STN1103 Assessing and managing Individuals Following Deliberate Self-Harm Assignment Sample NUIG Ireland

STN1103 Assessing and managing Individuals Following Deliberate Self-Harm is designed to help clinical staff rapidly assess DSH patients’ risk for future harm and provide tailored interventions to reduce that risk. The system includes evidence-based tools for assessing psychiatric symptoms, suicide risk, and self-injury history. STN1103 also enables clinicians to track patient progress and identify potential relapses early.

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In this section, we are describing some assigned tasks. These are:

Assignment Task 1: Distinguish between completed suicide and deliberate self-harm (DSH) from the possible perspective of the motivation of the person at risk.

Completed suicide is when a person takes their own life intending to end their life. Deliberate self-harm (DSH) is when a person intentionally harms themselves but does not want to die.

There can be many motivations behind both completed suicide and DSH. For some, it may be a cry for help or an attempt to numb emotional pain. Others may see it as a way to take control of their lives or as a way to punish themselves. Still, others may feel that they are a burden to others and that suicide is the only way out. With DSH, there can be many of the same motivations as with suicide, but often people do it in an attempt to get relief from intense emotional pain or to feel more in control.

It is important to remember that each person is unique and there can be many different motivations behind why someone may attempt or complete suicide. If you are worried about someone, it is best to talk to them directly about your concerns.

Assignment Task 2: Delineate a standardized and effective process for the assessment and management of individuals of all age ranges who present with self-harm to the emergency department.

Emergency department (ED) visits for self-harm are increasing, especially among adolescents. Despite this, there is no clear consensus on how to best assess and manage these patients. To provide the best care possible, it is important to have a standardized and effective process in place. 

There are a few key factors that should be included in the assessment of any patient who presents with self-harm. First, it is important to ask about the specifics of the self-harm episode, including frequency, duration, intensity, and method used. It is also important to inquire about any other medical problems or psychiatric history. Next, it is essential to perform a thorough physical examination. This should include an evaluation of vital signs and a head-to-toe assessment. It is also important to look for any signs of infection or other complications from self-harm. Finally, it is crucial to assess the patient’s risk for future harm. This includes assessing for suicidal ideation, intent, and plans.

Once the assessment is complete, the next step is to develop a treatment plan. This should be individualized to each patient but may include some combination of medical and psychiatric treatment, close monitoring, and follow-up care. 

It is important to remember that self-harm is often a cry for help and that these patients need our support. With a standardized and effective process in place, we can provide the best possible care for these vulnerable patients.

Assignment Task 3: Evaluate the reasons why a bio-psychosocial assessment and care plan is so vital in supporting these individuals.

There are many reasons why a bio-psychosocial assessment and care plan is vital in supporting individuals with mental health concerns. One of the most important reasons is that it allows for a holistic view of the individual. A bio-psychosocial assessment takes into account all aspects of an individual’s life – biological, psychological, and social – to identify any areas of concern and develop a care plan that is tailored specifically to that person.

Another key reason why this type of assessment is so important is that it helps to identify any co-existing conditions. Mental health concerns often do not exist in isolation and can be accompanied by other physical or mental health issues. By identifying these co-existing conditions, healthcare professionals can provide more comprehensive and effective care.

Finally, a bio-psychosocial assessment can help to identify any risk factors that may be present. This information can then be used to develop a care plan that includes strategies for minimizing these risks.

Assignment Task 4: Critique the National Clinical Programme for the Assessment and Management of Patients Presenting to Emergency Departments following Self-Harm (2016) in particular the key recommendations from this document.

The National Clinical Programme for the Assessment and Management of Patients Presenting to Emergency Departments following Self-Harm (2016) is a national clinical guideline that provides recommendations for the assessment and management of patients who present to emergency departments following self-harm.

One of the key recommendations from this document is that all patients should be assessed using a standardized tool. This tool should be used to assess the patient’s risk for future harm, as well as to identify any co-existing conditions or risk factors that may be present.

Another key recommendation is that all patients should be seen by a healthcare professional within 24 hours of presentation. This follow-up appointment should be used to further assess the patient’s risk for future harm and to develop a care plan that is tailored specifically to the individual.

Finally, the document recommends that all patients should be discharged from the emergency department with a care plan that includes follow-up appointments and supports services.

Assignment Task 5: Discuss the importance of the role of the liaison of mental health services within the emergency department.

The liaison of mental health services with the emergency department is important because they are the bridge between the patients who are seeking help and the resources that are available to them. They help to ensure that patients receive the appropriate level of care and that their mental health needs are addressed promptly.

They also play a critical role in helping to break down the barriers that often exist between patients and mental health professionals. By establishing trust and rapport with patients, they can help to reduce the stigma associated with mental illness and encourage people to seek assistance when they need it.

Finally, the liaison of mental health services can help to connect patients with community resources and support services. This is important because it helps to ensure that patients have access to the resources they need to recover from their mental illness.

Assignment Task 6: Critically evaluate the literature regarding the attitudes of health care professionals and the general public towards self-harm and how this might impact someone’s suicidal behaviour and consider how these attitudes can be broadened to be more positive.

There has been a great deal of research conducted on the attitudes of health care professionals and the general public towards self-harm. Overall, the findings suggest that both groups tend to view self-harm in a negative light. However, there are some differences in the way that they view it. For example, health care professionals tend to be more tolerant of self-harm than the general public. They are also more likely to believe that self-harm is a Cry for Help.

The literature on attitudes towards self-harm is clear that both healthcare professionals and members of the public disapprove of this behaviour. However, disapproval does not mean a lack of understanding. many people who attempt or engage in self-harming behaviours do so because they are experiencing a great deal of psychological pain.

It is important to remember that self-harm is often a symptom of an underlying mental illness. As such, it is important to treat the individual, not just the behaviour. With this in mind, it is essential to have a broadened understanding and attitude towards self-harm that is more positive. This will allow for better recognition and treatment of the underlying mental illness, which can ultimately save lives.

Self-harm is a difficult topic for many people to understand. There is a great deal of stigma surrounding this behaviour, which can make it hard for people to seek help. It is important to remember that self-harm is often a symptom of an underlying mental illness. As such, it is important to treat the individual, not just the behaviour. With this in mind, it is essential to have a broadened understanding and attitude towards self-harm that is more positive. This will allow for better recognition and treatment of the underlying mental illness, which can ultimately save lives.

Assignment Task 7: Discuss the importance of the possible links between the different services, both primary and secondary services; voluntary and statutory, regarding supporting someone who has engaged in DSH or is at risk of the same, especially when someone presents an Accident and Emergency.

Both primary and secondary services provide support to people with disabilities. Primary services are those which are compulsory – ie, they are provided as part of a person’s right to an education or health service. Secondary services are those which are provided voluntarily – ie, the person has to choose to access them. There can be both statutory and voluntary services – ie, the service may be provided by the state (statutory) or it may be provided by a charity or other private organization (voluntary).

Services can be broken down into different types depending on their purpose. Some services provide support for people with disabilities so that they can live as independently as possible. Others provide specialist care and accommodation for people who cannot live independently.

Several different services can provide support to someone who has engaged in DSH or is at risk of the same. These include:

• Accident and Emergency Departments
• Crisis Teams
• Inpatient Units
• Crisis Houses

Each of these services has a different role to play in supporting someone with DSH. For example, Accident and Emergency Departments can provide immediate medical care for someone who has harmed themselves. Crisis Teams can provide support and advice to people in crisis. Inpatient Units can provide more long-term care for people who need it. Crisis Houses can provide a safe place for people to stay during a crisis.

Assignment Task 8: Consider the relevance of family support in the area of DSH or completed suicide.

It is well-recognized that family support is a critical factor in the suicide prevention process. Research has shown that family members and close friends can be key sources of support and potentially lifesaving for individuals struggling with suicidal thoughts or behaviours.

There are several reasons why family support is so important. First, family members are often the first to notice changes in a loved one’s behaviour or mood that may signal suicide risk. Second, they can provide much-needed emotional support during difficult times. Third, they can offer practical assistance, such as help with finances or childcare. Finally, they can connect individuals to professional resources like mental health services.

While it is clear that family support is a crucial piece of the suicide prevention puzzle, several challenges can make it difficult to provide. First, many people struggling with suicidal thoughts or behaviours may be reluctant to seek help from family members out of fear of being judged or rejected. Second, family members may not have the knowledge or skills necessary to provide effective support. Finally, there may be other factors, such as distance or conflict, that make it difficult to provide support.

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