Page 671 - 2015 2nd Half No Table

All the information was given to us by his mother. She does not want
him to know that she
made referral. She is afraid it may damage their relationship should he get
to know.
He Is upset that the police still keep an eye on him. He has told his mother
when he has cleared his name with the police, he will kill him. at.
3. What are the precipitating factors Trigger factors for this presentation?
• Why is the person presenting now? Give details below:
His mother says he has always been unwell and that he covers up when
seeing professionals from the MH service
• What recent event(s) precipitated or triggered this presentation? Give
details below: She went to the GP and phoned other sources for help but
says no one wanted to help.
• What is the person's level of social support and status (i.e.: employment
and housing status, partner/significant other, family members, friends)?
Give brief details below:
Mother remains sole family member to give him support.
4. Suicide risk screen - greater number of positive responses suggests
greater level of risk
Yes No DK Yes No DK
Family history of
Previous self-harm No No
suicide
Previous use of violent No Unemployed/retired Yes
methods
Suicide plan/expressed
intent No Male gender Yes
Current suicidal Separated
thoughts/ideation No widowed/divorced No
Lack of social
Hopelessness/helplessness No No
support
Family concerned
Depression No No
about risk
Disengaged from
Evidence of psychosis Yes No
services
Alcohol and/or drug Yes Poor adherence to No
misuse psychiatric Tx
Chronic physical Yes Access to lethal No
illness/pain means of harm
22,
Formulation of assessment
Refer to the risk assessment matrix below and summarise:
What is the key problem?
What is the level of risk - e.g.: low, medium, high, very high? Refer to
matrix Summary of assessment and initial risk screen:
He is known to mental health, a year ago a mental health act was carried
out, not seen to be Section-able then. Mother reports deteriorating mental
state with paranoid thoughts and hallucinations
What category of overall risk do you think most applies to this patient
Medium?