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Clinical Practice Guidelines

  • Management of Eating Disorders in the Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/Management_of_Eating_Disorders_in_the_Emergency_Department/
    and adolescents with EDs can present with suicidal ideation, escalating ED compensatory behaviours or comorbid … symptoms Menstrual history including menarche, amenorrhoea, and regularity of cycles Mood, risk of suicide … Self-harm and suicidality Self-poisoning/overdose Suicidal ideas with moderate to high risk of completed …
  • Engaging with and assessing the adolescent patient
    www.rch.org.au/clinicalguide/guideline_index/Engaging_with_and_assessing_the_adolescent_patient/
    /sexual abuse, previous pregnancies and risk of pregnancy, contraception and STIs Suicide, depression … or actions of self-harm/hurting others Suicide risk: thoughts (fleeting/pervasive/intrusive), media/social … media viewing specific to suicide, response to suicidal thoughts (distressed vs calmed/pleased …
  • Mental state examination
    www.rch.org.au/clinicalguide/guideline_index/Mental_state_examination/
    the young person’s age and developmental level If there is any indication of current suicidal or homicidal … Ability to identify potentially pathological events eg hallucinations, suicidal impulses Acknowledgement …
  • Family violence
    www.rch.org.au/clinicalguide/guideline_index/Family_violence/
    attendance Adolescent Eating disorders Depression, anxiety, self-harm, suicidality Substance use, truancy … or attempts to commit suicide Threats to harm or kill children and pets Perpetrator unemployment Sexual …
  • Unsettled or crying babies
    www.rch.org.au/clinicalguide/guideline_index/Crying_Baby_Infant_Distress/
    if score >12 (mothers), >9 (fathers) or any score >1 on question 10 (suicidal thoughts) Consider in infants …
  • Cannabis withdrawal syndrome
    www.rch.org.au/clinicalguide/guideline_index/Cannabis_withdrawal_syndrome/
    complex withdrawal eg aggression, suicidal ideation or attempt, or psychosis Polysubstance dependence …