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10 Cards in this Set
- Front
- Back
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Reasons to admit
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Danger to self
danger to others unable to care for self involuntary admission Illness leads to lack of insight (without tx could deteriorate to dangerous conduct) |
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Duty to Protect (tarasoff warning)
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to protect intended victim when pt presents with threat
whatever steps are reasonably necessary (alert victim, someone else, or polic) |
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How to evaluate danger to others?
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Threat (clear or vague)
Danger (serious or marginal) Victim (identifiable) Imminent danger |
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What does it mean to be unable to care for self
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-Inability to give informed consent (dementia, mental retardation, legally incompetent)
-Psychosis that unintentionally leads to dangerous situations -"agitation" behavior (impulsive and grossly inappopriate) |
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Parens patriae vs. polic power
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parens patriae= state has parenteral responsibilities for its citizens
police power=state has responsibility to maintain control and order among its citizens |
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Who does the steps of involuntary admission?
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Petition= anyone but person doing certificate
1st Certificate= physician, clinical psychologist, other qualified examiner 2nd certificate= psych MD with at least 3 years of training Court hearing= ideally within 5 days of 1st certificate |
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Static suicide risk factors
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-Age: (teens and elderly)
-Gender: Women more likely to attempt, men more likely to complete -Race: whites and native americans more -Marital Status: single, divorced, separated, widowed -Sexual Orientation: gay -Occupation: physicians, dentists, nurses, artists, social workers -Mood disorders: depression, eating disorder, bipolar (esp if more than one psych d/o) -prior suicide attempt -suicides in the family -substance use -command hallucinations -hopelessness, anxiety, impulsivity, aggerssion -medical illness: nervous system disorder, HIV, neoplasms, pain syndromes, etc -Childhood trauma |
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Dynamic suicide risk factors
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-access to firearms
-post-hospitalization -recent loss of social support -drop in socioeconomic status -unemployment -recent life stressor (humiliation) |
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Suicide Protective Factors
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Marriage
Children Religion reality testing bility positive coping skills positive therapeutic relationship social support |
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Steps of Suicide risk assessment?
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1. Assess suicide risk factors
2. Assess suicide protective 3. Specific suicide inquiry 4. Risk Level determination and treatment plan 5. Documentation |
