self harm Flashcards
what is the self harm 2022 NICE guideline about
- provide info to them and carers about why they do, help availible, ways to manage themselves, the emotional impact
- consent to share info and confidentiality, safeguarding including domestic abuse, help families minimise the person’s self harm behaviour eg barriers to access.
- gain understanding of the reason behind the self harm, do not use risk assessment tools to predict future self harm or suicidality, instead risk assess with the patient’s input.
- treating people well
- long term, think about CBT, work with the patient to determine a strength based approach to managing self harm (if they’re a creature of habit you could base intervention on this), identify triggers and barriers and restrictions. remember therapeutic risk taking.
- ensure any level of obs is taken by a trained member of staff
what year is the self harm NICE guideline reference
2022
WHAT GUIDELINE IS THIS DESCRIBING: - provide info to them and carers about why they do, help availible, ways to manage themselves, the emotional impact
- consent to share info and confidentiality, safeguarding including domestic abuse, help families minimise the person’s self harm behaviour eg barriers to access.
- gain understanding of the reason behind the self harm, do not use risk assessment tools to predict future self harm or suicidality, instead risk assess with the patient’s input.
- treating people well
- long term, think about CBT, work with the patient to determine a strength based approach to managing self harm (if they’re a creature of habit you could base intervention on this), identify triggers and barriers and restrictions. remember therapeutic risk taking.
- ensure any level of obs is taken by a trained member of staff
NICE 2022 self harm
what is joiner 2005 saying?
someone who feels they are a burden and lack belonging, and has acquired capability (thru exposure during career or self harm) is at serious risk of serious attempt or successful suicide. people in their 20s and 50s are more likely to complete suicide as it is the decades of huge change (leaving education and kids moving away)
WHAT REFERENCE MATCHES THIS: someone who feels they are a burden and lack belonging, and has acquired capability (thru exposure during career or self harm) is at serious risk of serious attempt or successful suicide. people in their 20s and 50s are more likely to complete suicide as it is the decades of huge change (leaving education and kids moving away)
joiner 2005
what age groups are more likely to complete suicide? who said it?
joiner 2005: people in their 20s and 50s are more likely to complete suicide as it is the decades of huge change (leaving education and kids moving away)
what is the yerkes-dodson law 1908 saying?
explains why a person in crisis is likely to make faulty decisions. basically says how too little (lacking attention) or too much (anxiety) stress causes performance to be low.
WHAT REFERENCE MATCES THIS: explains why a person in crisis is likely to make faulty decisions. basically says how too little (lacking attention) or too much (anxiety) stress causes performance to be low.
yerkes-dodson law 1908
what year was the yerkes-dodson law made?
1908
what is kaplan and wheeler saying?
escalation cycle demonstrates the point a person goes through when they are in crisis, its important to know where your patient is to be able to assess their risk. (the below baseline behaviour is when our adrenaline and energy drops. this is a high risk area for crisis because by this point support systems may have left as they think its all fine and settled, and without the support suddenly there could be crisis)
WHAT REFERENCE MATCHES THIS: escalation cycle demonstrates the point a person goes through when they are in crisis, its important to know where your patient is to be able to assess their risk. (the below baseline behaviour is when our adrenaline and energy drops. this is a high risk area for crisis because by this point support systems may have left as they think its all fine and settled, and without the support suddenly there could be crisis)
kaplan and wheeler 1983
how can you justify referencing kaplan and wheeler 1983?
its important to consider what part of the cycle a patient is in at a time of crisis in terms of managing their risk, and preventing crisis.
what year was kaplan and wheeler’s escalation cycle made
1983
what is the office for national statistics (ONS) 2020 saying?
in the UK men are higher risk of suicide
MATCH A REFERENCE TO THIS: in the UK men are higher risk of suicide
ONS 2020
