Dr Chong Yew Siong BSc, MD, MMed (Psych) Lecturer & Psychiatrist Faculty of Medicine & Health Sciences USIM
|
|
- Thomas Long
- 5 years ago
- Views:
Transcription
1 Dr Chong Yew Siong BSc, MD, MMed (Psych) Lecturer & Psychiatrist Faculty of Medicine & Health Sciences USIM
2 Introduction Recent Updates & Statistics Suicide Risk Assessment Management Q & A
3 Suicide is a legal term Definition : The human act of self inflicting one s own life s cessation Suicide is a tragedy not only for the individual, but also for the family and society. Akin to seeking a permanent solution to what are usually temporary problems. Suicide & attempted suicide major public health problems.
4 10 million people commit suicide annually 1 suicide case every 40 seconds; 60% in Asia million attempted suicide annually. In male : suicide rate = 20 cases per 100,000 populations; female : 8 cases per 100,000. 1/3 of all suicide cases involved insecticide. (WHO, 2009)
5 Malaysia : per 100,000 populations ( ). Data paucity : due to misclassifying suicides as undetermined deaths (> 90%). Attempted suicide rate : 10x higher than suicide rate. 2 % all suicides influence of media reporting
6 Why inaccurate suicide data & reporting??? Stigma!!! Legality : suicide is a crime/an offence Religious principle Death registry mishap Suicide statistics in Malaysia do not reflect reality!
7 Suicidal ideation Suicidal plan Deliberate self harm Suicide attempt Completed suicide (Chiles & Strosahl 2005; Meltzer & Dev 2000)
8 Suicidal Ideation Suicidal Intent Suicidal Plans Higher risk Frequent, intensed, prolonged Higher risk High Higher risk Well-planned, highly lethal means, access to means Lower risk Infrequent, transient Lower risk Low Lower risk No plans, choice of low lethality, no access to means
9 Absence of mental illness Employment Children at home Sense of responsibility to family Pregnancy Strong religious beliefs Intact reality testing Positive coping skills Positive problem-solving skills Good social support Positive therapeutic & confiding relationship High life satisfaction
10 Assessment of suicidality Identifying targets for intervention Suicide risk assessment Evaluation of suicide risk factors Identifying what s going on
11 Active? Passive? Ideation Intent Hidden intent Hidden motivation Plans Access to means Clinical intuitive impression Access to means
12 High lethality Low frequency Past suicide behaviour assessment High frequency Low lethality
13 Age & gender Past & current suicidality Psychiatric symptoms/mental illness Personality Individual history : Medical History, Family History, Psychosocial History, Neurobiology
14 Suicide rates generally increase with increasing age. Rise sharply in late adolescence & early adulthood, levelling off in midlife, rise again after age 70. Suicidal behaviours & attempts more common in the younger age group. Completed suicides higher in the elderly.
15 Higher suicide rates in men than women Less likely to seek help for emotional / psychological problems than women Less willing to accept help for emotional / psychological problems than women More impulsive than women Less socially embedded than women May choose more lethal suicide methods
16 Past suicidal behaviours associated with increased suicide risk Higher risk Lower risk Detected suicide attempts Multiple attempts First attempt Undetected suicide attempts Planned Impulsive Aborted suicide attempts Low likelihood of rescue High likelihood of rescue Self-harming behaviour High intent Use of highly lethal method Availability of lethal means Serious medical consequences Low intent Low lethal method Ambivalence
17 Psychiatric Symptoms Panic attacks Hopelessness Hallucinations Dysphoria Agitation Insomnia Impulsivity Decreased self-esteem Mental Illness Mood disorders Psychotic disorders Anxiety disorders Alcohol & other substance use disorders Personality disorders
18 Medical history Higher risk Lower risk Neurological disorder Chronic illness Healthy HIV/AIDS Associated pain Feels physically well Peptic ulcer disease Functional impairment Pregnancy Systemic lupus erythematosus (SLE) Chronic renal failure (with hemodialysis treatment) Heart disease Chronic obstructive pulmonary disease (COPD) Prostate disease Loss of sight or hearing Disfigurement Increased dependence on others Malignancies
19 Higher risk Suicide in first degree relative Lower risk No family history of suicide Mental illness in first degree relative No family history of mental illness
20 Higher risk : Sexual orientation : homosexuality Unemployment & Type of employment (healthcare professional) Marital status * Financial & legal difficulties Past history of sexual/physical abuse
21 BDNF Neurotrophin (NT) Nerve Growth Factor (NGF) Increased suicide risk Neurotransmitter imbalance (Serotonin)
22 Combination of factors Why? Why now? What s going on?
23 Psychiatric symptoms & diagnoses Treat disorder & alleviate symptoms Distressing psychosocial situation Address modifiable triggers / stressors Characterological difficulties Address maladaptive traits & coping skills
24 Emotion response Cognitive response Behaviour response Anger Hatred Anxiety This person is weak/ disgusting This person is a waste of time/trying to get attention/manipulating me Avoidance Rejection Frustration Helplessness Incompetence This person makes me feel useless/inadequate If this person kills himself it will be my fault Overinvolvement Overprotection
25 DO NOT : Rush / ask leading questions You don t have any ideas about suicide, do you? Interrogate / force patient to defend his / her action Why would you do such a thing? Why would you even consider suicide? What is wrong with you? What is so bad in your life? What is your problem?
26 DO NOT : Minimize / disregard the patient s distress Oh, you are fine. My problems are bigger. It s not such a big thing, is it? Many people go through these kind of things & they are fine! You will feel better after a good night s rest. If you really wanted to die you would be dead by now. Get over it.. you are OK!
27 DO : Be empathic Make gentle inquiry Be proximal vs distal Be non-judgemental / non-critical Be non-prescriptive (e.g. Do this, Do that ) Offer other ways / options of solving problems Be there for them Refer if high risk
28 Significant changes in home, school, work & social function Significant changes in behaviour & personality Withdrawal from friends, families & social activities Neglect of personal appearance Significant sleep problems & changes in weight Increased irritability, anger/ aggression Increased impulsivity & difficulty controlling emotion Preoccupation with death & people who have died by suicide Hopelessness as theme of conversations & work Giving away valued possessions
29 Support Safety & security Targeted intervention Basic Principles
30
31 Henderson J.P, Mellin C., Patel F. Suicide A statistical analysis by age, sex and method. J Clin Forensic Med 2005;12: Maniam, T. (1988). "Suicide and parasuicide in a hill resort in Malaysia." British Journal of Psychiatry 153: National Center for Injury Prevention and Control (2002). Preventing Suicidal Behaviour. CDC Injury Research Agenda. Atlanta (GA), Centers for Disease Control and Prevention: Pouliot, L. and D. D. Leo (2006). "Critical issues in psychological autopsy studies." Suicide and Life Threatening Behaviour 36(5): Reiget, M. S. (2001, 15 Jan 2007). "Saying the Right Thing: Death in the Field and Grief Support Guidelines Curriculum Workbook."
32 Appleby L, Cooper J, Amos T, Faragher B. Psychological autopsy of suicides by people under 35. Br J Psychiatry 1999; 175:168]174. Cheng, A.; Chen, T; Chen, Chwen]chen; Jenkins, R: Psychosocial and psychiatric risk factors for suicide: Case control psychological autopsy study. British Journal of Psychiatry. 177:360]365, October 2000 Cooper, J, RMN Ethical issues and their practical application in a psychological autopsy study of suicide. Journal of Clinical Nursing. 8(4):467]475, July Foster, T; Gillespie, K; McClelland, R; Patterson, C: Risk factors for suicide independent of DSM]III]R Axis I disorder: Case control psychological autopsy study in Northern Ireland. British Journal of Psychiatry. 175(8):175]179, August WHO (2008) Suicide rates per 100,000 by country, year and sex for the year index.html
Suggested Protocol for Resident Verbalizing Suicidal Ideation or Plan
Suggested Protocol for Resident Verbalizing Suicidal Ideation or Plan Rationale: In the event a [resident] verbalizes suicidal thoughts or even a plan, the carer will know what steps to take for safety
More informationUPMC SAFE-T Training Adapted for Pediatric Primary Care. Sheri L. Goldstrohm, Ph.D.
UPMC SAFE-T Training Adapted for Pediatric Primary Care Sheri L. Goldstrohm, Ph.D. Prevalence of Suicide in the U.S. 10th most frequent cause of death for all ages 2nd leading cause of death for individuals
More informationThreat to Self: Suicide & Self-Injurious Behavior. David Towle, Ph.D. UNI Counseling Center Director
Threat to Self: Suicide & Self-Injurious Behavior David Towle, Ph.D. UNI Counseling Center Director What do you do? You check your e-mail and find a message from a student, apparently sent about 3 a.m.,
More informationThe Difficult Patient. Psychiatric Dilemmas in the Primary Care Setting. No Disclosures. Objectives 10/12/17. Erick K. Hung, MD
Psychiatric Dilemmas in the Primary Care Setting No Disclosures Erick K. Hung, MD Associate Professor of Clinical Psychiatry University of California, San Francisco Objectives Describe approaches to the
More informationSuicide.. Bad Boy Turned Good
Suicide.. Bad Boy Turned Good Ross B Over the last number of years we have had a few of the youth who joined our programme talk about suicide. So why with all the services we have in place is suicide still
More informationScreening for Depression and Suicide
Screening for Depression and Suicide Christa Smith, PsyD Western Interstate Commission for Higher Education Boulder, Colorado 10/2/2008 Background My background A word about language Today stopics Why
More informationChapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating
Chapter 20 Psychosocial Nursing of the Physically Ill Client Psychosocial Assessment Interactive process that involves gathering data and evaluating the past and current level of functioning of the client
More informationHuman Growth and Development
Human Growth and Development Life Stages: Health care workers need to be aware of the various stages and needs of the individual to provide quality health care Infancy: Early childhood: Late childhood:
More informationSuicide Risk Factors
Suicide Prevention Suicide Risk Factors Mental Health disorders, in particular: o Depression or bipolar (manic-depressive) disorder o Alcohol or substance abuse or dependence o Schizophrenia o Post Traumatic
More informationhttps://www.glyndewis.com/wp-content/uploads/2014/12/sos.jpg Recognizing and Responding to Signs in Ourselves or Others
https://www.glyndewis.com/wp-content/uploads/2014/12/sos.jpg Recognizing and Responding to Signs in Ourselves or Others Purpose of the SOS Suicide Prevention Program To help students and trusted adults
More informationChapter 10 Suicide Assessment
Chapter 10 Suicide Assessment Dr. Rick Grieve PSY 442 Western Kentucky University Not this: Suicide is man s way of telling God, You can t fire me, I quit. Bill Maher 1 Suicide Assessment Personal Reactions
More informationGUIDELINES FOR TEEN SUICIDE PREVENTION
GUIDELINES FOR TEEN SUICIDE PREVENTION Dr. C. J. John, Chief Psychiatrist, Medical Trust Hospital, Kochi Email: drcjjohn@hotmail.com What WHO Says??? World wide suicide is among top five causes of mortality
More informationCRPS and Suicide Prevention
1 CRPS and Suicide Prevention Jill Harkavy Friedman, PhD June 23, 2012 RSDSA Board Meeting 2 What we know about suicidal ideation and behavior Majority of people have thought about suicide at some point
More informationMental Health - a Public Health Challenge
Mental Health - a Public Health Challenge What is a mental health? Absence of mental illness Positive mental health Mental well-being Public mental health Promotion of mental health Prevention of mental
More informationSECTION 1. Children and Adolescents with Depressive Disorder: Summary of Findings. from the Literature and Clinical Consultation in Ontario
SECTION 1 Children and Adolescents with Depressive Disorder: Summary of Findings from the Literature and Clinical Consultation in Ontario Children's Mental Health Ontario Children and Adolescents with
More informationA basic approach to a suicidal patient
A basic approach to a suicidal patient With Dr Joanne Ferguson, Staff Specialist Psychiatry and Addiction Medicine, Royal Prince Alfred Hospital Introduction Talking about suicide is regarded as one of
More informationSUICIDE IN CHILDREN AND ADOLESCENTS
SUICIDE IN CHILDREN AND ADOLESCENTS WERNER VAN DER WESTHUIZEN April 2018 Introduction The death of a child is heart breaking for everyone affected, but when a child dies by suicide, it brings a while different
More informationSuicide Prevention in the Older Adult
Suicide Prevention in the Older Adult Nina R. Ferrell, MA Geriatric Outreach Professional Relations Salt Lake Behavioral Health Hospital Presentation Content Credits 1. Addressing Suicidal Thoughts and
More informationDr Carmelo Aquilina Senior Staff Specialist & Service Director Sydney West Area Health Service Clinical Senior Lecturer, University of Sydney
Dr Carmelo Aquilina Senior Staff Specialist & Service Director Sydney West Area Health Service Clinical Senior Lecturer, University of Sydney A suicide Outline Part 1: understanding suicide Part 2: What
More informationDepressive, Bipolar and Related Disorders
Depressive, Bipolar and Related Disorders Robert Kelly, MD Assistant Professor of Psychiatry Weill Cornell Medical College White Plains, New York Lecture available at www.robertkelly.us Financial Conflicts
More informationSelf-injury, also called self-harm, is the act of deliberately harming your own body, such as cutting or burning yourself. It's typically not meant
Subtitle Self-injury, also called self-harm, is the act of deliberately harming your own body, such as cutting or burning yourself. It's typically not meant as a suicide attempt. Rather, self-injury is
More informationSafeguarding Our Youth Parent Information Night
Safeguarding Our Youth Parent Information Night SEPTEMBER 14, 2016 PRESENTED BY DCC MIDDLE SCHOOL COUNSELORS JESS HALL, KRISTIN JARAMILLO, AND JENNIFER SCOTT Tonight s Agenda Welcome and introductions
More informationSuicide Risk Management Clinical Strategies
Suicide Risk Management Clinical Strategies March 12, 2015 Steven Vannoy, PhD, MPH steven.vannoy@umb.edu Department of Counseling and School Psychology University of Massachusetts Boston Review: What Explains
More informationDepressive and Bipolar Disorders
Depressive and Bipolar Disorders Symptoms Associated with Depressive and Bipolar Disorders Characteristics of mood symptoms Affects a person s well being, school, work, or social functioning Continues
More informationmedical attention. Source: DE MHA, 10 / 2005
Mental Health EMERGENCIES Mental Health: Emergencies This presentation deals with teen suicide, which is a most difficult topic to consider. It is presented upon recommendations from national public and
More informationFIREARMS AND SUICIDE PREVENTION
FIREARMS AND SUICIDE PREVENTION WHAT LEADS TO SUICIDE? There s no single cause. Suicide most often occurs when several stressors and health issues converge to create an experience of hopelessness and despair.
More informationHELLO CAN YOU HEAR ME?
HELLO CAN YOU HEAR ME? IMPORTANT ISSUES FOR TEACHERS WORKING WITH ADOLESCENTS Kristin Walker, M.A. East Tennessee State University Department of Psychology November 6, 2012 Objectives 1. Participants will
More informationDepression & Suicidality. Project Success+ & CAPE
Depression & uicidality Project uccess+ & CAPE Introduction Project uccess-tudent upport Program Assess and Refer to ervices Group and Individual Counseling Education Windsor O Clinic CAPE-(Crisis Assessment
More informationMore Than Just Moody Blaise Aguirre, MD Child and Adolescent Psychiatrist McLean Hospital Assistant Professor of Psychiatry Harvard Medical School
More Than Just Moody Blaise Aguirre, MD Child and Adolescent Psychiatrist McLean Hospital Assistant Professor of Psychiatry Harvard Medical School Keep in Mind In the U.S., approximately 10-15% of children/adolescents
More informationHow to Win Friends and Influence People Lesson 6 Psychological Patterns and Disorders
How to Win Friends and Influence People Lesson 6 Psychological Patterns and Disorders What are psychological disorders? Mental health workers view psychological disorders as ongoing patterns of thoughts,
More informationWhy do i need to watch for suicide?
Toolkit for Parents Why do i need to watch for suicide? Suicide is the second leading cause of death for those ages 10 to 24 in the U.S. For each suicide death, family and close friends are at a higher
More informationPowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY Psychosocial Health: Being Mentally, Emotionally, Socially, and Spiritually Well
PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 2 Psychosocial Health: Being Mentally, Emotionally, Socially, and Spiritually Well Defining Psychosocial Health What is it? Complex interaction
More informationLecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention
V Codes & Adjustment Disorders Cornelia Pinnell, Ph.D. Argosy University/Phoenix Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention
More informationMyths vs. Facts: True or False? Talking openly about suicide will cause it. Anyone can learn to help someone who is struggling with thoughts of suicid
Adolescent Suicide & Management By Dr Lam Chun Associate Consultant Quality & Safety Director Kowloon Hospital Date: 3 December 2018 Myths vs. Facts: True or False? Talking openly about suicide will cause
More informationChapter 2 Lecture. Health: The Basics Tenth Edition. Promoting and Preserving Your Psychological Health
Chapter 2 Lecture Health: The Basics Tenth Edition Promoting and Preserving Your Psychological Health OBJECTIVES Define each of the four components of psychological health, and identify the basic traits
More informationSuicidal Behaviors among Youth: Overview of Risk and Promising Intervention Strategies
Suicidal Behaviors among Youth: Overview of Risk and Promising Intervention Strategies David B. Goldston, Ph.D. Department of Psychiatry & Behavioral Sciences Duke University School of Medicine Goals of
More informationSuper Powers, Suicide, and Speaking Life. Angela Whitenhill, MDiv., LCSW
Super Powers, Suicide, and Speaking Life Angela Whitenhill, MDiv., LCSW What is Suicide? Suicide - death caused by self-directed injurious behavior with the intent to die Suicidal Ideation thoughts, plans
More informationSUBJECT: Suicide Risk Screening and Assessment of Individuals in State Hospitals and State-Operated Crisis Stabilization Programs
DBHDD SUBJECT: Suicide Risk Screening and Assessment of Individuals in State Hospitals and State-Operated Crisis Stabilization Programs Policy: 03-504 Page 2 of 3 Hospital and CSP Staff Awareness regarding
More informationPatient Questionnaire. Name: Date: A. What are the main concerns or problems that brought you here today?
Patient Questionnaire Name: Date: D.O.B.: Age: Referred By: Presenting Problem A. What are the main concerns or problems that brought you here today? B. Problem Checklist: please circle all that apply:
More informationMATCP When the Severity of Symptoms Interferes with Progress
MATCP 2017 When the Severity of Symptoms Interferes with Progress 1 Overview Stages of Change, or Readiness for Change Changing Behavior Medication Adherence Disruptive Behaviors Level of Care Tools including
More informationMental Health First Aid at a Glance
Mental Health First Aid at a Glance Candice M. Haines, LCPC Program Supervisor Mental Health First Aid Instructor Pilsen Wellness Center chaines@pilsenmh.org Overview Address myths vs facts Warning signs
More informationSuicide Prevention. Kuna High School
Suicide Prevention Kuna High School Why Suicide Prevention is Important? From the 2015 Youth Risk Behavior Survey (CDC). Suicide 32% (up 4% from 29% - 2013) felt so sad or hopeless almost every day for
More informationChapter 7 - Mood Disorders
Chapter 7 - Mood Disorders I. DEPRESSION A. Description Symptoms: 5+ constant over 2 weeks - sadness/depressed mood - guilt/remorse/worthlessness - suicidal thoughts - anhedonia (lack of pleasure) - fatigue/lethargy
More informationWhat is Suicide? Johns Hopkins Medicine Online Health Library
Johns Hopkins Medicine Online Health Library What is Suicide? Suicidal Behavior: a preoccupation or act that is focused on causing one's own death voluntarily Suicidal Ideation: thoughts Suicide Attempt:
More informationPrimary Care: Referring to Psychiatry
Primary Care: Referring to Psychiatry Carol Capitano, PhD, APRN-BC Assistant Professor, Clinical Educator University of New Mexico College of Nursing University of New Mexico Psychiatric Center Objectives
More informationReading the Signs. Risk Factors and Warning Signs for Suicide
Reading the Signs Risk Factors and Warning Signs for Suicide 14.7.14 Welcome Jennifer Fisher headspace School Support Consultant jfisher@headspace.org.au 0447 001 612 Anxiety Warren Jones headspace Nowra
More informationCommon Adolescent Issues How to Identify and Help
Common Adolescent Issues How to Identify and Help Mark Samways School Counsellor Mark.Samways@dubaicollege.org @DCol_wellbeing Dates of all talks Tuesday 21 st November: Screen Time Tuesday 28 th November:
More informationSuicide Awareness & Assessment
Suicide Awareness & Assessment Western Psychiatric Institute and Clinic of UPMC Presbyterian Shadyside 1 Dr. Jennifer Beckjord, PsyD; Senior Director, Clinical Services Jeffrey Magill, MS; Emergency Management
More informationSuicide, Para suicide and Risk Assessment
Suicide, Para suicide and Risk Assessment LPT Gondar Mental Health Group www.le.ac.uk Objectives: Definition of suicide, Para suicide/dsh Changing trends of methods used Epidemiology Clinical Variables
More informationSuicidality: Assessment & Management
Suicidality: Assessment & Management Dr Larkin Feeney Consultant Psychiatrist Cluain Mhuire Community Mental Health Service ICGP Spring Study Sessions IMI 12/04/12 CSO latest suicide statistics 2009 record
More informationUnderstanding Depression
Understanding Depression What causes Depression? Family History Having family members who have depression may increase a person s risk Deficiencies of certain chemicals in the brain may lead to depression
More informationSuicide Prevention Carroll County Public Schools
Suicide Prevention Carroll County Public Schools 2012-13 The Facts Statistics 3 rd leading cause of death for adolescents (15-24 yrs. old) 6 th leading cause of death for children (5-14 yrs. old) 11 th
More informationBUILDING BARRIERS TO SUICIDE:
BUILDING BARRIERS TO SUICIDE: Mr. F 78 yo male CAD, HTN, CABGx5 Depression? PCP of course you re depressed, your old Sig for anti depressant
More informationDirections: Use your mouse or the arrows on your keyboard to click through this tutorial.
Directions: Use your mouse or the arrows on your keyboard to click through this tutorial. Diamond Healthcare Corporation Suicide Risk Assessment For Outpatient Programs 2009 Objectives 1. Identify the
More informationL;ve L;fe; Your story is not over yet.
L;ve L;fe; Your story is not over yet. Suicide is not as rare as some think. Who is more at risk? In the U.S., suicide rates are highest during the spring. Suicide is the 3rd leading cause of death for
More informationWORD WALL. Write 3-5 sentences using as many words as you can from the list below.
WORD WALL Write 3-5 sentences using as many words as you can from the list below. Suicide Phobia Bipolar Obsessive compulsive disorder(ocd) Anxiety Depression Mood Post traumatic stress disorder (PTSD)
More informationADULT HISTORY QUESTIONNAIRE
ADULT HISTORY QUESTIONNAIRE Date: Full Name: Date of Birth: If applicable, please complete the following: Partner s Name: Partner s Age: Partner s Occupation: IF YOU HAVE CHILDREN PLEASE LIST THEIR NAMES
More informationAssociates of Behavioral Health Northwest CHILD/ADOLESCENT PSYCHOSOCIAL ASSESSMENT
CHILD/ADOLESCENT PSYCHOSOCIAL ASSESSMENT Name: Date: I. PRESENTING PROBLEM What events or stressors led you to seek therapy at this time? Check all that apply. Mood difficulties (i.e. sad or depressed
More informationSuicide Awareness & Prevention The Silent Epidemic Kristin A. Drake Cell:
Suicide Awareness & Prevention The Silent Epidemic Kristin A. Drake Cell: 915 525 8937 What is Suicidality? ~According to Dr. Osvaldo Gaytan, Child and Adolescent Psychiatrist for El Paso Behavioral, Suicidality
More informationSuicide Risk Assessment, Management and Documentation
Suicide Risk Assessment, Management and Documentation JIMMIE D. MCADAMS, DO DFAPA Laureate Psychiatric Clinic and Hospital Director Senior Behavioral Health Jeff Mitchell, M.D. Matthew Meyer, M.D. Phillip
More informationS o u t h e r n. 2-4 Tea Gardens Avenue Kirrawee NSW 2232 Ph: Fx: Deliberate Self Injury Information
S o u t h e r n Community Welfare 2-4 Tea Gardens Avenue Kirrawee NSW 2232 Ph: 02 9545 0299 Fx: 02 9521 6252 W: w w w. s c w. o r g. a u Southern Community Welfare 2005 Self Injury 1 In an emergency: Ring
More informationMood Disorders. Dr. Vidumini De Silva
Mood Disorders Dr. Vidumini De Silva Depression - Lowering of mood Mania - Heightening of mood Depressive Disorder Overview Introduction Clinical Features Aetiology Course and prognosis What s your management
More informationFull Circle Psychotherapy: Ayla Marie Carter, MA, LMHC
Full Circle Psychotherapy: Ayla Marie Carter, MA, LMHC aylacarter@fullcirclepsychotherapy.org www.fullcirclepsychotherapy.org (253) 686-4681 Name (First, Middle, last): Birthdate: Age: Gender: Sexual Orientation:
More informationSuicide Risk Assessment
Suicide Risk Assessment Interviewing Basics Prepared by: Dr. Aviva Rostas Psychiatry Resident, University of Toronto Epidemiology Suicide is common. According to Statistics Canada, in 2009 there were 3,890
More informationP H I L L I P N. S M I T H, P H. D. C A N D I C E N. S E LW Y N, M. S.
P H I L L I P N. S M I T H, P H. D. C A N D I C E N. S E LW Y N, M. S. U N I V E R S I T Y O F S O U T H A L A B A M A 2 2 O C T O B E R 2 0 1 4 A L J A I L A S S O C I AT I O N S A N N U A L C O N F E
More informationHandout 3: Mood Disorders
Handout 3: Mood Disorders Mood disorders are called affective (emotional) disorders. There are two categories of mood disorders: Depressive Disorders Bipolar Affective Disorders Depressive Disorders Minor
More informationSUICIDE PREVENTION POLICY
SUICIDE PREVENTION POLICY The purpose of this policy is to protect the health and well-being of all Bonneville Academy students by having procedures in place to prevent, assess the risk of, intervene in,
More informationThe Ideation-to-Action Framework and the Three-Step Theory New Approaches for Understanding and Preventing Suicide
The Ideation-to-Action Framework and the Three-Step Theory New Approaches for Understanding and Preventing Suicide E. David Klonsky, PhD @KlonskyLab Department of Psychology University of British Columbia
More informationEffects of Traumatic Experiences
Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D When people find themselves suddenly in danger, sometimes they are overcome with feelings
More informationASAM Criteria, Third Edition Matrix for Matching Adult Severity and Level of Function with Type and Intensity of Service
1: Acute Intoxication and/or Withdrawal Potential Risk Rating: 0 1: Acute Intoxication and/or Withdrawal Potential Risk Rating: 1 1: Acute Intoxication and/or Withdrawal Potential Risk Rating: 2 The patient
More informationMental Health Outpatient Treatment Report Form
Mental Health Outpatient Treatment Report Form INSTRUCTIONS 1. Complete all sections entirely 2. Fax the form to 888-240-4609 / Georgia Families 360º members 888-375-5070 3. You will receive a confirmation
More informationMental Health and Suicide Prevention: What Everyone Should Know
Mental Health and Suicide Prevention: What Everyone Should Know OUTLINE Mental Health and Suicide How big is this issue? Mental Illness Depression Schizophrenia Suicide Who is at risk? Warning signs Suicide
More informationReading: Andreasen & Black, Introductory Textbook of Psychiatry, 3rd edition, Chapter 21, pp
Psychiatry Sequence (PSY614) Topic: Faculty: Suicide Michael Jibson, M.D., Ph.D. Reading: Andreasen & Black, Introductory Textbook of Psychiatry, 3rd edition, Chapter 21, pp. 553-568 Lecture: Thursday,
More informationWarning Signs of Mental Illness in Children/Adolescents. Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center
Warning Signs of Mental Illness in Children/Adolescents Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center Identify At least 5 warning signs of mental illness in children
More informationDepression. Content. Depression is common. Depression Facts. Depression kills. Depression attacks young people
Content Depression Dr. Anna Lam Associate Consultant Department of Psychiatry, Queen Mary Hospital Honorary Clinical Assistant Professor Li Ka Shing Faculty of Medicine, The University of Hong Kong 1.
More informationMental Health and Stress
Mental Health and Stress CHAPTER 2 1 Positive Psychology and Character Strengths In recent years, psychologists have become more interested in positive psychology Focus on positive emotions, characteristics,
More informationAppendix C Discussion Questions for Student Debriefing: Module 3
Appendix C Discussion Questions for Student Debriefing: Module 3 Frequently Asked Questions (And Responses!) Q: What is the role of biological factors in the development of depression? A: Clinical depression
More informationSuicide: Starting the Conversation. Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support
Suicide: Starting the Conversation Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support What We Do Know About Suicide Suicidal thoughts are common. Suicidal acts, threats
More informationOperation S.A.V.E Campus Edition
Operation S.A.V.E Campus Edition 1 Suicide Prevention Introduction Objectives: By participating in this training you will learn: The scope and importance of suicide prevention The negative impact of myths
More informationIntro to Concurrent Disorders
CSAM-SCAM Fundamentals Intro to Concurrent Disorders Presentation provided by Jennifer Brasch, MD, FRCPC Psychiatrist, Concurrent Disorders Program, St. Joseph s Healthcare There are all kinds of addicts,
More informationCondensed Clinical Practice Guideline Treatment Of Patients With Schizophrenia
Condensed Clinical Practice Guideline Treatment Of Patients With Schizophrenia I. Key Points a. Schizophrenia is a chronic illness affecting all aspects of person s life i. Treatment Planning Goals 1.
More informationMINDFUL WELLNESS CENTER, PLLC
PATIENT HISTORY NAME DATE PLEASE TAKE YOUR TIME AND COMPLETE THE ENTIRE FORM. You may use the back if needed for more explanation. Identifying Information: Date of Birth: Age: Sex: Place of Birth: Religion:
More informationINTERCONTINENTAL JOURNAL OF HUMAN RESOURCE RESEARCH REVIEW A STUDY ON PSYCHOSOMATIC DISORDER AND WORKING WOMEN
Peer Reviewed Journal of Inter-Continental Management Research Consortium http:// ISSN: 2320-9704- Online ISSN:2347-1662-Print A STUDY ON PSYCHOSOMATIC DISORDER AND WORKING WOMEN *JANANI.T.S **Dr.J.P.KUMAR
More informationClient Intake Form. First Name: M.I.: Last Name: Birthdate: Gender: Age: Address: City: State: Zip:
Client Intake Form First Name: M.I.: Last Name: Birthdate: Gender: Age: Address: City: State: Zip: Tel: Home: Okay to leave message? (Circle one) Yes No Tel: Work: Ext Okay to leave message? (Circle one)
More informationOctober 8, 2013 Teens and Stress Presented by: Susan Sakamoto, MSW, MHP, EMMHS, CMH
October 8, 2013 Teens and Stress Presented by: Susan Sakamoto, MSW, MHP, EMMHS, CMH susans@youtheastsideservices.org A lifeline for kids and families AGENDA Who Is YES? Let s Talk Stress o What is it?
More informationSUICIDE ASSESSMENT AND DOCUMENTATION
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences SUICIDE ASSESSMENT AND DOCUMENTATION AMANDA FOCHT, MD ACTING ASSISTANT PROFESSOR DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL
More informationWHAT IS IMMINENT RISK? UNDERSTANDING THE FUNDAMENTALS OF SUICIDE RISK ASSESSMENT AND MANAGEMENT
Stacy Rivers, MSW, LICSW WHAT IS IMMINENT RISK? UNDERSTANDING THE FUNDAMENTALS OF SUICIDE RISK ASSESSMENT AND MANAGEMENT Journal of Dawn Renee Befano, 10/29/1995 I want to die. Today I feel even more vulnerable
More informationDepression and Bipolar Disorder
The Canadian Mental Health Association (CMHA) is a nation-wide, charitable organization that promotes the mental health of all and supports the resilience and recovery of people experiencing mental illness.
More informationDEPRESSION. There are a couple of kinds, or forms. The most common are major depression and dysthymic disorder.
DEPRESSION OBJECTIVES: At the end of this class, you will be able to: 1.list and describe several kinds of depression, 2.discuss the signs of depression, and 3.relate the treatment of depression. INTRODUCTION
More informationAtlanta Psychological Services
Atlanta Psychological Services 2308 Perimeter Park Drive 770-457-5577 Suite 100 Fax 770-457-5599 Atlanta, GA 30341 atlantapsychological.com Check one: rev. 10-13-18 J. Todd George, PsyD Carolyn Johnson,
More informationTeen Suicide 2013 Kmcfarlane 10/3/13
1 2 3 4 5 6 7 Teen Suicide Kevin McFarlane BSN,RN,CEN,EMT University of New Mexico Hospital Suicide The spectrum of suicide Suicide Defined Suicide: Intentionally causing one s own death. Sometimes difficult
More informationClient s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone:
Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Private email address: Student? If yes, where and major? May we leave
More informationGISD Suicide Prevention Plan
GISD Suicide Prevention Plan 2017 2018 Purpose The purpose of this plan is to protect the health and well being of all district students by having procedures in place to prevent, assess the risk of, intervene
More informationLet s Talk. About the Role of Schools In Preventing Suicide Among Students
Let s Talk About the Role of Schools In Preventing Suicide Among Students Introductions ANN EPPERSON SCHOOL PSYCHOLOGIST BARREN COUNTY SCHOOLS RACHEL WETTON SCHOOL PSYCHOLOGIST BARREN COUNTY SCHOOLS BRIDGET
More informationSuicidal and Non-Suicidal Self- Injury in Adolescents
Suicidal and Non-Suicidal Self- Injury in Adolescents Laurence Y. Katz, M.D., FRCPC University of Manitoba DBT: Evidence-Based Treatment More than 2 dozen studies 14 randomized controlled trials Adults
More informationSTAR-CENTER PUBLICATIONS. Services for Teens at Risk
STAR-CENTER PUBLICATIONS Services for Teens at Risk Teen Handbook on Depression Services for Teens at Risk (STAR-Center) Western Psychiatric Institute and Clinic (412)864-3346 All Rights Reserved - 2018
More informationRestore Counseling Center 630 E Southlake Blvd, Ste 127, Southlake, Tx
Adult Information Restore Counseling Center 630 E Southlake Blvd, Ste 127, Southlake, Tx 76092 817-614-1488 Dx code: Welcome to Restore Counseling Center. In order for us to gain a better understand of
More informationUnderstanding Suicide: Prevention and Intervention in our Schools
Understanding Suicide: Prevention and Intervention in our Schools N.J.S.A. 18A:6-111 became law, requiring all public school teaching staff members to complete at least two hours of instruction in suicide
More informationCrisis Intervention and Suicide
Crisis Intervention and Suicide DR. ARNEL BANAGA SALGADO, D.Sc., Ed.D., RN, MA, B.Sc, Cert.Ed, MAT (Psychology) H/P No.: 050-799-3803 URL: www.ifeet.co; www.ifeet.org; www.ifeet.com.ph Personal URL: www.abs.com.ph;
More information