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MSN Newspaper, Monday May 9, 2011

 Hakimah Khani Binti Suhaimi 2008409718

VIOLENCE - Definition
1. Intentional act of doing bodily harm to another person 2. Includes : assault, rape, robbery, homicide 3. Physical and sexual abuse of adults, children and elderly hks1

Kaplan & Sadock s Pocket Handbook of Clinical Psychiatry 5th Edition

Slide 4 hks1 what about violence against animal??

hakimah k. suhaimi, 7/15/2011

NST Newspaper Online, Saturday May 28, 2011

VIOLENCE Risk Factors & Assoc. Disorders

Current Mental Status Findings 1. Appearance & Behavior Aggressive, weapons available, hostile, irritable, threatening 2. Perceptual disturbances Hallucinations (esp. command-type) 3. Thoughts Delusional paranoid 4. Cognitive (judgment) Impaired empathy

Kaplan & Sadock s Pocket Handbook of Clinical Psychiatry 5th Edition

VIOLENCE Risk Factors & Assoc. Disorders (contd.)

Disorders 1. 2. 3. 4. 5. 6. 7. Mania Paranoid schizophrenia Substance intoxication (most common - alcohol) Personality change (eg. Frontal lobe syndrome) Personality borderline) Dementia Delirium disorders (Paranoid, antisocial,

Kaplan & Sadock s Pocket Handbook of Clinical Psychiatry 5th Edition

VIOLENCE Risk Factors & Assoc. Disorders (contd.)

Personal Hx 1. 2. 3. 4. Hx of violent behavior Hx of being physically abused in childhood FHx parents are violent toward each other Childhood Hx enuresis, cruelty to animals, fire setting Male > female Young (late teens or early 20s) > older

Demographic 1. 2.

Kaplan & Sadock s Pocket Handbook of Clinical Psychiatry 5th Edition

VIOLENCE Preimpending Sx

Kaplan & Sadock s Synopsis of Psychiatry 10th Edition

VIOLENCE Clinical Hints

1. 2. 3. 4. 5. 6. 7. If the patient is brought to the ED by police with restraining devices Conduct the interview in a safe environment Position yourself so that you cannot be blocked by the patient from exiting the examination room Make sure there dangerous objects Trust you feelings Ask about past attempts at violence Never worr y alone, involve others is no sharp or potentially

Kaplan & Sadock s Pocket Handbook of Clinical Psychiatry 5th Edition