Psychosis symptoms screen: auditory hallucinations, running commentary, delusions of thought/control/perception
Past medical history
Past medical history (including any psychiatric diagnoses)
Past suicide attempts/self harm (find out about the methods used and help sought)
Family history of self-harm/suicide and psychiatric conditions
Social stresses (including financial)
Relationships and support network (family nearby?)
Living situation (living alone?)
Suicide risk factors
Old or young
Lack of social support
Significant life events
Why don’t you test your knowledge?
You are in the emergency department and take a history from a 18 year old male in foster care. He attempted to hang himself. He has been feeling low for months after the death of a close friend. He planned the suicide attempt over 1 week. He locked the door of his room to try to make sure nobody could find him. He left a note for his foster mother. How would you assess his risk, and why?
What would you do next?
What legal powers are available for use if he tries to leave hospital?
The only real way to learn is to try! Try an OSCE station