Psychiatric emergencies

Suicide Epidemiology 10/ 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 Depression commonest Alcoholism next 10% schizophrenics Personality disorders and drug abuse

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

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

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

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

Psychiatric emergencies Panic anxiety I v diazepam conversion Sever depression ECT

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