Mental Health First Aid. By Chris I’Anson Advanced Student Doctor (SJA). Mental health. Is a diverse collection of different psychological states of health and ill health 1 in 4 people will experience a mental health problem Anxiety and depression are the most common
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Mental Health First Aid By Chris I’Anson Advanced Student Doctor (SJA)
Mental health • Is a diverse collection of different psychological states of health and ill health • 1 in 4 people will experience a mental health problem • Anxiety and depression are the most common • Depression affects 1 in 5 older people • 400 in 100,000 people a year self-harm • 1% of people have Schizophrenia
Outcomes • Learn about the core disorders/ principles • Learn about management (inc sectioning) • Be less afraid of mental health
WARNING!!! • Some of the topics may be difficult for people to talk about. • No pressure • You can leave it gets to much
Depression, self-harm and Suicide • Depression is a condition of chronic low mood (with other associated symptoms) • Not just feeling sad of moments etc • Can lead to severally low mood, self-harm and suicide • So it is serious!
Self-harm • This is where a person engages in an activity that is designed to cause harm to themselves but not cause death. • Usually superficial cuts but can include other things • Used to vent feels (often) • Can lead unintentional suicide • Management: • Treat the damage (e.g. Cuts) • Talk to the patient • Refer if needed
Suicide • Death due to an action done by the person who died (+/- intent) • For successful/nearly and serious injured treat problems caused! • For those that have talked about it: • Ask about it • What they are going to do • Where Details help assess intent and their risk! • When etc
Suicidal thoughts • Now what? • High risk people should be seen by a medical professional! • They are at risk of ending there life! • Encourage them to go to A&E with someone (where they can be seen)
Psychosis • Is a disorder characterised by hallucinations and/or delusions • define • Present with many different mental illnesses (inc Schizophrenia) • Can be caused by drugs (LSD, Amphetamine, Cocaine) • DEMO!
What to do? • Ask about use of drugs • ?Hx of hallucinations or delusions • ?Hx of mental illness • What are they experiencing? • ?Risk to you or self • Do not forget your AMPLE!!!
Hyperventilation Syndrome (HVS) • Very common • Better know as Panic attacks • May be associated with panic disorders • 7:1 F:M • Clinical Features: lots! • Hyperventilation and Tachypnoea • alters electrolytes in blood causing various symptoms including pins and needles in extremities (decrease PO4) • DEMO (pendulum)
Management • Rule out other serious causes • Asthma, COPD, ACS etc • Establish normal breathing pattern • Re-breathing technique may make it worse! • Often self-limiting • Breathing technique
MHA Sections! • This is where a person is detained against there will due to mental ill health • These should not be used unless absolutely necessary! • You can not section someone! • POLICE • 135 or 136 (most abused) • If threat to public or self