Suicide psychiatric evaluation: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
Line 12: Line 12:
! 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?
|-
|-
Line 69: Line 57:
|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?
|-
|-
Line 93: Line 76:
|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

Home

Patient Information

Overview

Classification

Epidemiology and Demographics

Risk Factors

Screening

Physical Examination

Laboratory Findings

Psychiatric evaluation

Treatment

Medical Therapy

Psychotherapy

Pharmacotherapy

Prevention

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?

References

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Suicide_psychiatric_evaluation&oldid=1494027"