Suicide psychiatric evaluation: Difference between revisions
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! colspan="2" |'''"MALPRACTICE" mnemonic for evaluation of suicidal child or adolescent''' | ! colspan="2" |'''"MALPRACTICE" mnemonic for evaluation of suicidal child or adolescent''' | ||
|- | |- | ||
!M- Mental health | ! rowspan="3" |M- Mental health | ||
!Does the patient have a psychiatric diagnosis? | !Does the patient have a psychiatric diagnosis? | ||
|- | |- | ||
|Is he or she taking psychotropic medications? | |Is he or she taking psychotropic medications? | ||
|- | |- | ||
|Is there a family history of mental health illness? | |Is there a family history of mental health illness? | ||
|- | |- | ||
|'''A -Attempts''' | | rowspan="3" |'''A -Attempts''' | ||
|When did the patient first consider suicide? | |When did the patient first consider suicide? | ||
|- | |- | ||
|Has the patient tried to harm him- or herself before? | |Has the patient tried to harm him- or herself before? | ||
|- | |- | ||
|Did he or she receive medical attention for that attempt? | |Did he or she receive medical attention for that attempt? | ||
|- | |- | ||
|'''L -Lethality''' | | rowspan="3" |'''L -Lethality''' | ||
|Did the patient want to die? | |Did the patient want to die? | ||
|- | |- | ||
|Does he or she still want to? | |Does he or she still want to? | ||
|- | |- | ||
|Does he or she have access to lethal means? | |Does he or she have access to lethal means? | ||
|- | |- | ||
|'''P -Plans''' | | rowspan="3" |'''P -Plans''' | ||
|Is the patient able to make plans for the future? | |Is the patient able to make plans for the future? | ||
|- | |- | ||
|Will he or she graduate from school? | |Will he or she graduate from school? | ||
|- | |- | ||
|What kind of job will he or she do? | |What kind of job will he or she do? | ||
|- | |- | ||
|'''R -Risk-taking''' | | rowspan="2" |'''R -Risk-taking''' | ||
|Is the patient engaging in activities that may be disguised attempts at self-harm? | |Is the patient engaging in activities that may be disguised attempts at self-harm? | ||
|- | |- | ||
|Is the patient engaging in unprotected sexual activity? | |Is the patient engaging in unprotected sexual activity? | ||
|- | |- | ||
|'''A -Alcohol and drugs''' | | rowspan="4" |'''A -Alcohol and drugs''' | ||
|Were substances involved in the current attempt? | |Were substances involved in the current attempt? | ||
|- | |- | ||
|For how long have substances been used? | |For how long have substances been used? | ||
|- | |- | ||
|What substances are being used? | |What substances are being used? | ||
|- | |- | ||
|When was the last use? | |When was the last use? | ||
|- | |- | ||
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|Is there an interpersonal conflict that precipitated this event? | |Is there an interpersonal conflict that precipitated this event? | ||
|- | |- | ||
|'''T -Trauma''' | | rowspan="3" |'''T -Trauma''' | ||
|Does the patient report having been physically or sexually abused? | |Does the patient report having been physically or sexually abused? | ||
|- | |- | ||
|Has the patient been a witness to violence? | |Has the patient been a witness to violence? | ||
|- | |- | ||
|Has the patient recently lost a loved one? | |Has the patient recently lost a loved one? | ||
|- | |- | ||
|'''I -Impulsivity''' | | rowspan="4" |'''I -Impulsivity''' | ||
|Was the act premeditated? | |Was the act premeditated? | ||
|- | |- | ||
|How much planning went into the suicide attempt? | |How much planning went into the suicide attempt? | ||
|- | |- | ||
|Was a suicide note written? | |Was a suicide note written? | ||
|- | |- | ||
|Did the patient tell anyone about his or her plans? | |Did the patient tell anyone about his or her plans? | ||
|- | |- | ||
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|Does the patient have a social support system? | |Does the patient have a social support system? | ||
|- | |- | ||
|'''E -Exposure''' | | rowspan="3" |'''E -Exposure''' | ||
|Have other family members or friends attempted or completed suicide? | |Have other family members or friends attempted or completed suicide? | ||
|- | |- | ||
|Has the patient been exposed to suicide in the media? | |Has the patient been exposed to suicide in the media? | ||
|- | |- | ||
|Is this attempt part of a suicide epidemic? | |Is this attempt part of a suicide epidemic? | ||
|} | |} | ||
Revision as of 15:19, 13 September 2018
|
Suicide Microchapters |
|
Treatment |
|---|
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Psychiatric evaluation
| "MALPRACTICE" mnemonic for evaluation of suicidal child or adolescent | |
|---|---|
| M- Mental health | Does the patient have a psychiatric diagnosis? |
| Is he or she taking psychotropic medications? | |
| Is there a family history of mental health illness? | |
| A -Attempts | When did the patient first consider suicide? |
| Has the patient tried to harm him- or herself before? | |
| Did he or she receive medical attention for that attempt? | |
| L -Lethality | Did the patient want to die? |
| Does he or she still want to? | |
| Does he or she have access to lethal means? | |
| P -Plans | Is the patient able to make plans for the future? |
| Will he or she graduate from school? | |
| What kind of job will he or she do? | |
| R -Risk-taking | Is the patient engaging in activities that may be disguised attempts at self-harm? |
| Is the patient engaging in unprotected sexual activity? | |
| A -Alcohol and drugs | Were substances involved in the current attempt? |
| For how long have substances been used? | |
| What substances are being used? | |
| When was the last use? | |
| C -Conflict | Is there an interpersonal conflict that precipitated this event? |
| T -Trauma | Does the patient report having been physically or sexually abused? |
| Has the patient been a witness to violence? | |
| Has the patient recently lost a loved one? | |
| I -Impulsivity | Was the act premeditated? |
| How much planning went into the suicide attempt? | |
| Was a suicide note written? | |
| Did the patient tell anyone about his or her plans? | |
| C -Community resources | Does the patient have a social support system? |
| E -Exposure | Have other family members or friends attempted or completed suicide? |
| Has the patient been exposed to suicide in the media? | |
| Is this attempt part of a suicide epidemic? | |