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Standard Criteria For Suicide Risk Assessment
I was ruminating upon an industrial dispute between an Australian private health care provider and its psychology staff, as to how they should respond when a patient in a non-mental health facility was heard to utter suicidal ideations.
I subsequently had a conversation with Copilot as to whether there are any standard criteria against which such a patient might be measured?.
There are standard criteria used in suicide risk assessments to evaluate the level of risk a patient might pose to themselves. These criteria help clinicians make informed decisions about the necessary interventions and support. Here are some common criteria used in suicide risk assessments:
Standard Criteria For Suicide Risk Assessment • Suicidal Ideation: Frequency, intensity, and duration of suicidal thoughts. • Plan: Specific details about how the individual plans to carry out the suicide. • Intent: The level of determination to follow through with the plan. • Means: Access to the tools or methods needed to carry out the plan. • Risk Factors: Presence of factors such as mental illness, substance abuse, history of trauma, or recent life stressors. • Protective Factors: Support systems, coping mechanisms, and reasons for living that might mitigate the risk. • Previous Attempts: History of past suicide attempts or self-harm. • Current Mental Health Status: Assessment of the individual's overall mental health, including any diagnoses of depression, anxiety, or other mental health conditions. • Social Support: Availability of family, friends, or community support. • Physical Health: Any chronic or acute physical health issues that might impact the individual's mental state.
These criteria are used to categorise the level of risk into broad categories such as high risk, medium risk, low risk, or no foreseeable risk. The ultimate judgment is made by the attending clinician, based on their professional experience and the clinical presentation of the individual.
Categories of Suicidal Ideation • Attention-Seekers: Individuals who may express suicidal thoughts as a way to seek help or attention, but without a genuine intent to act on those thoughts. • Serious: Individuals with a genuine intent to harm themselves, requiring immediate and intensive intervention.
Regular Reviews Regular reviews, such as every 6 months, can be crucial in managing and supporting individuals with suicidal ideation. This mirrors the practice in secure mental health settings where patients undergo regular psychiatric assessments and reviews, ensuring continuous monitoring and adjustment of treatment plans.
Suicide Risk Assessment Criteria Standard criteria used to evaluate individuals in these reviews might include: • Changes In Suicidal Ideation: Any changes in the frequency, intensity, or specifics of suicidal thoughts. • Adherence To Treatment: How well the individual is following prescribed treatments and therapies. • Social Support: Changes in the support system and social interactions of the individual. • Mental Health Status: Any new diagnoses, changes in existing conditions, or emerging symptoms. • Coping Mechanisms: Evaluation of existing coping strategies and their effectiveness. • Life Changes: Significant events or stressors that might impact the mental health of the individual. • Safety Planning: Updates or changes to existing safety plans.
Regular reviews can ensure that those within the suicidal ideation umbrella receive continuous, appropriate support and intervention. It is a proactive approach to maintaining their well-being and adjusting care as needed.
While someone can be required to undergo a psychiatric assessment, they cannot be forced to cooperate fully, which can limit the effectiveness of the assessment. Cooperation is crucial for an accurate evaluation, but involuntary assessments often face this challenge.
In the context of family law, the dynamics change. The Family Law Act allows for court-ordered assessments when determining the best interests of the child. If the mental health of a parent is in question, especially if they have expressed suicidal ideation, the court can mandate a psychiatric evaluation as part of the litigation process. The pressure of potential impacts on custody and parenting rights can compel parents to cooperate more fully in these assessments than they might in other areas of their lives.
This mechanism aims to ensure the welfare of the child by thoroughly evaluating the mental health of the parent and ensuring they receive appropriate care and support. It is a delicate balance between protecting the best interests of the child and respecting the autonomy of the parent.
In the context of family law, regularly reviewing mental health assessments every 6 months can be beneficial. This approach aligns with the practice of reviewing secure mental health patients and ensures that any changes in the mental state of the individual are promptly addressed. Regular reviews can help maintain the well-being of the parent and, crucially, safeguard the best interests of the child. It provides an ongoing, updated assessment of the capacity of the parent to provide a safe and supportive environment, helping the court make informed decisions about custody and parenting arrangements.
This process underscores the importance of continuous monitoring and support, particularly in complex family law dynamics where mental health issues may significantly impact the welfare of the child.
An uncooperative patient or parent can significantly complicate the assessment process. In family law, where the best interests of the child are paramount, uncooperative behaviour can impede accurate evaluations and appropriate interventions. Challenges with Uncooperative Individuals • Incomplete Assessments: Lack of cooperation can lead to incomplete or inaccurate psychiatric evaluations. • Inconsistent Monitoring: Regular follow-ups become challenging, if the individual does not engage with the process. • Legal Complications: Ensuring compliance with court-ordered assessments might require additional legal measures.
Possible Solutions • Court-Ordered Compliance: Enforcing compliance through legal orders can ensure that assessments are completed, though it may not guarantee full cooperation. • Use of Incentives: Providing incentives or support to encourage cooperation might be effective. • Alternative Methods: Employing indirect assessment techniques, such as observations and reports from family members and professionals, can help gather necessary information. • Regular Review Process: Implementing a system of regular reviews, similar to secure mental health settings, to continuously monitor and adjust interventions.
Regular reviews every 6 months can provide ongoing insights into the mental state of the individual and their capacity to parent, ensuring that the welfare of the child is consistently prioritised.
Navigating the complexities of uncooperative behaviour in the context of family law requires a balanced approach, leveraging legal tools and supportive measures to ensure comprehensive care and fair decision-making.
#copillot ai#copilot#family law#mental health#mental illness#patient review#suicidal ideation#psychiatric assessment
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Gratitude for Dr. Nichole Gansemer, ND
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#Patient Experience#Patient review#patient testimonial#testimonials#review time#review#kauvery hospital#healthcare#healthy#healthcare news#newsletter
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The silent patient by Alex Michaelides just finished this book honestly i'm speechless. This book is incredibly well written with the gripping plot and characters was well developed. The plot twist at the end caught me completely off guard it honestly left me staring at the wall for a good 20 minutes, honestly glad I have read it my reading slump is cured. If you like psychological thriller this novel is for you. (5/5)
Favourite quotes:
"Remember, love that doesn't include honesty doesn't deserve to be called love."
"Unexpressed emotions will never die. They are buried alive, and will come forth later, in uglier ways. SIGMUND FREUD."
"The aim of therapy is not to correct the past, but to enable the patient to confront his own history; and to grieve over it. ALICE MILLER."
#books and reading#booklr#reading#book blog#love reading#book nerd#bookish#books#bookworn#black girl reader#book review#the silent patient#the silent patient Alex Michaelides#the silent patient aesthetic#moodboard#thriller#book quotes#new books#source: pinterest#psychological thriller
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drinking wine, meal prepping (we will be eating this pasta for every meal for three days straight probably), and listening to one direction
#i hope you all had a restful weekend!#the ideal sunday night#i did do a lot of patient review to refresh#before back to work 😭😭😭#oh god LIAM#[—augustinechats]#i do wonder why everyone's fave 1d song is
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Can dementia be prevented?
Reducing the risk of it yeah, w a healthy lifestyle. Preventing it no. The first patient I saw w the specific case of dementia I’m studying is a literal heart surgeon 💀 not the average bear at all. Big brain & healthy (according to his wife) & yet started showing symptoms over a course of 6 years.
It’s so fucking scary what dementia does to you. It’s far from just being cognitive stuff/memory loss. Your behavior changes, your cognitive skills are impaired, your motor skills take a hit. The heart surgeon I’m talking about is struggling w mouth function rn, bc his muscles are atrophying as a direct result of his dementia. He legit went from operating cardiovascular surgeries last October to now not being able to speak. It’s different from case to case, but when it’s aggressive it’s fucking aggressive. The neurologist I’m shadowing was talking about how she doubted if he’d “still be here within the year” and I wanted to throw up bc what do you mean if he’ll still be here!!
#His wife loves him sm too#And I gave her a hug on my way out of the clinic#She pulled me into it literally. The caregiver’s burden is real#They don’t have kids either so idk what she’ll do when/if he passes away#And that was the first case that I saw too. Just one. And already so much to unpack#I’m doing my chart review on another patient but his story is no more sunny#Dementia is fucking vicious#ask#med tag
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*the silent patient*
Author: Alex Michaelides
Genre: Thriller
Rating: 4.5 ⭐
From the very beginning of this book, I was hooked. I found myself so wrapped up in the story, invested in unraveling the mystery behind why Alicia murdered her husband.
Michaelides does an excellent job in creating a story filled with things and characters that are meant to keep you guessing.
Written in five parts with very short chapters, this made for one fast read that was hard to put down. It's so easy to burn through a lot of pages when you think,
"Well this chapter has 3 pages, I can keep going." And the twist? That twist? I found myself continuously changing my theories as more and more details surfaced, and I truly didn't see that twist coming until it was right under my nose.
Favorite dialogue:
*“Choosing a lover is a lot like choosing a therapist. We need to ask ourselves, is this someone who will be honest with me, listen to criticism, admit making mistakes, and not promise the impossible?”*
#the silent patient#alex michaelides#classic books#books and reading#light academia#currently reading#book lover#book reviews#readers of tumblr#books to read#bookworm#book club#booklr#book blogger#book blog#book haul#book reviewer#book review#book lovers#books and libraries#book recommendations#book tumblr#book community#book reading#reading goals#reading community#reading#books and literature
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appointment to (hopefully) get anxiety medication this morning :)
#the shrink seems nice the reviews about her were really great#and she specializes in neurodivergent patients. so Hopefully#rambles
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are you a compsci major :0
✦゜ANSWERED: I wish I had the brains and dedication for that ^^; If anything, Ren would be the compsci major (if he chose to go to university with you)!! As for me though?? I'm currently double majoring in digital media and social working ;v;
#With honours because I hate myself xx ;v; /lh#<- But that's also the main reason why I don't have time to work on 14DWY T_T#Had I not become a slave to da unbalanced education system I woulda dropped out and finished the game by now dhdsjghdsj#And also because 14DWY is a fun lil passion project for me ;w;#But seeing so many people love and enjoy the demo makes me wanna put more time and focus on it!!#I appreciate all the support; fan content; kind words; and lovely reviews you all leave me ^^#I also wanna thank everyone for being so patient with me as well!! I know I'm probably the slowest out of all the devs#And I'm also very shy and miss a lot of things because I don't have the time to come online + backread everything#But I genuinely do appreciate y'all trying to involve me in everything that's going on in the yan circle!! I kith you all /p /gen#I'll try my best to come out of my shell for you all <3 ^^#💌 — answered.#🖤 — shut up sai.#I need my own Ranting In The Tags tag hgdsjgs#This has happened one too many times >.<#💖 — 14 days with queue.
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"Dr. Holland is the most caring, skillful, intelligent, and quick-witted doctor I have ever had the pleasure of knowing.” Dr. Holland offers cutting edge, integrative and evidence-based mental health care, proven effective with depression and anxiety, life transitions; relationships, pregnancy, parenting, ageing, loss, and much more. If you are looking for a…
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#Patient Experience#Patient Testimonial#Patient Review#healthy#healthcare#kauvery hospital#healthcare news#newsletter#newsletter october#healthcare newsletter
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If yes, please tell how it was I am thinking of reading it
#spilled thoughts#fypage#foryou#book blog#tumblr fyp#fypシ#bookish#fyp#english literature#literature#writers on tumblr#readers#the silent patient#silent patient#thriller#explore page#book quotes#booklover#bookworm#books#bookblr#booklr#bookstagram#book review
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🤡
#just logged in to my GP patient account out of curiosity to see what records i could access#and found out the person who processed my last medication review (which was submitted online and included me going into heavy detail#about how terrible my mental health was and the ways in which i was struggling the most and how small my life had become)#was processed by an old school friend i haven't seen or spoken to in 15 years#and now i am so overcome with embarrassment i don't know what to do with myself :)))))))))#HAHAHA#what the fuck#putting it here so i don't cry#might cry anyway#throw me in the sea#the thing is she was so deeply unhelpful afterwards lmao but i didn't KNOW IT WAS HER#thanks for nothing *******#hope ur well though#FUCK
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I’ve always loved medicine bc it’s the perfect intersection of science and humanity—the two things I value above all else in this world. Truly adored it since I was in the cradle. But now I’m thinking about how so much of my journey to neurosurgery will have to involve KILLING my feelings essentially bc how do you survive otherwise
#Not to mention the surprisingly high suicide rate of surgeons that’s been brought to my attention lately#Honestly I just started my neuro internship and just saw my first patient in clinic#And on the day I did I was critical of my neurologist for being so robotic about it#Now I can see why#I’m still at a point where I can’t even do a chart review for a patient without feeling so fucking sad#And I can see how that can get unsustainable after a while#But it’s like if I kill the feelings that drive my passion for medicine to begin with then what’s the point#It’s not like I’m in it for the money or prestige bc that’s so dumb considering how long the schooling is#But literally how to deal#My supervisors at the clinic very much all speak about the dementia patients w a learned impartialness#But I don’t wanna be that way one day :( but how to be anything else and still survive#I’m pre med so I still have time and maybe my opinion will change and I’ll wanna do another specialty#But when it comes to this every specialty will involve human lives and navigating that regardless#That said I can see why surgeons are at higher risk or depression suicide etc#The whole point of this internship is to teach myself how to navigate this stuff but. Hate it#p#med tag
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THE SILENT PATIENT BOOK REVIEW
⭐️⭐️⭐️⭐️.5
Very perceptive book, I felt that the author really captured the feelings and emotions of the characters in a collected and almost mysterious way. Didn't see the plot twist coming but when I think about it, it's not that far fetched. The writing was really good and had me engaged mostly as well. Definitely recommend to all as even though I'm not a thriller girl, it appealed very much so!
SPOILERS AHEAD
The flashbacks were so unexpected I have to say that's for sure. I liked how it's done as Alicia's diary and his thoughts too. It's crazy how he brings the Kathy and Gabriel stuff together.
Overall, I enjoyed.
#books#bookish#booklr#booktok#book review#book#new books#bookworm#the silent patient#alex michaelides#plot twist#plot twists#mystery#murder mystery#thriller#suspense#psychology#psychosis#bookaholic#book lovers#bookblr#reading#books and reading#book blog#book recommendations#had me gripped tbh#mature themes tho
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