Paeds Vivas · mental-behavioural-and-psychosomatic
Child and adolescent suicide and self-harm assessment — branching viva
Branching viva on distinguishing non-suicidal self-injury from suicidal self-harm, structured risk stratification, safety planning, means restriction and disposition.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in the emergency department. The examiner moves from classification to structured risk stratification, safety planning, means restriction and a high-risk override.
Stem
The examiner will test whether you can classify a self-harm presentation, stratify risk, plan and act under pressure. [1] [3]
References8ShowHide
- [1]Posner K The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. The American journal of psychiatry, 2011.PMID 22193671
- [2]Horowitz LM Ask Suicide-Screening Questions (ASQ): a brief instrument for the pediatric emergency department. Archives of pediatrics & adolescent medicine, 2012.PMID 23027429
- [3]Shain B Suicide and Suicide Attempts in Adolescents. Pediatrics, 2016.PMID 27354459
- [4]Bridge JA Adolescent suicide and suicidal behavior. Journal of child psychology and psychiatry, and allied disciplines, 2006.PMID 16492264
- [5]Bandealy A Use of lethal means restriction counseling for suicide prevention in pediatric primary care. Preventive medicine, 2020.PMID 31644896
- [6]Albaum C Safety Planning Interventions for Suicide Prevention in Children and Adolescents: A Systematic Review and Meta-Analysis. JAMA pediatrics, 2025.PMID 40388177
- [7]Nock MK Self-injury. Annual review of clinical psychology, 2010.PMID 20192787
- [8]Ougrin D Adolescents with suicidal and nonsuicidal self-harm: clinical characteristics and response to therapeutic assessment. Psychological assessment, 2012.PMID 21859219