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MSc Intro to EIS > Risk > Flashcards

Risk Flashcards

1
Q

What is the lifetime estimated risk of suicide in psychosis?

A

Around 5% Dutta, 2010

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2
Q

Suicide stats

A
  • Prior to first treatment contact, 15-26% of FEP patients have made at least one suicide attempt
  • Suicide attempt within first year of psychosis onset in 2-11% of FEP patients
    • Might be due to diagnosis
    • Might be due to symptoms (e.g. voice)
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3
Q

Self-harm stats

A
  • 18.4% deliberate slef-harm (DSH) prior to treatment
  • 11.4.% DSH during 1- years after treatment
  • Trauma history increases risk of SH
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4
Q

What are clinical risk factors for suicide? (6)

A
  • Previous depression
  • Previous suicide attempts
  • Substance misuse
  • Agitation or motor restlessness
  • Anxiety surrounding poor mental health
  • Poor medication adherence
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5
Q

What are clinical risk factors for DSH? (9)

A
  • prior history of DSH
  • expressed suicide ideation
  • greater insight
  • alcohol abuse
  • and substance use
  • younger age of onset
  • younger age at first treatment
  • depressed mood
  • and the duration of untreated psychosis
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6
Q

When is DSH worse and what can increase the risk for it? (3)

A

Negative sympotms linked with DSH after treatment BUT NOT BEFORE

Depressive mood and substance misue linked with DSH BEFORE AND AFTER treatment

Higher insight increases risk for self-harm –> might be linked with internalised stigma, more worrying, self-critique, blame

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7
Q

Types of risk

A
  1. To self
  2. To others
  3. Others to self
  4. Accident
  5. Neglect (self or from others)
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8
Q

When is risk assessment done?

A

Everytime you see a client

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9
Q

What are we assessing in risk assessment?

A
  1. Thoughts of self harm/suicide
  2. Plans to do so
  3. Triggers
  4. Protective factors
  5. Intention (if there was a failed attempt what they were hoping to achieve? Death/conversation/help)
  6. Future oriented thinking (no plans for future is a bad sign)
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10
Q

What to include in formulation of risk? (11)

A
  1. Significant life events
  2. Beliefs about self, others, world
  3. Current distress
  4. Behaviours and coping
  5. Family history of mental illness
  6. Substance misuse/dependence
  7. Family support/conflict
  8. Previous attempts of DSH
  9. Current symptoms of psychosis
  10. Current low mood
  11. Triggers
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11
Q

Psychosis specific risk factors

A

Command hallucination [their content, coping response/ complience, beliefs about the voice]
Delusions

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12
Q

Delusion subtypes

A
  • Erotomanic
  • Grandiose
  • Jealous
  • Persecutory
  • Somatic
  • Mixed type
  • Control
  • Nihilistic
  • Bizarre
  • Cotard
  • Referential
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MSc Intro to EIS (14 decks)

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