Self Harm Flashcards

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1
Q

An umbrella term for self-harm is any intentional self-poisoning or self-injury, irrespective of suicidal intent. Wha % of young people have self harmed before?

1 - 1.7%
2 - 7%
3 - 17%
4 - 47%

A

3 - 17%

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2
Q

In paediatrics, what age does self-harm typically begin?

1 - 5-7 y/o
2 - 5-10 y/o
3 - 12-13 y/o
4 - 10-16 y/o

A

3 - 12-13 y/o

Peaks during mid-adolescence

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3
Q

What of the following is NOT a static demographic risk factor?

1 - gender (Male)
2 - previous self harm
3 - (middle aged/elderly (>80)
4 - marital status
5 - social network (living alone)
6 - employment (unemployed)

A

2 - previous self harm

  • employment is important because some jobs have means of suicide like dentists and farmers
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4
Q

Risk factors can be static or dynamic. Which of the following is a dynamic factor?

1 - alcohol dependence
2 - death of parent at young age
3 - childhood abuse
4 - history of self harm

A

1 - alcohol dependence
- this develops over time
- these can be chronic or acute

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5
Q

What of the following is NOT a static personal history risk factor?

1 - previous self-harm/suicide
2 - mental illness
3 - physical illness
4 - family history
5 - substance misuse/dependency
6 - personality disturbance
7 - history of loss or trauma
8 - employment (unemployed)

A

8 - employment (unemployed)

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6
Q

When we assess risk, we must include all of the following:

  • To self
  • To others
  • From others
  • From self-neglect
  • From physical health factors
  • From behavioural factors
A
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7
Q

When assessing the risk for a patient, does the risk assessment information come from just the patient?

A
  • no
  • Patients
  • Parents / carers
  • Teachers
  • Employers
  • Social services
  • Other healthcare professionals
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8
Q

When assessing the risk of an individual are we able to use the risk assessment from the first consultation with a patient?

A
  • at that specific time yes
  • BUT, risk is dynamic and will need repeating
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9
Q

When we speak to a patient about self harm, we must include which of the following:

  • Deliberate self-harm
  • Methods used/Frequency
  • suicidal thoughts
  • suicidal intention
  • suicidal plans
  • suicidal methods tried/considered
  • suicidal previous attempts
  • all of the above
A
  • all of the above
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10
Q

Which of the following is the correct term to use if someone has taken their own life via suicide?

1 - parasuicide
2 - committed suicide
3 - successful suicide
4 - completed suicide

A

4 - completed suicide

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11
Q

What is the lifetime risk of self harm?

1 - 1-2%
2 - 7-13%
3 - 25-40%
4 - >55%

A

2 - 7-13%
- accounts for 10% of medical admissions

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12
Q

What is the average rate of completed suicides in the UK annually?

1 - >60
2 - >600
3 - >6000
4 - >60,000

A

3 - >6000
- specifically 6090
- 60% of successful suicides have a history or self harm

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13
Q

Do men or women have a higher success rate of suicides?

A
  • men (3-4x more likely)
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14
Q

What % of completed suicides occur in an acute clinical setting?
1 - 49%
2 - 29%
3 - 2.9%
4 - 0.29%

A

2 - 29%

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15
Q

When is the risk of suicide greatest following discharge?

1 - <12h
2 - <48h
3 - <72h
4 - <1 wk

A

3 - <72h
- now have the 72h follow up

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16
Q

If a patient is at risk of self harm of suicide, is their mental or physical health the priority?

A
  • physical health
  • patient can be administered to hospital in some circumstances
17
Q

Which of following are effective psychological interventions for a patient at risk of self harm of ending their own lives?

1 - CBT
2 - coping strategies
3 - Dialectical behaviour therapy
4 - Emotionally unstable personality disorder therapy
5 - all of the above

A

5 - all of the above

  • additional social support may include:
  • problem solving techniques
  • self care
  • physical activity
  • pleasurable activities – referral to community/charitable org e.g. MIND
  • sleep hygiene