Suicide and self harm and case

VS non-suicidal stress injury

why do people self harm?

"learned coping strategy""

"increase thinking time"

to complete suicide or to end life by suicide or victim of suicide vs "to commit suicide""

firearms common in the US

china females more likely

premidtation matte=

not true that it worsens suicidal behavior

spectrum + four stuff + gentle questions + interpersonal model

low, moderate, high etc - element of subjectivity

risk assessment is not about predicting suicide but about making a plan

Marrow

Casebook

2019

Add from ward classes did below

The hierarchy of Mental disorders is ikportant First organic then substance, then shcizo then mood then neurotic. Sometimes there's thin

In 95 Sri Lanka has the high suicidal rate. L But now reduced because of regulations Acetaic acid rubber was common earlier. Usually passive by women like. Medications But male common like hanging and trains Female highest age is 20/30 age. Male all ages.

Need personal history to get personality type like BPD. High risk.

Whether it's dsh or suicidal behaviour use one consistent word throughout the history.

Self harm first medical and legal side and after stabilising must refer to the first psychiatrist and see.

Must take pre act act and post act.. History of self harm act.

What sort of act.. High risk act like hanging falls or trains.

Can be impulsive like histrionic.

Physical exam is important in dsh.. Like tattoos to cover the forearm... Long sleeve to cover etc. So careful and clothes and exposure important physical findings.

Deliberate self harm and suicidal attempt history is important for osce taking case.

Can decide into three parts.. Pre.. Act and post act and take history.

"Mata marenna hithenea"..

Suicdal note?

Can be mixed history so in that case need to take. Both histories.. Like psychotic and substance.. Suicide and mood....