Psych

Question 1

Suicide higher risk features

Answer 1

Plan
Lack of supports
Access to weapons
Previous attempts
Male
Psychiatric illness
Age 15-24 (and middle aged)
Uncontrolled substance abuse
Loss of family or friends to suicide
Māori
Single
Sexual minority
Unskilled labour
Rural living
Chronic pain
ACE
Medical illness
TBI
FHx
Bereavement or relationship breakdown <1yr
Abuse/neglect
Low socioeconomic status/homelessness
Bullying
Parents with substance abuse or mental illness
School suspension

Question 2

Protective features

Answer 2

Support network - family or friends
Able to contribute eg work or volunteer
Spiritual beliefs
Cultural identity
Belonging to a community
Skill development

Question 3

Steps for suicide risk assessment

Answer 3

Do they think about it?
Is the ideation active or passive?
Do they have a plan?
Do they have access to the means to carry out that plan?
Have they taken steps to conceal their plan from loved ones?
Assess protective and vulnerability features
FHx
Relationships, AoD, employment, forensic, recent loss, social supports, isolation, sleep, recent loss and MH hx

Question 4

HEEAADSSS

Answer 4

Home
Education and employment
Eating and exercise
Alcohol and drugs
Activities and peers
Depression
Sexual health
Safety
Supports/strengths

Question 5

PHQ-2

Answer 5

Over the past few weeks how often have you felt:
-little or no interest or pleasure in things
-down, depressed or hopeless
0= not at all
1= some days
2= more than half the days
3= nearly every day
Score of 3 is positive

Question 6

Dystonic reactions facts and risk factors

Answer 6

Occurs within first 1weeks of starting new neuroleptic (50% first 48 hours, 90% first 5/7)
Neck and tongue most commonly affected
Younger age
M>F
Parenteral>PO
Past hx or FHx of dystonia