Risk assessment

Question 1

What ways can an individual be a risk to themselves?

Answer 1

Suicide
Para-suicide
Deliberate self-harm

Question 2

Clinical features of depression that make suicide more likely

Answer 2

Greater severity of illness
Self neglect
Hopelessness
Alcohol abuse
Impaired concentration

Question 3

Clinical features of schizophrenia that make suicide more likely

Answer 3

Positive psychotic symptoms
Post psychotic depression
Young, male
First decade of illness
Relapsing illness
Recent hospital discharge
Social isolation
Good insight into illness

Question 4

Clinical features of Personality disorder that make suicide more likely

Answer 4

Substance abuse
Depressive syndrome
Boarderline

Question 5

Clinical features of chronic physical illness that make suicide more likely

Answer 5

Chronic neurological, GI, CV, cancers
Sev chronic pain > ^ risk of depression
Disfigurement
Chronic physical illness > limitations (socially, financially, familial etc.)

Question 6

What are the two types of self-harm?

Answer 6

Self-injury
Self-poisoning

Question 7

Management of self-harm

Answer 7

Treat psychiatric disorder
? section as inpatient

Question 8

What is the association between psychiatric disorders and homicide?

Answer 8

Dangerous and Severe PD, drug misuse, schizophrenia - associated with small increase risk to others
Not affective disorders
Psychotic disorder risk is increased by:
- specific persecutory delusions / hallucinations
- command auditory hallucinations