Deliberate self-harm (DSH)/ attempted suicide Flashcards

1
Q

History taking tips in suicide attempt:

A

Antecedent

  • What has happened that has brought you here?
  • When did the precipitating factor happen exactly?
  • Did you post anything on social media before attempting this? Did you speak to anyone about how you were feeling? Did you communicate this to anyone else?

Event

  • Where did you get the medication?
  • How lethal did you think this would be?
  • Did you research how much to take?
  • What did you think would be the outcome of taking this?
  • Do I need to be worried about your safety? Do your parents need to be worried about your safety?
  • I can see that you are very distressed. Is there anything that you still wish you live for?

After:

  • What happened after you took the overdose?
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2
Q

What are the psychiatric red flags for risk of repetition of suicide?

A
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3
Q

What are the different systems which must be considered as contributing to the condition? e.g. school

A
  • All the factors in a person’s life which may be aggrevating or alleviating their condition.
  • Individual - PMH, PPH, DH, Sx of drug use
  • Family history - what is the family structure, PPH in family e.g. overdoses, DH in family, siblings, any protective factors like a supportive family member,
  • Work/school - bullying, academic, support from teachers e.g. knowing, support, trust,; negative peers e.g. others engaging in self-harm (some kids may end up in groups who all self-harm), unrecognised autism/ADHD.
  • Local community -
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4
Q
A
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