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?
2
Q
What are the psychiatric red flags for risk of repetition of suicide?
A
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 -
4
Q
A