Management of Suicidal Patient (guide by Dr Kartini)

1. Admit the patient


2. Restrain patient
    - physical: patient will become traumatized by this method
    - chemical: best choice!

3. Put the patient in "strict suicidal caution"
    - in the ward, there is a "suicidal chart"
    - the patient will be observed hourly on some aspects:
      i.  sleep, appetite, interaction with others, 
          self hygiene: marks will be given
     ii.  tendency to attempt suicide (yes or no)

4. Assess the cause 
    (if it is due to psy problem, have to tackle them..eg: secondary to hearing voices or 
     delusion of guilt, etc..)

5. First line treatment: oral medication
    - but if the patient is catatonic or stupor, then only we can consider giving ECT 
      (but not on the day of admission-->give on second day)

6. When the patient is stable, plan for psycho-social management.


~I took this from Puteri, so credit to her for this~

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This is all a collection of what I have learnt during my medical student years, most of them are already a simplified version, very clinical, and comes from what my Lecturer had thought.... I love to make notes in my own way, so that I can have a better understanding on what I have seen.... I hope, this will benefit all people, especially medical students... so that you will get this right... but just bear in mind... I'm a human too... so, mistakes is still in my dictionary of life.... so, please correct me if I'm wrong... Really2x appreciate that....

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