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Flashcards in Risk Assessment Deck (29):
1

How can patients pose a risk to themselves?

Via:
-Self harm
-Suicide
-Driving (if they shouldn't be)
-Vulnerability to exploitation by others (e.g. financially, sexually)
-Non-compliance and lack of insight

2

Who else do patients pose a risk to?

Others

3

What is the problem with risk?

It is often dynamic, so has to be assessed and reassessed as it can change in a very short period of time

4

Define suicide

A fatal act of self injury

5

Define parasuicide

A near-fatal act of self injury i.e. for whatever reason, the patient survives

6

Define deliberate self harm

An act of self injury or poisoning where the action was not with the intention of death, but to cause harm

7

How many people, world wide, commit suicide every year?

1 million

8

Who are more likely to commit suicide, males or females?

Males

9

Which age group has the highest rate of suicide in the UK?

Ages 40-44

10

Who are more likely to self harm, men or women?

Women

11

What is the most popular method of suicide?

Hanging

12

What should we always ask a pt with mental health problems when we see them?

Why?

If they are having suicidal thoughts/thoughts of self harm

75% of suicide victims had contact with their GP within a year of committing suicide

13

What time has the highest risk of suicide of a MH patient?

During an inpatient stay and in the 14 days following discharge

14

Name some risk factors for suicide in general

Living alone
Mental illness
Physical illness
Chronic illness
Unemployment
Forensic history

15

What are the main clinical correlates between bipolar disorder and risk?

Severity of illness
Self neglect
Hopelessness
Alcohol abuse
Impaired concentration
Hx of suicidal behaviour

16

What are the main clinical correlates between schizophrenia and risk?

Positive psychotic symptoms
Young
Male
Post-psychotic depression
Within first decade of illness
Relapsing pattern
Social isolation
Insight

17

Who is at risk of accidental suicide?

Pts with personality disorders

18

How can a pts occupation increase risk?

Gives them access to weapons or relevant knowledge to help them self harm, harm, or commit suicide

19

Which occupations are at higher risk of suicide?

Doctors
Dentists
Vets
Farmers
Soldiers

20

What are the two main types of deliberate self harm?

Self-poisoning and self-injury

21

Give some reasons that pts give for self harming

To prevent themselves from doing anything more serious/destructive
To feel something
To distract from something/Temporary relief
Cry for help
Unable to cope

22

What are some psychological characteristic of pts who self-harm?

Impulsive
Cognitive rigidity
Problem-solving deficits
Hopelessness

23

When can we assess risk factors?

In psychological Hx and examination

24

What factors should be identified?

-Modifiable risk factors
-Protective factors
-Specific suicide enquiry

25

Under specific suicide enquiry, before or after an attempt, what sorts of questions should be asked?

Why would/did they do it?
Was it impulsive or did they set out plans?
Did they plan for when they died/set their affairs in order?
What were the circumstances?
How do they feel now, after the event? What do they regret?
Any future plans/intentions?

26

What % of homicide victims are male?

69%

27

What % of homicide victims know their killers?

50% of male
75% of female

28

What age group has the highest homicide victim rate?

Children under the age of 1

29

What sort of MH symptoms cause a very small increase in risk to others?

Specific persecutory delusions/hallucinations
Command auditory hallucinations