Self harm Flashcards
What is self harm
an intentional act of self-poisoning or self-injury, irrespective of the motivation or apparent purpose of the act. It is an expression of emotional distress.
What is first thing establish when someone presents with self harm
Physica risk
Emotional and mentla state
Deliberate self harm
Behaviour
Ingesting substance in excess
Ingesting recreational or illicit drug
Ingesting non ingestible substance or object
When is self harm done
attempt to maintain control in very stressful situations or emotional pressure.
Associations with self hamr
50-100 fold increased chance dying by suicide
BPD, depression, bipolar, schizophrenia, drug misuse and alcohol abuse are ass with self harm
Risk factors for self harm
BPD, depression, bipolar, schizophrenia, drug misuse and alcohol abuse are ass with self harm
Domestic violence
Socio-economic disadvantage
Eating disorders
South asian women
Associations with self hamr
50-100 fold increased chance dying by suicide
Initial management self harm
Refer to emergency department
Risk and needs assessment for referral to secondary mental health services
What is given in drug overdose?
Activated charcoal preferably within one hour of ingestion - prevent/reduce absorption of drug
Management plan self harm
Care plans agreed - long and short term goals and risk management plan
Assessment of needs and risk
Psychological intervention
What to assess in risk about slef harm
Depression, hopelessness, continuing suicidal intent
What are high indicators of suicide risk?
Strong suicidal intent, high lethality, precautions against being discovered, and psychiatric illness
What psychological intervention given for people who self hamr
NICE recommend 3-12 sessions of psychological intervention
Prevention of self harm
Assess risk
Parent support
Pomotion of alcohol and drug avoidance
Sleep hygeine
Small perscriptions for those at risk of overdose and those who live with them
