Self Harm Flashcards
1
Q
Life time prevalence of self harm
A
5-6% in uk and USA
Increases suicide risk by 50-100x in a 12 month period
2
Q
Risk factors
A
Psychiatric problems Schziophrenia Drug and alcohol misuse Personality disorder Domestic violence history Socioeconomic disadvantage eating disorder Increase risk in south Asian women
3
Q
Examination
A
History of auicide attempt
Patients account - intent , method , preparation , degree of intent
Signs of scarring
And of psychiatric illness
4
Q
Background history
A
Social support Family and personal history Response to stress Drive for suicide Previous attempts and outcome Extent of misuse of drugs and alcohol
5
Q
Investigations
A
Determine suicide risk
Psychiatric assessment
Social assessment
Bloods to exclude poisoning
6
Q
Management
A
ABCDE
PARACETKOL OVERDose - n acetyl cysteine
Activated charcoal
Refer to psychiatric
