DSH/Suicide/Depression Flashcards
1
Q
When can confidentiality be broken in paediatrics?
A
- At risk of harming or killing themselves
- Being harmed or at risk of being harmed
- Harming someone else or at risk of harming someone else
- Court subpoena
- Child Protection (Statutory mandatory reporting)
2
Q
Why do most kids that do DSH do it?
A
- Used a coping strategy (however maladaptive and damaging) that allows them to continue to live rather than an attempt to end their life
- For most young people, self-harm is not a suicide attempt!
3
Q
What are some indicators of self-harm?
A
- Hiding or washing own clothes
- Wearing clothes that cover up arms and legs, even in hot weather
- Avoiding situations where exposure of arm and legs is required (e.g. swimming)
- Unexplained injuries, such as scratches, cuts or burn marks
- Strange excuses provided for injuries
4
Q
What are some indicators of suicidal ideations?
A
- Talking about suicide
- Making a suicide plan
- Finalising affairs (e.g. organising a will)
- Giving away valued possessions
- Increase in self harming behaviour
- Sudden increase in alcohol and/or drug use
- Uncharacteristic or impaired judgment or behaviour (e.g. risk taking)
- Loss of interest in personal hygiene or appearance
- Sudden and/or extreme changes in eating patterns
5
Q
What are some things you should look for in a depression history in children cf adults?
A
- Problems at school
- Problems in social or romantic relationships
- Unexplained physical complaints such as headaches or stomach pains
- Withdrawal from friends, family or society
- More irritability rather than classic symptoms
6
Q
Aside from traditional psychological and pharmacological therapies, what are some Mx options for tackling DSH/suicide/depression?
A
- Safety and supervision: restrict meds/sharps, check in every 30 mins
- Strategies: mindfulness, colouring in, watch TV/movie
- Services and support: headspace, kids help line, f/f
- Safety plan
