Self-Harm Flashcards
what is SCOFF?
used for to screen for eating disorder (ED)
what items are on SCOFF?
Sick —due to fullness of food
Control—lost control over eating
One stone—-Gained ONE stone in last three month?
Fat— feeling fat, when others say they’re not?
Food—does food dominate their life?
Specifity of SCOFF?
98%
Sensitivity of SCOFF?
84%
cutoff point on SCOFF
≥2
Safe sedatives for Liver impairment?
LOTZ
Lorazepam
Oxazepam
Temazepam
Z o p i c l o n e
self harm is referred to any act of self injury (poison or physical) regardless of……!!!
motivation
do overdose or overconsumption of alcohol constitute the concept of self-harm?
nope
is self harm more common in young or old?
young
is self harm more common in girls or boys?
girls (three times more)
has rate of self harm increase or decreased over past decade?
raised
Rate of self-harm for 15 year olds in HSBC study?
22%
rate of life time experience of self harm in adolescents in OECD countries?
13-18%
rate of self harm in Goth culture?
53%
most common age for self-harm?
12-15
self-harm annual prevalence for all age groups?
0.5%
death by suicide among those how do self-harm compared to public
50-100 folds increase
rate of repeat in self harm after one year
16%
how often people who make self harm visit GPs in the previous month?
often (approx. half)
why self harm should be taken seriously in elderly?
coz there is usually intent to kill onself
how many people with self harm ever use health service to report it?
50% (6% at some point engage in self-harm)
Risk factors for suicide after self-harm?
Male
poor physical
suicide intent in self-harm
Previous episodes of self-harm
when can psychosocial assessment be postponed to after medical treatment?
only and only if :
a life saving medical Rx is needed
patient is unconcious
patient incapable for assessment
Breath or blood alchol levels in psychosocial assessment of self-harm cases
Do not use them to delay the assessment
They might not be accurate anyway (NICE says)
