Psych Hx Flashcards

1
Q

Risk ass

A
Self harm/suicide. 
Harm to others.
Self neglect.
Exploitat/ vuln. 
Risk to children or vuln adults. 
Fitness to drive.
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2
Q

Basic struc

A
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
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3
Q

HPC

A
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.
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4
Q

PPH

A

All prev psychiatric service contact incl admissions and MHA.
Prev self harm and details.
Community service inv.
tx hx.

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5
Q

Personal hx

A
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.
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6
Q

Social

A

Housing
Finances
Changes in circumstance
Support network

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7
Q

Risk

A

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.

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