7. CAH mental health 2

Question 1

5 requirements for breaking confidentiality

Answer 1

• risk of harming/killing themselves
• risk of being harmed by others
• risk of harming someone else
• child protection
• court subpoena

Question 2

7 risk factors for self harm and suicidal behaviours

Answer 2

mental disorders esp depression
substance use disorders
medical concerns
fam hx psych disorders/substance abuse
hx of sexual/physical/emotional abuse
social isolation
family discord
rejection by others

Question 3

Indicators of self harm

Answer 3

Hiding or washing own clothes, wearing clothes that cover limbs, avoiding swimming, unexplained injuries

Question 4

How to complete a risk assessment for suicide?

Answer 4

Assess intention - ask about specific suicide plans, availability and lethality of planned method
Ask previous attempts.
Consider mood/hopelessness/ family life/recent suicide or loss of otehrs

Question 5

What does a safety plan include?

Answer 5

people to call
management- visit gp, take meds, exercise
things for self- watch tv, read
actions when urge to act on suicidal thoughts