Assessment Suicide attempts

Assessment of a suicide attempt involves an evaluation of the short-term risk for suicide and attempt repetition, and an assessment of the underlying diagnosis or other promoting factors. If the child or teenager has been referred as an ideator, it is important to determine whether they are contemplating or have secretly attempted suicide.

Repeated attempts, attempts by unusual methods (other than ingestions or superficial cutting), medically serious attempts, and attempts where the patient has taken active steps to prevent discovery all increase the risk for further attempts or death. (1®,19) Children and adolescents systematically overestimate the lethality of different suicidal methods, so that a child with a significant degree of suicidal intent may fail to carry out a lethal act. (20,21 and 22)

The mental states leading to suicidal behaviour include anticipatory anxiety, pessimism, or hopelessness, as well as paranoid or other cognitive distortions arising from an underlying psychiatric diagnosis.(23) Inappropriate coping styles (e.g. impulsivity or catastrophizing) in response to external stress may also contribute to the behaviour. Motivating feelings may include the wish to effect a change in interpersonal relationships, to rejoin a dead relative, to avoid an intolerable situation, to get revenge, or to gain attention/,22

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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