Domestic Violence/Mental Health Flashcards
Four-part definition of Non-Suicidal Self-Injurious Behaviors (NSSIB)
- Deliberate harming of one’s body
- Resulting in tissue damage
- Without suicidal intent
- Notculturally sanctioned by the society in which one lives
Former term for Non-Suicidal Self-Injurious Behaviors?
self-mutilation
35 to 80% of those dx’d with Non-Suicidal Self-Injurious Behaviors (NSSI) also diagnosed with what?
eating disorder
What is the #1 reason patients do self-injurious behaviors?
distract from emotional pain or to regulate an uncomfortable emotional state
Activities included as domestic violence
physical assault
sexual abuse
stalking
Cycle of Violence in domestic violence
Tension building
Acute explosion - verbal, physical abuse
Honeymoom - “sorry I’ll never do it again,” forgiveness
back to tension building
Definition of sexual assault
Any unwanted, non-consensual sexual contact against any individual by another using pressure, manipulation, tricks, coercion, or physical force
NOT about sex
Why ask patient about domestic violence?
victims not likely to disclose unless asked directly
Number one cause of death in women
CV disease
Preventative medicine in post-menopausal women
CV Bone health Hormone-related issues Depression Pelvic exams Colon health
1 method of suicide in women? in men?
women - poisoning
men - firearms
High suicide risk populations
FHX (#1 risk) Unmarried men Divorced/widowed women Gender and sexual identity minorities Caucasian and Native American Previous attempts
S.L.A.P method to assess patient’s risk of suicide
Specificity - detailed plan?
Lethality - lethal method?
Availability - means available?
Proximity - done in isolation? rescue possible?
What are 5 stages of grief?
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
NOT LINEAR
Chronic or Dependent grief
Most common type of abnormal grief; effects longtime married women or homemakers
Death is part of their identity forever; believes she is not strong, caring, or competent alone
