Psych Hx Flashcards
Risk ass
Self harm/suicide. Harm to others. Self neglect. Exploitat/ vuln. Risk to children or vuln adults. Fitness to drive.
Basic struc
Sociodemog details HPC PPH PMH Drug hx Fam hx Personal hx- infancy and early child, adolescence and educ, occupat, sexual dev and rels, alc and drugs, forensic. Premorbid personality MSE
HPC
Onset Severity Duration Aggrav and relieving Assoc symps Nature Impairment caused Eg dep- core symp and other eg conc, self esteem, guilt, future, salf harm, sleep, appet, libido, motor. Eg psychosis- detailed exploration of hallucins and testing of delusions. Eg anx- bio symps, avoidance, triggers.
PPH
All prev psychiatric service contact incl admissions and MHA.
Prev self harm and details.
Community service inv.
tx hx.
Personal hx
Gestat, birth, dev, serious illness. Abuse School, friends, atitude, qualifs. Occupat hx and work rels. Sexual orientation and adjustm, curr and past rels, kids. Drug and alc here or sep.
Social
Housing
Finances
Changes in circumstance
Support network
Risk
Para suicide if survived.
RFs suicide- male, living alone, unemploy, drug and alc, mental ill, past self harm, chronic physic ill, life stressor, access to weapons, fam hx.
Dep and schizo suicide risk around 15%
Alc abuse suicide risk 2-4%
PD suicide risk under 10%- us if dep or subst abuse too.
Intended self poison or inj RFs- prev self harm, psych contact, alc and drugs, unemploy, abuse, single, fam hx.
Hx taking- triggers, planning, final acts, precautions ag discovery, alc, the method, after (regret, fut intent).
Risk to others- curr disorder and its rel to prev violence.
Child protection
Self neglect and vulnerability.