Psychiatry - assessments

Question 1

What are the SCOFF questions to screen for?

Answer 1

eating disorders 
S - do you make yourself sick?
C - have you lost control?
O - have you lost one stone in the last 3 months?
F - do you believe you're fat?
F - does food dominate your life?

Question 2

What are 7 things to consider when assessing suicide risk?

Answer 2

1. history of what happened
2. mental illness
3. past attempts/DSH
4. psychological stressors
5. protective factors
6. Risk factors
7. medical conditions

Question 3

What is the scale you can use to assess intent of suicide attempt and risk of repeating?

Answer 3

Beck’s suicide intent scale

Question 4

What is IAPT? Examples of types of therapies

Answer 4

Improving access to psychological therapy

• psychodynamic e.g. CBT
• counselling
• cognitive analytic therapy
• interpersonal therapy
• dilatletic behavioural therapy

Question 5

What does CAMHS stand for and what age does it treat?

Answer 5

child and adolescent mental health services
aged 4-18
mostly community based
less meds, more alternative therapies

Question 6

What are the 4 parts of psychiatric assessment?

Answer 6

History
Mental state exam
Risk assessment
Physical exam

Question 7

What are the parts of a mental state examination?

Answer 7

ASEPTIC

Appearance and behaviour, speech, mood, thoughts, perceptions, cognition, insight

Question 8

What do we need to consider in a risk assessment?

Answer 8

harm to others 
harm to self 
self neglect
accidental harm 
vulnerability to exploitation

Question 9

What are the 4 aspects of capacity?

Answer 9

they can understand information relevant to the decision
they can retain the information
they can use or weigh the information available
They can communicate the decision by any means

Question 10

What are the 5 principles of capacity?

Answer 10

1. presume capacity unless proved otherwise
2. support the individual as much as possible before deeming they lack capacity
3. Patient has right to make unwise decision you might disagree with
4. Decisions made on behalf of someone without capacity should be in their best interests
5. Choose the least restrictive option when deciding for someone who lacks capacity