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Psychiatric emergencies

Psychiatric emergencies. Psychiatric emergencies. Suicide Epidemiology 10/10 000 More men Increase with age Unemployment and homelessness Divorced and widowed I and VI classes. Suicide. Methods Males , car exhaust, guns hanging Females , over dosage Psychiatric variables

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Psychiatric emergencies

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  1. Psychiatric emergencies

  2. Psychiatric emergencies Suicide • Epidemiology • 10/10 000 • More men • Increase with age • Unemployment and homelessness • Divorced and widowed • I and VI classes

  3. Suicide • Methods Males, car exhaust, guns hanging Females, over dosage • Psychiatric variables Depression commonest Alcoholism next 10% schizophrenics Personality disorders and drug abuse

  4. Suicide Assessment • Most give warning or make visit • Don’t hesitate asking • Assessment of intent; • Seriousness of method • Planned, alone, precautions for discovery • Previous attempt • Will

  5. Psychiatric emergencies Deliberate self harm • More in women • More young • Lower social class • More in cities • Unemployment • High risk of suicide • Alcohol, personality, forensic

  6. Delibrate self harm Management • Assess suicide risk • Physical care • Problem solving social or psychological

  7. Psychiatric emergencies Aggressive behavior • Personality • Drug abuse • Schizophrenia • Mania • Toxic confusional states Management • Rapport • Underlying cause • Drugs

  8. Psychiatric emergencies Panic anxiety I v diazepam conversion Sever depression ECT

  9. Aspects of forensic psychiatry • doctor patient relation Confidentiality Compulsory admission • civil law Guardianship Testamentary capacity • criminal law Fitness to stand trial Criminal responsibility

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