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Doctor insights on: Child Suicide Risk Assessment

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What factors may put a person at risk for suicidal behavior?

What factors may put a person at risk for suicidal behavior?

Suicidal behavior: Alcohol/drug dependence, severe depression, unmedicated bipolar disorder or any unmedicated psychotic disorders, catastrophic/terminal illness, just to name a few. ...Read more

Physical Exam (Definition)

Physical exam is the actual examination of the patient's body by the physician. For example, if you sprain your ankle and go to your doctor, he will physically touch your ankle to see where it is painful. This act of touching the patient's body ...Read more


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Is a person with family history or mental illness at higher risk of developing an addiction?

Is a person with family history or mental illness at higher risk of developing an addiction?

Depends on MI: Many mental illnesses tend to "run true, " so having a schizophrenic relative increases your risk for schizophrenia. However, a number of illness (e.g., depression, anxiety, conduct disorders, adhd) all may increase one's risk for substance abuse because of increased impulsivity and life dissatisfaction. Fh of alcoholism and/or substance abuse definitely increase one's risk. ...Read more

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Is impulsive behavior the first sign of future suicidal or homicidal behavior?

Is impulsive behavior the first sign of future suicidal or homicidal behavior?

Probably not: The first signs of suicidal or homicidal behavior tend to be either depression or a general lack of concern for the well-being of others. While someone that impulsive may make a decision the harm themselves or others, we are more interested in suicidal or homicidal thoughts as a precursor to such behavior. ...Read more

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What is a mental health risk assessment?

What is a mental health risk assessment?

See below...: A basic mental health risk assessment (mhra) assesses risk factors such as ideation or planning of causing harm to self or others. A more comprehensive such assessment would also attend to risk behaviors such as "cutting", substance abuse, child or elderly neglect or abuse, self neglect. ...Read more

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Does ADHD medication increase the risk of suicide in young children?

Does ADHD medication increase the risk of suicide in young children?

No: None of the standard medications for adhd are associated with suicidality in young children. Atomoxetine (strattera) has been associated with a slight increase in suicidation in adolescents and adults, however. Any time a new medication is started the parents or the patient should be in close contact with the doctor, communicating any concern that arises. ...Read more

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How would a parent's suicide affect the child?

How would a parent's suicide affect the child?

It would likely be: Devastating. Children have imaginary thinking and often believe that bad things that occur are somehow their fault. It would leave a vacuum in the child's life that might not be filled again. ...Read more

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Does a mother who sexually abused child needs to seek professional counseling?

Does a mother who sexually abused child needs to seek professional counseling?

Quite possibly: Some parents of children who have been sexually abused have felt overwhelming guilt and self-blame that they could not protect their child. Also, a child being sexually abused is more than enough to traumatize the parent. Any of these feelings and others can be worked through safely with a trusted psychologist/therapist. ...Read more

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Who is at risk for depression and suicide?

Who is at risk for depression and suicide?

Nearly anyone: Anyone could be at risk, but more so if you have a family history of depression or bipolar illness, alcoholism, drug abuse, etc. If you use substances like that yourself, you would be at higher risk. If you have ongoing medical illnesses such as heart disease, diabetes, stroke, and ms, etc you have higher likelihood. Some medications like antihypertensives & oral contraceptives can add risk also. ...Read more

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What is the criteria to be admitted into a pediatric psych ward at a children' hospital? Anorexia, Depression, Anxiety, Self-Harm, Suicidal Ideation.

What is the criteria to be admitted into a  pediatric psych ward at a children' hospital? Anorexia, Depression, Anxiety, Self-Harm, Suicidal Ideation.

Many: factors can lead to inpatient psychiatric hospitalization . The decision to admit is based on the danger posed by the condition and the determination that it cannot be managed on an outpatient basis. Preventing harm is one goal but hospitalization can be required to conduct a proper diagnostic evaluation and to initiate treatment that will allow the patient to be safely cared for outside the hosp. ...Read more

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How to cope as an adult survivor of child abuse?

How to cope as an adult survivor of child abuse?

Thanks for asking: It must be very hard to reach out after suffering for many years. I have (and am) in your shoes. That trauma is never forgotten, but you can learn to go on despite and in spite of what you lived through - I have that personal experience. It takes therapy, though, to have someone skilled in abuse counseling to help you put it in your rearview mirror, instead of staring at you head on. Seek a pro! ...Read more

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Are patients with bipolar disorder at high risk for suicide?

Are patients with bipolar disorder at high risk for suicide?

Yes: Studies have shown that 25-50% of patients with Bipolar disorder attempt suicide. This is much less likely to happen if prsons with this condition are in a good relationship with a psychiatrist and are on the proper medication . ...Read more

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If a child has an immigrant parent, what are problems getting medical history and records?

If a child has an immigrant parent, what are problems getting medical history and records?

MEDICAL RECORDS: The immigrant usually brings important papers with him like medical records, diploma, school grades and exams, resume, etc. He knows all of these are needed during relocation. ...Read more

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Will the child psychiatrist, pediatrician or child psychologist visit the child's school? 

Will the child psychiatrist, pediatrician or child psychologist visit the child's school? 

Yes: It is not unusual for a child psychologist, especially one who specializes in educational psychology, to visit a child's classroom to observe the the child, the child's interactions, and the learning environment. The need for a visit is largely dependent upon the diagnosis or suspected diagnosis. ...Read more

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Will un-born children be mentally affected by parents history of mental illness?

Will un-born children be mentally affected by parents history of mental illness?

Possible: There are genetic predispositions for some mental illnesses. A consultation with a geneticist would give you more specific answers. ...Read more

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Is child abuse a causative factor for domestic violence? What are your thoughts?

Cause or result: Family violence is a multi-generational process.Kids who experience/witness it at home from people they otherwise love, will grow up to continue the pattern.Often kids are the victims of family violence/abuse because they aren't skilled enough to realize when they are in danger or agile enough to get out of the way. The process is a merry go round of recurring dysfunction & all loose in the process. ...Read more

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Does a parents' having schizophrenia mean loss of child custody?

Does a parents' having schizophrenia mean loss of child custody?

NO: I have had patients with serious mental illness get custody of their children even when the other didn't have mental illness. They must prove that they are the better parent. This includes regular psychiatric treatment and compliance with medications. It also depends upon what the other parent is like. ...Read more

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At what age will you see a child with autism display social withdrawal?

At what age will you see a child with autism display social withdrawal?

12-18 months: Autism is by definition a derangement in social interaction, among other things. Most parents may not see autism symptoms for what they are until later, and those not familiar with the child may not recognize them either. But looking back, often you can see where the signs began before 1 year of age: not making good eye contact, or looking to mom for social cues. These become more obvious by 2 y. ...Read more

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Is it possible to diagnose a child with both autism & aphasia? Child has Family history of autism, numerous autism symptoms, and prior brain injury.

Is it possible to diagnose a child with both autism & aphasia? Child has Family history of autism, numerous autism symptoms, and prior brain injury.

Name that diagnosis: Your question is very complex as is your child. It is possible to have both diagnoses. However it would be very difficult to diagnose both separately. I am wondering if the head injury is also related. I think you need to see a pediatric development and behavior specialist to help decide what to do. The treatment for the language delays will be about the same for either cause. ...Read more

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Dr. Byron Law-Yone
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