self harm Flashcards
what do you give to gtreat paracetamol overdose
iv acetyl cysteine
what do you give to treat opioid overdose
naloxone
what do you give to treat benzodiazepine over dose
flumazenil
when treating a patient on suspecting self harm what do you do straight away
triage abcde then stabilise with drugs if needed
what type of history do you take from suspected self harm patient after they have been stabilised
take a holistic approach detailed history,
mental state examination- appearance and behaviour, speech, mood, perception, cognition,insight
in normal history also ask about froensic, pre morbid personality, capacity
what three things do you want to keep in mind when taking history and learning about self harm patient
psychosocial, their needs, and risks
what type of factors can feed into self harm or suicide. by causing distress or negative emotions leading to suicidal self harm thoughts and actions
family history, genetic biological factors, psychological factors(e.g pessimist), exposure to self harm and suicide,
negative life events and social problems,
when assessing someones likely hood of suicide what do you have to consider
suicidal ideation(do you think your life is not worth living), suicide intent, suicidal planning, access to lethal means, past history of suicide attempts
what is the best environment to see a self harming, suicidal patient in
private environment, see them alone, consider collateral history they may be lying to you just to go home and m themselves!
what are static factors
violent methods that have already happened
what are dynamic factors
things that are ongoing and you can attempt to change
what should you not do when talking to suicidal patient
don’t rush, interrogate, minimise, undermine, allow your personal feelings to influence scenario
what do you have to consider in long term management
look at bio psycho social approach and address each aspect. drugs to help with mental issues, social support, cbt, family support if possible
