3MB Psychiatry: Self-Harm
This flashcard set outlines neurochemical differences in the prefrontal cortex of individuals with a history of direct self-harm, notes the strong association between DSH and suicide risk, and lists key social, psychological, and behavioural factors linked to repeated self-harm.
What are the neurochemical differences in the prefrontal cortex between direct-self-harm (DSH) patients and non-DSH patients?
Reduced 5-HT binding
Lower CSF 5-HIAA
Basically, decreased frontal activity
Key Terms
What are the neurochemical differences in the prefrontal cortex between direct-self-harm (DSH) patients and non-DSH patients?
Reduced 5-HT binding
Lower CSF 5-HIAA
Basically, decreased frontal activity
What percentage of suicides have a history of DSH?
40%
List risk factors for repeated DSH
Previous DSH
Unemployment
Personality disorder
Alcohol/drug abuse
Low socio-economic group
Criminal record
Sing...
Which sex tends to more commonly suicide after DSH?
Males
Method of suicide can tell you a lot about someone’s full intent. What does someone jumping from height vs. drug overdose tell you about each person?
Jumper makes survival virtually impossible
Drug overdose has chance of recovery
All patients suspected of future suicide need immediate psychiatric assessment. True/False?
True
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| Term | Definition |
|---|---|
What are the neurochemical differences in the prefrontal cortex between direct-self-harm (DSH) patients and non-DSH patients? | Reduced 5-HT binding |
What percentage of suicides have a history of DSH? | 40% |
List risk factors for repeated DSH | Previous DSH Unemployment Personality disorder Alcohol/drug abuse Low socio-economic group Criminal record Single/separated/divorce |
Which sex tends to more commonly suicide after DSH? | Males |
Method of suicide can tell you a lot about someone’s full intent. What does someone jumping from height vs. drug overdose tell you about each person? | Jumper makes survival virtually impossible Drug overdose has chance of recovery |
All patients suspected of future suicide need immediate psychiatric assessment. True/False? | True |