Pediatric emergency medicine trisk 4182 4182
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (99 KB, 1 trang )
TABLE 126.15
CHILDHOOD AND ADOLESCENT SUICIDE: ASSESSING
SUICIDE INTENT
Circumstances of suicide attempt
Nature of suicide attempt (e.g., ingestion vs. violent means)
Use of multiple methods
Method used to extreme (all vs. some pills ingested)
Suicide note written
Secrecy of attempt (attempt concealed vs. revealed)
Premeditation (long planned vs. impulsive attempt)
History of prior attempts
Child self-report
Premeditation of attempt
Anticipation of death
Desire for death
Attempt to conceal attempt
Nature of precipitating stresses
Child’s mental status
Orientation/cognitive intactness
Presence/absence of psychosis
Manner of relating to physician
Current suicidality
Response to being saved/being unsuccessful in attempt
Active plan for another attempt
Readiness to discuss stresses
Readiness to accept external and family support
Nature of orientation toward future
The physician should ask the child and family about possible precipitating
events to determine what changes in the environment may be needed. The
strengths of the family should be assessed to determine whether sufficient
social support exists to allow for outpatient management ( Table 126.17 ).
