psychiatric emergencies. suicide epidemiology 10/10 000 more men increase with age unemployment and...
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Psychiatric emergencies
Psychiatric emergencies
Suicide• Epidemiology• 10/10 000• More men• Increase with age• Unemployment and homelessness• Divorced and widowed• I and VI classes
Suicide
• Methods Males, car exhaust, guns hanging Females, over dosage• Psychiatric variables Depression commonest Alcoholism next 10% schizophrenics Personality disorders and drug abuse
Suicide
Assessment• Most give warning or make visit• Don’t hesitate asking• Assessment of intent;• Seriousness of method• Planned, alone, precautions for discovery• Previous attempt• Will
Psychiatric emergencies
Deliberate self harm• More in women• More young• Lower social class• More in cities• Unemployment• High risk of suicide • Alcohol, personality, forensic
Delibrate self harm
Management• Assess suicide risk• Physical care• Problem solving social or psychological
Psychiatric emergencies
Aggressive behavior• Personality• Drug abuse• Schizophrenia• Mania• Toxic confusional statesManagement• Rapport• Underlying cause• Drugs
Psychiatric emergencies
Panic anxiety I v diazepamconversion Sever depressionECT
Aspects of forensic psychiatry
• doctor patient relation Confidentiality Compulsory admission• civil law Guardianship Testamentary capacity• criminal law Fitness to stand trial Criminal responsibility
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