Attempted suicide history Flashcards
1
Q
Order of hx
A
The event - before, during and after
The future - protective, future feelings, plans
Depression screen Psychosis screen PMH DH FH SH
2
Q
The event
A
Before
- events leading up to suicide attempt
- planning (how long between thinking of it and doing it?_
- suicide note / notify anyone
- precautions to avoid detection i.e. locked doors, ensure alone
During
- Intention
- When and where
- Alcohol / drug intoxication
- How: OD - what, how many, where from, expectations
- How: SH - where, quantity, depth, feeling at time, expections
- How were they discovered and get to hospital
After
- feelings now
- angry / regretful
- current mood
3
Q
The future
A
Protective factors
- positive things to live for
- what may stop them committing suicide?
Future feelings
- how they feel about the future - if you were to go home now what would happen
- if changed mind, why?
- are they going back to same situation
Future plans
- any future suicidal plans
- any positive plans - find job, get married, holidays
4
Q
Suicide risk factors
A
Demographics
- male
- old or young
Current situation
- unemployed
- homeless
- depressed
- lack of social support
- significant life events
History
- chronic illness
- psychiatric disorder
- previous attempts
- alcohol / drug abuse
