self harm and suicide Flashcards
why might someone self harm
communicating distress, release of emotions, in control, self punishment, coping
what is the most common method self harm
paracetemol overdose- 50%
how common is self harm
1/10 young people
what is the risk of suicide in someone self harming compared to general population
50-100x greater
what are worrying signs of someone self harming
more freq, change in pattern, more reckless, not seeking help
what can be done for someone self harming
increase social support, harm reduction- delay and distract- listen to music, remove implements, relaxation techniques- breathing etc
what % of suicides had a psychiatric disorder
90%
how common is suicide
10/100000
what is the biggest killer men 20-45
suicide
static risk factors of suicide
hx self harm, seriousness of previous attempts, previous hospitalisation, family hx suicide, childhood adversity, substance abuse, personality disorder, hx mental disorder, age gender marital status
dynamic risk factors of suicide
active idealisation of suicide, hopelessness, poor compliance, psych admission/discharge, substance abuse, problem solving deficit, psychosocial stress
future risk factors suicide
access to preferred method suicide, not responsding to treatment, not responding to psychosocial therapy, not contacting services, future stress
assessing act of self harm
obtain more info about event, degree of suicidal intent and seriousness of attempt, current mental state, screen for sx depression, psychosis etc, past hx, coping methods
what are the 4 Ps for suicidal intent
Planning or impulsive; Preparations (note, will); Precautions (to not be found); Performance in isolation
disorders implicated in suicide
depression- lifetime risk 15%; bipolar; schizophrenia (10%); alcoholism 3-4%; PD 30-60%, substance misuse, anorexia nervosa
