Risk Assessment Flashcards
1
Q
What are the areas assessed in Risk assessment
A
Aggression and violence Suicide and self harm Vulnerability and neglect AWAL Medication non-compliance Reputation/ financial Substance use
2
Q
Factors that increase risk of suicide
A
Occupations - Doctor, farmer's, medical roles, defence, medical students 15-44 yr single, divorced, widowed Male Isolated/living alone Certain professions Recent migration Financial difficulties/umemployment Family history - strong Chronic pain Cancer Epilepsy HIV Chronic physical illness Mental illness Alcohol or substance use Static and dynamic factors.
3
Q
Questions to ask about suicide
A
Intention
lethal
Impulsive/planned
How likely to be found/rescued
4
Q
Tools for assessing risk of violence and what it looks at
A
Mullen's approach pre-existing vulneralitites Social and interpersonal factors Mental disorder Substance misuse State of mind Situational trigger
5
Q
Static factors for suicide and self harm
A
hx of attempts hx of self harm Hx of serious attempts FmHx of suicide Long standing problems e.g. unemployment, physical illness/pain, mental disorder
6
Q
Dynamic factors for suicide and self harm
A
Intent/plan/thoughts Current suicide attempt Distress/anger Isolated/lonely Hopelessness/perceived lack of control over life Stressors in last 6 months Psychotic symptoms eg commando hallucinations Other e.g. overwhelming stressors.
7
Q
static factors for violence risk assessment
A
under 25 yr of age conduct disorder - prior to anti social disorder Hx of violence/sexual offence Criminal hx Hx of substance abuse.
8
Q
Dynamic factors for violence risk assessment
A
Impulsivity anger intoxication, withdrawal cognitions supporting violences Carries weapon, access to firearm recent threat
