of suicide)

Answer 15

Living situation; who is at home, where, good support network, able to manage activities of daily living CHILDREN; are they being neglected, are they witnessing the episodes, any thoughts of harm towards the children Occupation (are they coping financially) Alcohol Recreational drugs

Answer 16

Support of family friends Recognise stressors Avoid harmful alcohol use when stressed If they feel like that again who can they tell? Suggest: use support network, GP, phone local support line, present to A+E before overdose, contact local mental health services

Answer 17

``` GP Housing services Citizen's Advice Bureau Alcohol and Drugs services Domestic Violence Services Counselling Services ```

Answer 18

``` Male Older Widowed/ separated/ single Living alone/ social isolation Low income/ unemployed Certain occupation e.g. doctor, farmer Family history of suicide ```

Answer 19

``` Final acts Researching of methods, preparation High perceived lethality Precautions against being found Violent methods Patient discovered by change Patient resists/ tried to evade medical intervention Downplaying of seriousness ```

DSH, suicide and risk assessment Flashcards

(43 cards)