Risk Assessment Flashcards
Factors to assess
suicide/self harm assault/homicide vulnerability risk to dependent children absconding
Suicide risk assessment
MANTID method: where, when, how, did they think it would have been lethal access to means notes, attempts to settle affairs, not be found trigger: precipitating factors (Ds) intent: why they did it date and location: why substance intoxication
how do they feel about the attempt now
are they still suicidal
what would they do if they went home today
Static risk factors for suicide
demographic (male, old, white) hx of serious attempt psych hx chronic pain debilitating medical condition substance dependence trauma family suicide
Dynamic risk factors for suicide
current intent mental state dangerous method attempts to not be found access to means note left triggers psychosocial stressors intoxication poor treatment adherence social isolation
SAD PERSONS scale for suicide risk
sex - male age <20 or >44 depressed previous attempt ethanol abuse rational thinking loss social supports lacking organised plan no spouse sickness
Categories for suicide risk and where they should be treated
A (high risk high intent) - hospitalise, MH act, acute intervention
B (low risk high intent) - hospitalise, acute intervention
C (high risk low intent) - counsel about risk, coping skills, no hospital, follow up
D (low risk low intent) - follow up
Static risk factors for violence towards others
male hx of past violence psych hx hx of sexually inappropriate behaviour forensic hx
Dynamic risk factors for violence towards others
violent ideation and fantasies access to weapons precipitating factors impulsive angry non compliant with treatment bullying behaviour low SES
Static and dynamic risk factors for vulnerability
static: hx of trauma/abuse/DV/, hx of financial vulnerability, cognitive impairment, lack family support
dynamic: impaired decision making, sexually disinhibited, self neglect
