Term
| How can you best screen for Violent Risk? |
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Definition
1) Have you ever had thoughts of hurting anyone else (Now? When?)
2) Have you every hurt anyone else (When?)?
3) What plans do you now have to hurt anyone? |
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Term
| What are the risk factors for Violence in patients with severe mental illness? |
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Definition
1) Age (younger more violent)
2) History of V
3) S/A
4) Psychopathic personality features
5) Sense of perceived threat
6) Current level of hostility/anger
7) Opportunity for V in current living situation
8) Coping strategies |
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Term
True or False:
There is a strong bias toward male violence as opposed to female |
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Definition
False! This is a misconception!
Age plays the role |
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Term
| What are the 5 basic principles of Violence risk management? |
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Definition
1) Become familiar with psychiatric status of patient (history/meds/violence)
2) Look for Cluster B PD and alcohol/drug abuse disorders
3) Ask about lifetime history of aggressive or violent behavior and recent history of ideation/intent
4) Among those with identified risk, identify Static vs. Dynamic risk factors
5) Evaluate imminent risk and intervene to ensure safety |
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Term
| Among those patients with an identified risk of violence, what is the difference between "Static" and "Dynamic" Risk factors? |
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Definition
1) Static includes socialized aggression, impulse control problems, history of felonies ect.
2) Dynamic includes Living in conflicted relationship, current alcohol abuse, ect. |
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Term
| What are the 7 important factors to consider about any indication of intent to harm? |
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Definition
DO NOT BE ARAID TO ASK and get a referral if needed
1) History of violent acts and context
2) Current drug/alcohol use
3) Current hostility
4) Presence of identified target
5) Specific plan
6) Access to weapon
7) Sudden changes in life circumstances |
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Term
| What should a physician do in cases where their is an acute risk of violent behavior? |
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Definition
1) may alert potential victim (can be dangerous)
2) clearly document findings |
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Term
Which of the following is NOT an indicator of increased risk for violence in individuals with mental disorders?
b. Axis I disorder and a substance use disorder
c. Age
d. Gender
e. Psychopathy |
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Definition
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Term
Individuals are at what level of risk over the first twenty weeks after discharge from a short term stay in a psychiatric hospital?
a. Decreased risk
b. No appreciable difference in risk from other periods
c. Increased risk |
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Definition
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Term
3. If you identify a potentially violent patient, what management step(s) would be most appropriate?
a. Gather detailed information about prior violent incidents
b. Refer for psychiatric consultation
c. Discuss the case with the family
d. All of the above |
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Definition
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