3005PSY Week 11 PDF

Summary

This document covers violence in Australia, including family violence, domestic violence, and sexual violence. It also discusses risk factors, warning signs of abuse, and assessment of risk.

Full Transcript

3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox the risk a person may self harm or sui- cide that a person may be harmed including ri...

3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox the risk a person may self harm or sui- cide that a person may be harmed including risk can include harm toward a child that your client may harm someone else can also include neglect is common affects 2 in 5 ppl since age 15 violence in australia women more likely to be victims of vio- lence of someone they know b/w anyone in the family and current/for- family violence mer intimate partners subset of family violence, b/w current or domestic violence former intimate partners covering range of behaviours of sexual nature carried out against person's will sexual violence includes sexual abuse of minors includes coercion and control not always family law act accompanied by violence or threats serious psychological harm arising from child abuse amended to add being subjected or exposed to family vi- olence one of most common forms of violence against women 1 in 6 (17%) of women report having experienced violence from a current or domestic violence stats previous cohabitating partner since 15 yrs old 1 in 5 experience sexual violence 1 in 6 experience physical/sexual abuse since 15 most common perpetrators male intimate partners or ex partners 1 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox than men and report higher levels of fear women less likely to leave after being victims often less recognised less likely to be reported females often go unpunished domestic violence and men 1 in 3 cases men are 2-3x more likely to not tell any- one may be faced with inadequate support nervous, ashamed, evasive describe partner as controlling seem uncomfortable around partner partner does most of talking panic attacks/depression reluctant to follow advice warning signs of abuse unexplained injuries attempted suicide delay seeking medical attention physical pains eating disorder complain of sexual dysfunction pelvic pain, miscarriages physical assault emotional abuse tech-facilitated abuse sexual assault family violence can include financial abuse social abuse verbal abuse coercion and control spiritual abuse occurs more in indigenous populations indigenous population and family vio- the term family violence is preferred as it lence encompasses extended family, kin, com- munities, kinship networks, 2 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox social disadvantage and intergenera- tional trauma removal of land, culture, dispossessed cause/effect in indigenous pops over past 200 yrs resulted in social, pysch, economic, emo problems, physical problems extreme strain leads to violence being more likely to occur collaborative approach w victim respectful and nonjudgemental assessment of risk for domestic violence inclusive of diversity needs a strengths focussed evidence based victim's view of their level of risk assessment takes into account presence of evidence based risk indica- tors (use checklist/tools) continuous assessment needs to be and risk management is an ongoing task like child support, and appropriate refer- communication w other services rals how do you describe your relationship any times you feel unsafe how do you manage conflict questions for assessment any form of violence is this currently happening? do you feel safe going home today victim's own assessment pregnancy isolation known risk factors depression/mental health issues suicidal ideation drug/alcohol misuse 3 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox use of weapons in most recent event* access to weapons* previous harm or threats tried to choke threatened to kill* sexual assault* risk factors assoc w perpetrator previous breach in intervention order drug/alcohol abuse obsession/jealousy toward victim* controlling behaviour* history of violence unemployment depression/mental health issues seperation relationship factors w higher risk in DV escalation: frequency, intensity financial pressures do they have children how are they coping at home where are the children when violence things to consider w children occurs is there any violence against them explore how violence is affecting the per- son/ppl emotional neglect physical most common types of child abuse sexual not stated total: 25714 from 2015-2016 physical injuries fear behaviour when in contact w par- ents/adults/hearing shouting indicators of child abuse over-compliant/passive behaviour age inappropriate sexual behaviour developmental issues academic impairment 4 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox found that 642/2232 childen reported trauma exposure assoc w pathology, 160 family violence study in Wales experience PTSD by 18, only 33 re- ceived help for it avoid leading questions tell me good things at home is there anything at home you wish you could change assessing risk with children what don't you like about being home do you worry about going home tell me how mum/dad looks after you do you worry about any family members single or repeated lack of appropriate action occurring within any relationship where there is an expectation of trust which causes harm or distress to an old- er person elder abuse often fostered by spouse/partner or adult children 1 in 6 physical, emotional, sexual, exploitation, elder abuse can be neglect or abandonment cognitive impairment behavioural problems psych problems functional dependence individual risk factors for elder abuse poor physical health/frailty low income/wealth trauma/past abuse ethnicity perceived burden or stress psych problems caregiver/family risk factors alcohol/substance abuse issues family disharmony 5 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox low social support environmental risk factors living w others conflictual relationships death w evidence it was self inflicted and suicide intended non-fatal self-inflicted action or behav- suicide attempt iour w evidence of intention to die suicide related behaviour, potentially self-injurious, evidence death was not in- parasuicide tended but wish to give appearance of intent interpersonal verbal/nonverbal behav- iour stopping short of self harm act that a suicide threat reasonable person may infer suicidal act might occur thoughts engaging in suicide related be- haviour super common (30-50%) of gen pop ac- suicidal ideation knowledges it at some point focus is on assessing risk and hearing psychological ache ideation/likelihood suicide risk factor increases with more women attempt than men, but w less lethal means 8.6 suicide deaths/day 3139 suicide deaths 2020 suicide data 2384 - male 755 - female personal history of self harm top 3 psychosocial risk factors disruption of family by seperation/divorce problems in relationship 6 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox mood disorder acute use drugs suicidal ideation relationship problems chronic drug use top 10 suicide risk factors personal history of self harm anxiety/stress legal issues unemployment family issues 39% had a client suicide (45% for clinical psychs) suicidality in aus clients for psych 10.8% had more than 4 clients 76% attempted a suicide 86% had a client threaten/gesture asking someone about it won't influence them to do it everyone who engages in suicide has mental health issues ppl who talk about it are attention seek- ing ppl that talk about it don't do it someone who has attempted it will never myths about suicide try again they are selfish/cowards suicidal thoughts means someone really wants to die it's impossible to stop every suicide can be prevented by a ther- apist only experts should ask about suicide tunnel vision, can't see a way out desperate to escape pain/situation perceive themselves a failure understanding suicidal ppl reluctant to ask for help feel hopeless likely to be ambivalent about dying 7 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox approx 75% visit a dr before attempt may not necessarily be mentally ill mental disorder male gender previous attempts recent suicide of known person family history social isolation risk factors for suicide divorce/relationship breakdown unemployment rural employment gambling media publicity access to means physical illness A theory that asserts that people with perceived burdensomeness, thwarted belongingness, and a psychological ca- interpersonal theory of suicide pability to carry out suicide are the most likely to attempt suicide. Also called inter- personal-psychological theory. thwarted sense of belonging intervention should be aimed at perceived burden Beck scale for suicidal ideation beck depression inventory reasons for living inventory these tools are used to help balance formal assessment tools clinician judgement, however these tools can never replace clinical interview and professional judgement keeping an open convo is most important distress and suffering meaning, motivation at-risk, mental states history of suicide behaviour 8 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox current suicidal thoughts lethality/intent when doing risk assessment ensure to presence of a plan cover these factors access to means and knowledge coping potential and meaning to live safety of others have their thoughts of harm ever includ- ed others have they harmed anyone safety of others to consider rationale for harming others psychotic/delusional possibility of murder/suicide indications of post natal depression best to be direct, ask gentle questions what to say in suicide risk assessments about if they ever think of ending their lives or harming themselves open exploration of suicidal thoughts if you suspect them, discuss and explore discussion can help provide relief process for suicide assessment can help understanding their psych pain and further info sign to person what is happening in their life is important and worth discussing ongoing risk assessment remain calm/non judgemental have risk assessment procedures/phone things to remember with suicide risk as- numbers easily accessible at all times sessment do not put yourself in physical danger if in doubt ring 000 or other appropriate contacts about family violence about suicidal thinking 9 / 10 3005PSY WEEK 11 Study online at https://quizlet.com/_dc97ox always debrief after this kind of convo must ask questions for suicide risk as- requires professional judgement, so cur- sessment rently you're not allowed to do this lifeline salvation army counselling service kids helpline resources for suicide 1800respect beyond blue 000 10 / 10

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