Self Harm / Suicide Flashcards
What is the main age group for self harm?
M:F ratio?
What are the most common methods?
2/3rd DSH is <35yrs
1M : 2F
Cutting/overdoses
What are some biological RFs for self harm (3)
Predispo:
Genetics
Age (teenagers)
Predispo/precip/perpetuating:
Substance misuse
What are some psychosocial RFs for self harm (10)
Predispo/precip/perpetuating: Abuse (physical/sexual/emotional) Bullying Bereavement Relationship breakdown Financial worries Housing worries Friends who self harm
Precipitating:
Work/school pressures
Endings/change
Crisis of faith
Perpetuating:
Work/school pressures
Isolation/loneliness
Outline the management in self-harm (4)
Assessment (inc. safeguarding, social, future risk)
Environment (monitor / safe env)
Care/forward planning:
Physical Tx
Secondary MH services - assess/needs
If already in services - risk management plan + psychological interventions
List some predicting factors for repetition of self-harm (5)
Previous DSH Personality Disorder H/o violence Alcohol misuse/dependance Unmarried/poor social support
What is the M:F ratio of suicide?
Main age group?
3M : 1 F
15-29yrs
List some factors that indicate suicidal intent (6)
Planning Precautions to avoid intervention (e.g. isolation, timing) Final acts (e.g. will, finances) Suicide note Violent methods Perceived lethality by pt
List some particularly vulnerable groups for suicide (4)
Prisoners
Asylum seekers
Veterens
LGBT+
When is a Section 2 under MHA used?
What does it allow you to do?
When no clear psychiatric Dx at the time
Hold/Treat someone against their will for upto 28d
What is a Section 3 under MHA used?
What does it allow you to do?
When definitive psychiatric Dx
Hold/Treat someone against their will up to 6m
What is a Section 5(2) under MHA used?
What does it allow you to do?
Emergency holding power
Detain informal pt who is already an inpatient
What the are 4 components of assessing capacity?
U R Deciding Care
Understand
Retain
Deliberate
Communicate
