MEDI7111 Lecture Notes - Lecture 10: Borderline Personality Disorder
Psychiatry Assessment
General Guide to Assessment
Details of the attempt
Establish ongoing risk
Current or previous mental illness
Is this a flag to another problem? E.g. social, abuse, substances etc.
Mental state exam
Collateral
Psychiatric opinion
Details of the attempt
High risk factors for suicide attempt
oRecent interpersonal crisis/major loss/trauma
oAnniversary of significant event which causes distress
oFinancial problems
oImpending legal
oRecent family breakdown – esp. child custody battles
oSubstance withdrawal
How?
oWhat did they take?
oHave they tried before?
oPlanned vs impulsive
oWere they intoxicated?
oDid they tell someone/write a note? What was the content of the message?
oWhat did they do after?
Why?
oStressors & emotions
oMotives? E.g. intent to die, relief from stressful situation, seeking care etc.
Expectation?
oIntent at the time of OD
Preparation/planning
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