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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
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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 states Management • Rapport • Underlying cause • Drugs
Psychiatric emergencies Panic anxiety I v diazepam conversion Sever depression ECT
Aspects of forensic psychiatry • doctor patient relation Confidentiality Compulsory admission • civil law Guardianship Testamentary capacity • criminal law Fitness to stand trial Criminal responsibility