Deliberate self harm and risk assessment

Question 1

TRUE/FALSE

High lethality DSH patients have different prefrontal cortex activity to low-lethaltity

Answer 1

TRUE

Question 2

TRUE/FALSE

In general those who self-harm have increased frontal lobe activity?

Answer 2

False

Question 3

Where is self-harm most common?

Answer 3

Northern Europe>Southern Europe
Females>Males
Low Socio-ecomomic status
“Career” self harmers

Question 4

What is the strongest risk factor for suicide?

Answer 4

Self-harm

Question 5

What is the profile of a person who repeats self-harm?

Answer 5

Previous DSH
Previous psych Rx/personality disorder
Alcohol/other drug abuse
NEET
Low-socio economic group
Criminal record
25-54 years of age
Single, separated or divorced

Question 6

Who suicides after DSH?

Answer 6

Older, Male, unemployed
Single, Poor health
Psych Dx, Suicide note
Hx of violent DSH

Question 7

Male suicides are more violent true/false

Answer 7

true

Question 8

Women who go to church are 5x less likely to attempt suicide TRUE/FALSE

Answer 8

TRUE

Question 9

What are protective factors for suicide?

Answer 9

Opposite of risk
Religiousness
Children
Reason for living

Question 10

6 steps of management for DSH/Suicide

Answer 10

1. Calm patient-supportive but firm
2. Direct interview-privacy
3. Antecedents, episodes of DSH, mental state
4. Immediate problems
5. Bolster self-esteem and problem solving
6. Arrange and explain follow-up