CAMHS, HEEADSSS Flashcards
teenage self-cut presentation immediate management
Referral and admission to Paediatric ward
* Once medically fit a referral to the CAMHS service
* Discussion about smoking cessation
* Discussion about contraception may be appropriate (barrier method
to prevent STD’s and pregnancy)
teenage self-cutting HPC
*Time and number of cuts
* Intention at time of self harm (to harm/die?)
* Intentions now (to die/harm self?)
* Current and past mental health – any signs depression or anxiety
* Was a suicide note left?
* Ever done this before?
* Ever self harmed before?
* Smoking/alcohol/illicit drugs/risk taking behaviours?
* Sexual relationships?
* Support at home/friends
* Problems at home/Friends/relationships/school
* PMHx of relevance (liver disease)
Home & relationships
Who lives at home with you?
Do you have your own room?
Who do you get on with best and/or fight with most?
Who do you turn to when you’re feeling down?
Education & employment
Are you in school/college at the moment?
Which year are you in?
What do you like the best/least at school/college?
How are you doing at school?
What do you want to do when you finish school/college?
Do you have friends at school?
How do you get along with others at school?
Do you work? How much?
Eating
Are you worried about your weight or body shape?
Have you noticed any change in your weight recently?
Have you been on a diet?
Activities & hobbies
How do you spend your spare time?
What do you do to relax?
What kind of physical activities do you do?
Alcohol & tobacco
Does anyone smoke at home?
Lots of people your age smoke, have you been offered cigarettes? How many do you smoke each day?
Many people start drinking alcohol around your age, have you tried or been offered alcohol? How much/how often?
Some young people use cannabis, have you tried it? How much/how often?
What about other drugs, such as ecstasy and cocaine?
Sex & relationships
Are you seeing anyone at the moment?
Are they a boy or a girl?
Young people are often starting to develop intimate relationships, how have you handled that part of your relationship?
Have you ever had sex?
What contraception do you use?
Self-harm, depression & self-image
How is life going in general?
Are you worried about your weight?
What do you do when you feel stressed?
Do you ever feel sad and tearful?
Have you ever felt so sad that life isn’t worth living?
Do you think about hurting or killing yourself?
Have you ever tried to harm yourself?
Safety & abuse
Do you feel safe at school/at home?
Is anyone harming you?
Is anyone making you do things that you don’t want to?
Have you ever felt unsafe when you’re online or using your phone?
