W2

Question 0

When do risk ax occur?

Answer 0

Informal every time seen
Every time person changes service type
Every 3 months through case review process

Question 1

define risk

Answer 1

When a person is at risk of:
- harming themselves, other or the community (MHA)
Diminished decision making consequences (guardianship admin)
Vulnerability to neglect, abuse, exploitation

Question 2

Ways to manage risk/risk management types

Answer 2

Relapse prevention. Training
Crisis management plans
WRAP
Formalized process using assessments and forms

Question 3

What levels of care does the risk management process occur

Answer 3

All levels

1. Direct client care (clinician)
2. Team care
3. Local service
4. Health and hospital network services
5. State and federal through legislation

Question 4

When is risk higher

Answer 4

Acutely unwell and alone in community
When there is no continuity of care within the team and/or between service types
Limited access to supports and health services
People who are inpatients
Inpatient settings: high risk times are at handover and night shifts
Post discharge from inpatient unit: first 2wks
Post prison: 2 wks

Question 5

What to identify in a risk assessment

Answer 5

• risk factors
• protective factors
• previous history of violence, suicide attemps and self harm
• intent to harm self or others
• access to means/ items to harm self or others

Question 6

Describe high medium and low risk in terms of suicide

Answer 6

High risk: severe depression command hallucinations, preoccupied with hopelessness, severe anger, BPD
Medium: moderate depression, some sadness, some symptoms of psychosis, moderate anger, BPD
Low risk: 0 depression, no psychotic symptoms, hopeful about future, no anger/hostility, BPD

Question 7

3 components of capacity

Answer 7

Understanding effect of decision
Make decisions voluntary
Communicating the decision

Question 8

How to manage recurrent suicidal behavior

Answer 8

Avoid minimizing the seriousness of the risk
Team approach and intensive support
Carefully assess any childhood abuse history
Set clear limits whilst ensuring support access
Psychotherapy and medication
Continuity of care
Strengthen and support networks outside MHS

Question 9

Immediate management of suicide risk

Answer 9

Safety of person being assessed
Level of observation/supervision needs to be considered
Is the person well enough to participate
Referred to relevant specialist clinician
Notification of the preliminary suicide risk assessment and management plan

Question 10

5 c’s

Answer 10

Clock
Contact
Connect
Collateral
Communicate