Detailed risk assessment Flashcards
1
Q
structure of self-harm hx
A
establish privacy
before
during
after
(specific questions)
risk assessment
screen depression, psychosis, anorexia
rest of hx
2
Q
before
A
- Precipitant
- Planned or impulsive
- Final acts prior (note, will etc)
- Precautions against discovery
- Alcohol
3
Q
during
A
- Method used
- Alone?
- Where?
- Thought at the time
- Did they think this will end their life?
- Straight after?
4
Q
after
A
- How did you get here?
- How did you feel when here?
- Feelings about the attempt/regret?
- current mood
- Suicidal
- What would they do if they went home
- If feels like it again, what might they do?
- What might prevent them from doing this again?
- Protective factors
- Accept treatment?
5
Q
overdose questions
A
- Medications
- Source of meds
- How much
- What did they take it with
- What did they think the meds will do
- How long have they thought about this/what made them do it
- What they did after taking meds
- How did they get into hospital
6
Q
cutting specific questions
A
- where
- how many
- how deep
- how did it feel
- blood?
- expectations of cutting
