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Daisee

Need some clarifications

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Ros, Doriann, folks;

Pls can anyone throw more light on these

1. re: the observed interview---if you are asked to do some sort of risk assessment, are there any structured / standard questions one is expected to ask? if yes, what are they? if no...how do you do the risk assessment for observed interviews

2. how can one calculate units of alcohol when taking alcohol history

3. what is fagerstrom test? -- got that from olumoroti

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Ros, Doriann, folks;

Pls can anyone throw more light on these

1. re: the observed interview---if you are asked to do some sort of risk assessment, are there any structured / standard questions one is expected to ask? if yes, what are they? if no...how do you do the risk assessment for observed interviews

2. how can one calculate units of alcohol when taking alcohol history

3. what is fagerstrom test? -- got that from olumoroti

3. Fagerstrom questionnaire... something like a MAST/AUDIT

quite useless... may earn brownie points

http://www.hcet.org/pdf/psc/fstromq.pdf

2. Unit = percentage of alcohol X litres per day

for eg: 5 X .300 = 1.5 units in 1 can of lager (if the can is 300 ml)

1. HCR would be good guide for risk assessment - focusing more on the clinical

If the case is a self harm : go thru becks intent scale

Risk to self

Self harm; Vulneraility and neglect

Risk to others

Aggression and neglect

In fact i guess it would be relevant for the case... and so you can be more specific... it would be a mixture of things... including eliciting the presence of psychotic symtpoms and depressive symtpoms etc...

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to add to the point of risk assessment

1/ the most predictor of futur risk is history of past risk or violence.

2/ ease of access to weapons and to victims.

3/ substance misuse.

4/ threat or control overide symptoms.

'my pt said she is losing grip on reallity' I liked it :-?

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thanks da5id, dorianne, godzilla, alwaleed

alwaleed, whats threat /control override symptoms? i though it is just feature one sees in clients with SCZ

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It is what it sounds like, the patient experiences symptoms that makes them think they are under threat and therefore act to defend themselves against the perceived threat (paranoid, persecutory) or under control and act because some outside force influenced them to do so (passivity)

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