Risk assessment

Question 1

suicide define

Answer 1

a fatal act of self injury, undertaken with more or less conscious self destructive intent, however vague and ambiguous

Question 2

para-suicide define

Answer 2

victim survived

Question 3

deliberate self harm define

Answer 3

act of self harm where action was not intention of death but to cause harm

Question 4

risk factors suicide

Answer 4

male sex
history of deliberate self-harm
alcohol or drug misuse
history of mental illness
depression
schizophrenia: NICE estimates that 10% of people with schizophrenia will complete suicide
history of chronic disease
advancing age
unemployment or social isolation/living alone
being unmarried, divorced or widowed

Question 5

suicide increased risk at future date

Answer 5

efforts to avoid discovery
planning
leaving a written note
final acts such as sorting out finances
violent method

Question 6

protective fx suicide

Answer 6

family support
having children at home
religious belief

Question 7

epidemiology suicide

Answer 7

risk highest during inpatient stay
inpatient suicides - forensic hx, suicidal behaviour, violence to property, recent berevement, delusion
post discharge - unplanned discharge, lack of continuity of care, unemployment, suicidal behaviour

Question 8

self harm epidemiology

Answer 8

higher in females
peak age 15-44

Question 9

associations with repeated self harm

Answer 9

previous self harm
alcohol/drug misuse
unemployment
trauma, abuse
criminal record
single, divorced, seperated
fhx

Question 10

association between psychiatric disorder and homicide

Answer 10

DSPD, alcohol/drug misues, schizophrenia

Question 11

wider concepts of risk

Answer 11

risk of self neglect
risk of vulnerability
risk of disinhibition