Deliberate Self-Harm

Question 1

Males are more likely to commit suicide than females. True/false?

Answer 1

True

Question 2

Which British country has the highest rate of suicide?

Answer 2

Scotland

Question 3

How do males and females tend to commit suicide?

Answer 3

Males - hanging

Females - poisoning

Question 4

What is different about the CSF of patients who have self-harmed?

Answer 4

Lower levels of serotonin metabolite

Question 5

In self-harm patients, there is increased/decreased binding to serotonin transporter

Answer 5

Decreased

Question 6

Self-harm patients overall have a greater/reduced pre-frontal cortex activity

Answer 6

Reduced

Question 7

The majority of suicide patients prescribed psychiatric medication have none in their blood post-mortem. True/false?

Answer 7

True

Question 8

Approximately how many more times people self-harm than commit suicide?

Answer 8

10-20

Question 9

What is the single strongest risk factor for suicide?

Answer 9

History of direct self harm

Question 10

Which patients tend to commit suicide after self harm?

Answer 10

Older
Male
Unemployed
Single
Poor health
Isolated

Question 11

Which patients tend to repeat self-harm?

Answer 11

Personality disorder
Psychiatric illness
Unemployed
Low socio-economic group
Criminal record

Question 12

Why may a patient self-harm?

Answer 12

To die
To escape anguish
To display desperation
To get health

Question 13

What is the best way to manage a self-harm patient?

Answer 13

Manage them
Ask about the episode of DSH
Examine immediate problems
Bolster self-esteem
Arrange follow-up