p.2
Psychotic Symptoms and Assessment
What questions can help assess psychotic symptoms?
Have you been hearing any voices or seeing anything when nobody is around? Are you worried someone is following you?
p.3
Management and Treatment Approaches
What initial management steps were proposed for Juana?
Spend more time with her, obtain collateral history, and run investigations.
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Risk Assessment in Psychiatry
What should you ask about a suicide note?
Did you leave a suicide note?
p.2
Family and Past Psychiatric History
What family history factors are important in risk assessment?
Psychiatric illness, suicide, and substance abuse.
p.1
Core Symptoms and Exclusions (SIGECAPS)
What does SIGECAPS stand for in assessing core symptoms?
Sleep, Interests, Guilty/self-esteem, Energy/mood, Concentration/view of the future.
p.2
Risk Assessment in Psychiatry
What should be assessed regarding suicidal ideation?
Thoughts of harming oneself, plans, and access to means.
p.3
Management and Treatment Approaches
What types of investigations were suggested for Juana?
Biological (blood tests, ECG, imaging), psychological (risk assessment, depression rating), and social (collateral history).
p.1
Risk Assessment in Psychiatry
What should you ask regarding substance use?
Did you drink alcohol or take other drugs?
p.4
Management and Treatment Approaches
What type of medication is often considered for treating depression?
SSRIs or other antidepressants.
p.4
Risk Factors for Self-Harm and Suicide
What is the suicide rate within the first year of self-harm?
100 times the general public.
p.1
Risk Assessment in Psychiatry
What should you inquire about concerning triggers for self-harm?
Was there any trigger or stressful event that happened?
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Risk Assessment in Psychiatry
What details should you gather about the overdose?
What did you take? How many? Were they prescribed to you?
p.1
Risk Assessment in Psychiatry
What insight-related questions should you ask?
Do you think that you are unwell? Do you think that we could help you?
p.4
Risk Factors for Self-Harm and Suicide
Which special groups are at higher risk for self-harm?
Prisoners, LGBTQ individuals, those with Lesch Nyhan Syndrome, and Cornelia de Lange syndrome.
p.2
Comorbidities and Mental Health Disorders
What comorbidities should be considered in a mental health assessment?
Anxiety, alcohol use, drug use, and smoking.
p.4
Management and Treatment Approaches
What social interventions can help individuals in crisis?
Alcohol misuse counselling, social work for housing or financial issues, occupational therapy, support groups.
p.3
Management and Treatment Approaches
What approach to management was recommended following investigations?
Involve a multidisciplinary team and follow a biopsychosocial approach.
p.2
Family and Past Psychiatric History
What past psychiatric history should be gathered?
Any past psychiatric illness, diagnoses, treatments, and history of self-harm.
p.2
Risk Factors for Self-Harm and Suicide
What risk factors should be considered in a comprehensive risk assessment?
Risk to self, risk to others, financial risk, and neglect.
p.4
Risk Factors for Self-Harm and Suicide
What is one of the strongest risk factors for suicide?
A diagnosis of a mental health disorder (90%).
p.4
Management and Treatment Approaches
What psychological therapies are recommended?
CBT, psychoeducation, family and couples therapy.
p.4
Risk Factors for Self-Harm and Suicide
What factors increase the risk of translating suicidal ideation into behavior?
History of self-harm, a suicide plan, exposure to suicide, impulsivity, access to means of suicide, being alone, and substance use.
p.4
Risk Factors for Self-Harm and Suicide
What are some health and personal risk factors for self-harm?
Previous self-harm, chronic medical conditions, mental health disorders, impulsive personalities, traumatic events, living alone, unemployment, divorce.
p.1
Risk Assessment in Psychiatry
What final acts should you inquire about?
Did you manage your finances or give your things away?
