Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychiatry > 1 (E): Self-harm and suicide > Flashcards

1 (E): Self-harm and suicide Flashcards

1
Q

Define self-harm

A

intentional self-injury or self-poisoning irrespective of the purpose of the act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What gender is self-harm more common in

A

Female

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What age do women tend to self-harm

A

15-25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What age do men tend to self-harm

A

25-35

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why may people self-harm

A
  1. Emotional dysregulation - maladaptive coping mechanism, addictive
  2. Communicate feelings
  3. Produce reaction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the single biggest risk factor for self-harm

A

Previous self-harm (50-100)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are 6 other risk factors for self-harm

A
  1. FH - observed self-harm
  2. Other psychiatric illness
  3. Gay or bisexual
  4. Social deprivation
  5. Single, divorced or widowed
  6. Childhood adversity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the most common type of self-harm

A

Cutting (65%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are 3 other types of self-harm

A
  • Burning
  • Poisoning
  • Head-banging
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What needs to be cleared before psychiatric assessment is made in self-harm

A

Medical assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the components of psychiatric assessment

A

Psychiatric assessment
Risk assessment
Mental state exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 4P’s important for formulating factors contributing to self-harm

A

Predisposing
Precipitating
Perpetuating
Protective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How should the 4P’s be looked at in self-harm

A

Bio-Psycho-Social model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What other assessments should be taken for self-harm

A

Mental Capacity Assessment

Collateral History

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 3-steps to the ‘general’ management plan for self-harm

A
  1. Immediate management
  2. Secondary problems
  3. Prevention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is part of the immediate risk management

A

Medical Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Explain how self-poisoning is managed

A
  • Take samples: urine, blood and vomit to determine sample ingested
  • Gut decontamination if soon after
  • Activated charcoal if in 1h and maintaining airway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Explain how cutting is managed if <5cm and superficial

A

Tissue adhesive or skin closure strips

19
Q

Explain how cutting is managed if >5cm or deep

A

Exploration and surgical management

20
Q

As part of immediate management, what is performed following medical assessment

A

Psychological assessment

21
Q

What is recommended to assess emotional state in A+E following self-harm

A

Australian mental health triage score

22
Q

How is a patient psychologically assessed following self-harm in the immediate management

A
  • Psychiatric assessment
  • Risk assessment
  • Mental Status Exam

Performed by liaison psychiatrist

23
Q

If severe self-harm how is patient managed

A

Consider detaining under mental health act (1989)

24
Q

When may a patient be detained under mental health act (1989)

A
  • feel they will be unsafe at home
  • unable to assess them immediately (eg. intoxicated)
  • abusive partner or unsafe home situation
25
Q

How is moderate self-harm managed

A

Refer to crisis and resolution home treatment team (CRHT)

26
Q

How is mild self-harm managed

A

Refer to community mental health team (CMHT)

27
Q

How soon should a patient be followed up in outpatients, by community mental health or GP following the episode

A

1W

28
Q

How are children who have self-harmed managed

A

Refer to CAMHS (child adolescent mental health service) and safeguarding assessment

29
Q

How are individuals who have self-harmed managed in long term

A
  1. Provide information
  2. Involve families - if patient wants
  3. Assessment of needs
  4. Planning - escalation/crisis plan
  5. Implement prevention strategies
  6. CBT or psychodynamic therapy
    7,. Manage mental health
30
Q

What % of people who self-harm will go on to commit suicide in one-year

A

1%

31
Q

What % of people who self-harm will commit suicide in 10-years

A

5%

32
Q

Define suicide

A

Intentional Self-Inflicted Death

33
Q

In which population is suicide the leading cause of death

A

Men under 35-years

34
Q

What is a mnemonic to remember risk factors for suicide

A

SADPERSONS

35
Q

What are the risk factors for suicide

A

Sex: Male

A: <15 or >45

Depression, other mental health conditions

Previous attempts

Ethanol

Rational thinking

Seperation/Divorce

Organised plan

No social support

State future attempts

36
Q

What 5 mental health conditions have an increased risk of suicide

A
  1. Schizophrenia
  2. Depression
  3. Substance mis-use
  4. Bipolar
  5. Personality Disorder
37
Q

What mental health condition is most associated with suicide

A

Schizophrenia

38
Q

What are 4 protective factors for suicide

A
  1. Men - married
  2. Social support
  3. Religious belief
  4. Meaningful employment
39
Q

What is one method to assess individuals following suicide attempt

A

‘Target ring method’
- Bullseye = feelings towards act

  • Inner ring = Precipitating factors - what happened that day
  • Middle ring = Background - how had the past few months been
  • Outer ring = Personal + Family History
40
Q

What are the 4-stages of managing a failed suicide attempt

A
  1. Agree contract - negotiating, may involve family.
  2. Treat co-morbid conditions (depression, anxiety)
  3. Problem-solving therapy
  4. Preventative strategies
    - Samaritans
    - Shift to stability
    - Limit access to lethal means
41
Q

How should suicide be managed

A
  • Ensure gathered information before approaching family
  • Discuss organ donation
  • Bereavement counselling
42
Q

What are 3 legislative factors to try and prevent suicide

A
  • barriers on bridges
  • catalytic converter (prevent inhalation)
  • restriction to 2 packs paracetamol
43
Q

What are 5 factors that increase chance someone will commit suicide again

A
  1. Writing a note
  2. Planning
  3. Efforts to avoid discovery
  4. Final acts (sort bills)
  5. Violent method

Psychiatry (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions