Deliberate Self Harm Flashcards
What phrase should not be used?
Attempted suicide
On neuroimaging, what difference is observed in high-lethality DSH patients, compared to low-lethality DSH patients?
Different PFC activity - usually decreased in patients who have self harmed
What is the concordance rate of suicide between MZ twins?
13.2%
What is the concordance rate of suicide between DZ twins?
0.7%
What is the ratio of DSH to suicide?
10-20 : 1
SOUTHERN Europe DSH’s more than NORTHERN
FALSE - other way around
Females are more likely to self harm than males except from where?
Finland
What % of suicides have a history of DSH?
40%
What is the single biggest risk factor for suicide?
History of DSH
DSH patients are atypical in what sense?
Their increased rate of premature mortality continues for years via suicide, IHD, Ca, RTA’s, homicide etc
Make a list of the types of people who repeat DSH
- Previous DSH
- Personality disorder
- OH or other drug abuse
- Previous Psych referral
- Unemployed
- Low Socio-economic group
- Criminal record
- 25-54 years of age
- Single, separated or divorced
Make a list of the people who are most likely to suicide after DSH?
- Older
- Male
- Unemployed or retired
- Single, separated or divorced
- Isolated
- Poor health
- Psych Dx
- Violent DSH
- Suicide note
- Hx of DSH
What should be included in an MSE?
Hopelessness
What is hopelessness a predictor of?
Eventual fatal self harm
What 3 things should always be done in the management of someone with DSH?
- Be calm
- Be supportive
- Direct the interview, distract and deep breathing
