Suicide physical examination

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Overview

Classification

Epidemiology and Demographics

Risk Factors

Screening

Physical Examination

Laboratory Findings

Psychiatric evaluation

Treatment

Medical Therapy

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Pharmacotherapy

Prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical examination

  • Physical examination should be focussed towards:[1]
    • Vital signs
    • Level of consciousness and orientation
    • Manifestations of toxidromes
    • Signs of recent or remote suicide attempts
      • Scars from cutting
      • Bruises from hanging)
    • Signs of Physical or sexual abuse
      • Characteristic bruising patterns or genital trauma
    • Signs ofsubstance abuse
      • Track marks from intravenous drug use
      • Nosebleeds or perioral blisters from inhalant use
    • Signs of hperthyroidism
  • A mental status examination should be done with consideartion of following components:
    • Appearance
    • Attitude
    • Behavior
    • Motor functioning
    • Attention
    • Concentration
    • Orientation
    • Memory
    • Affect
    • Speech
    • Language
    • Suicidal and homicidal ideation, plan, and intent
    • Thought content
    • Thought process
    • Perception
    • Intellectual functioning
    • Judgement
    • Insight

References

  1. ↑ Kennedy SP, Baraff LJ, Suddath RL, Asarnow JR (April 2004). "Emergency department management of suicidal adolescents". Ann Emerg Med. 43 (4): 452–60. doi:10.1016/S0196064403009818. PMID 15039687.

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