Self harm suicide ( deliberate self harm )

SUICIDE AND ATTEMPTED SUICIDE ( DELIBERATE SELF - HARM ) . 

Suicide is the deliberate killing himself. The most common reason is explicit noetic disorder including depression, bipolar disorder, schizophrenia, alcoholism, and not hurt. Financial difficulties or other undesirable situations plays an important role. Suicide accunts 2% of men and women 1% of deaths in England and Wales per year, which corresponds to a rate of 8 per 100,000 rate increases with age, peaking for women and men in their sixties seventies.

Suicide second most common is to drive mortality 15-34 years olds, and the prices are a worrying increase in young men. By contrast, suicide rates fell significantly affected by older men and women of all ages. Approximately 15% of the group that was hit suffered a severe depression (requiring admission) form even committed suicide.

The suicide rate among schizophrenic patients is also high, with 20-50 times the general assessment Polulation :20-40% of its association with schizophrenia experiment Slayer, and 9-13% are Finnish success. Without suggesting that the husband thinks of killing the score is higher in women who have always struck a miscarriage or an induced abortion, wherease is significantly reduced in women who distincton pregnant.A must distinguish between those who try Slayer - DSH (DSH), and those who succeed (Slayer).

Affectionate here consider the following factors:

• Most cases of DSH group is low 35 eld of age.
• Most suicides group occurred more than 60 eld is age.
• Suicides are more common in men, while more general women.
• Suicides DSH are more common in older men, but rates in young men is growing rapidly throughout the United Kingdom and Western women .
• Approximately 90% of cases of DSH refer to self-poisoning. medicine is common to change retroactively the Vampire Slayer, but incredibly DSH.
• Intentional self-harm is a worrying factor in adolescence (and mayhap even in adulthood), which seems only to grow. His relationship with pain is uncertain, but many self-harm is not so, so causing the cessation of physical pain the emotional pain.

For many people deliberate intent to harm oneself is difficult to conceptualize. Many of us can spend our time trying not to hurt ourselves, whether in the short term (safety belt use) or long term (regular exercise, eating a diet flourishing). Many of us would be reduced from the deliberate intent to cause acute damage to our bodies possess. How can we understand why people self harm is not something that can not find or do not like, but it is something that test ?

Factors that increase the risk of suicide, a number of factors associated with risk of suicide include: 
Being male, older, living alone status Lafortune, recent death, separation or divorce, loss of recent employment or retirement, living in social disorganization area.Family history of emotional change, suicide or alcohol abuse, a history of emotional disturbances, alcohol or drugs, previous suicide attempts, dependence on alcohol or drugs, severe depression or drug dementia disease early bodily pain, while external circumstances, such as a traumatic event can trigger suicide, it does not seem to be an independent cause. Thus, suicide is more likely to occur during periods of socio-economic, family and individual crisis.

TO ASK : BE CONCERNED IF POSITIVE ANSWER.
Is there a clear precipitating factor / cause of stress ?
Conduct was premeditated or impulsive ?
That the patient has left a suicide note ?
If the patient took care not to be discovered ?
The patient has to look for in a strange environment (ie away from home) ?
Patients who do it again ?

OTHER RELEVANT FACTORS .
The premature crisis resolved ?
Is there still danger for the goal ?
It is durable hit all symptoms of psychiatry ?
What is a social as a group of patients ?
And Sustainable inflicted suicide before ?
Has anyone ever condemned by relatives of their lives ?
Is it sustainable to hit the illness of the body ?



INDICATIONS FOR REFERRAL TO A PSYCHIATRIST .
ABSOLUTE INDICATIONS INCLUDE .

• Clinical depression .
• Absolute psychotic illness of any kind.
• Obviously planned trials uncertain not witting to be discovered.
• Objectives persistent insecurity.
• A violent method used .

OTHER COMMON INDICATIONS INCLUDE .

• Abuse of alcohol and drugs.
• Patients over 45 eld. In particular, if a man and a young adolecents.
• Those who have family relatives had committed suicide unable prototype.
• Those who are serious. (Especially incureable disease carnal).
• Those living alone or otherwise unsupported.
• Those who have a major crisis discordant.
• Permanent suicide attempts.
• Patients who give cause for concern.

MANAGEMENT .

After an unsuccessful attempt at suicide, patients with high intensity of communication to ensure repetition of dangerous behavior. The lapsing of patients screened for mental illnesses such as schizophrenia and curvature, lack of communication of these conditions will increase the likelihood of dangerous behavior.

Patients should be referred for an evaluation by a psychiatrist if there is reason to believe they suffer from curvature or suffering from clinical disease. Patients who have been singing the mist suicide attempt or continue risk behaviors should also be subjected to psychiatric examination.

Sometimes patients can be admitted as a patient at a psychiatric reflex (under the Mental Health Act) if they are considered a significant risk to themselves, danger to others or risk to property. During admission, patients should be formally evaluated for the presence of psychiatric disorders and drug correctly.

However, there is an overlap between DSH and suicide.Between 1% and 2% of people trying to kill husband was killed in the years after DSH . In the UK, more than 100,000 going to try Slayer crisis years, and overwhelmingly they are perceived and treated in hospital. In the standard, it is interesting to try to interview a close family member or someone and verify these points with them.

Request represcription immediate discharge should be denied except in cases of essential drugs (eg epilepsy). In this case, yet only three days supply of medicines to be given and the patient should be asked to report their general practitioner or psychiatrist Tric clinic for redelivery.

Means euthanasia from Slayer (or the right to die) is today a controversial provision of the Ethics,When people are sick, the pain of the limbs, or a (perceived or interpreted) on the bottom of the quality of life of finished an injury or illness. Spirit of sacrifice of others is not usually commit suicide for me, because the goal is not to themselves, but to himself to save another .