Self Harm Flashcards
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%
3 - 17%
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
3 - 12-13 y/o
Peaks during mid-adolescence
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)
2 - previous self harm
- employment is important because some jobs have means of suicide like dentists and farmers
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
1 - alcohol dependence
- this develops over time
- these can be chronic or acute
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)
8 - employment (unemployed)
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
When assessing the risk for a patient, does the risk assessment information come from just the patient?
- no
- Patients
- Parents / carers
- Teachers
- Employers
- Social services
- Other healthcare professionals
When assessing the risk of an individual are we able to use the risk assessment from the first consultation with a patient?
- at that specific time yes
- BUT, risk is dynamic and will need repeating
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
- all of the above
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
4 - completed suicide
What is the lifetime risk of self harm?
1 - 1-2%
2 - 7-13%
3 - 25-40%
4 - >55%
2 - 7-13%
- accounts for 10% of medical admissions
What is the average rate of completed suicides in the UK annually?
1 - >60
2 - >600
3 - >6000
4 - >60,000
3 - >6000
- specifically 6090
- 60% of successful suicides have a history or self harm
Do men or women have a higher success rate of suicides?
- men (3-4x more likely)
What % of completed suicides occur in an acute clinical setting?
1 - 49%
2 - 29%
3 - 2.9%
4 - 0.29%
2 - 29%
When is the risk of suicide greatest following discharge?
1 - <12h
2 - <48h
3 - <72h
4 - <1 wk
3 - <72h
- now have the 72h follow up