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post in: Beauty, Health, Video Date:18 Oct 2017, 18:11 views:3836
Key practice points: Young people who represent a threat to themselves or others should be referred to secondary care services. A strengths-based approach is useful to both prevent and treat mental health issues in young people and can form a part of every consultation.
Approaches such as structured problem solving or referral to online resources can be helpful for young people with a range of mental health issues.
The key steps in investigating mental health concerns in most young people are: Discussing the problem(s) and identifying any underlying causes, precipitating factors or events which have led the young person to experience the problem at this time. Assessing the young persons circumstances, home or living environment and available sources of support from family or friends.
This may include providing a listening ear and emotional support, helping the young person to define their problems and offering them suggestions for addressing these problems. Adopting a strengths-based approach is a strategy that can help all young people facing psychological difficulties (see: Building resilience ). Try to involve the young persons family/whnau as much as possible (with the patients consent bearing in mind that this may not be appropriate if family/whnau issues are the cause of the problem.
Utilise local resources and support services, such as youth clinics, community health workers and Pukenga Atawhai alert (specialist Mori mental health workers). If young people represent a threat to themselves or others, they should be referred to a specialised mental health service. The use of a screening questionnaire, such as the Ask Suicide-Screening Questions (ASQ PHQ-9, Substances and Choices Scale (sacs) or bestpractice decision support tools for suicide risk and depression can assist in identifying young people in need of urgent or immediate assistance.
For further information and links to screening questionnaires, see: px px, when to urgently refer to secondary care mental health services. Immediate referral, red flags: Patients should be seen the same day by a secondary care mental health service if they have:1,2.
Serious suicidal intent, psychotic symptoms, severe self-neglect, assessing suicidal intent. Determining whether a patients suicidal ideation and planning is serious can be difficult. There is no clear diagnostic threshold for when ideation may result in a suicide attempt and a young persons state of mind may change rapidly.