Pages Below:
| |
Deliberate Self Harm
Epidemiology
- 2-3/1000
- most cases involve drug overdose
- association with psyciatric illness
Risks
- women
- under35s
- lower social classes
- single / divorced
Assessment
- medical stabilisation
- establish rapport
- identification of motives
- interrupt a sequence of events
- need for attention
- communicate
- wish to die
- acute and chronic problems
- associated coping strategies
- current psychiatric illness
High Risk of Suicide
- suicide note
- continued determination to die
- marked feelings of hopelessness
- clear evidence of psychiatric illness
- attempt to avoid discovery / perceived high lethality
- older
- male
- unemployed
- socially isolated
High risk of repetition
- low social class
- antisocial personality disorder
- no work
- criminal record
- Substance Abuse
Management
|