{"id":802,"date":"2022-05-04T19:08:15","date_gmt":"2022-05-04T17:08:15","guid":{"rendered":"https:\/\/slf.se\/sfbup\/?page_id=802"},"modified":"2022-05-04T19:37:21","modified_gmt":"2022-05-04T17:37:21","slug":"sjalvmordsriskbedomning","status":"publish","type":"page","link":"https:\/\/slf.se\/sfbup\/riktlinjer\/deplyftet\/moduler\/sjalvmordsriskbedomning\/","title":{"rendered":"Sj\u00e4lvmordsriskbed\u00f6mning"},"content":{"rendered":"<div class=\"wp-block-document-related mt-8 lg:mt-12 first:mt-0 hidden:print\">\n      <div class=\"\">\n                  <h4 id=\"manual\" class=\"mb-4 pt-4 font-medium relative\">\n            Manual\n            <hr class=\"absolute top-0 w-full h-1 bg-secondary\" \/>\n          <\/h4>\n        \n        <ul class=\"space-y-4\">\n                                    <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Manual-Att-hantera-och-vardera-sjalvmordsrisk.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          Att hantera och v\u00e4rdera sj\u00e4lvmordsrisk.\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      2.2 MB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                                                <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/sakerhetsplan.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          S\u00e4kerhetplan\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      1.2 MB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                              <\/ul>\n      <\/div>\n    <\/div>\n  \n\n\n<p>Tankar p\u00e5 d\u00f6den och p\u00e5 sj\u00e4lvmord \u00e4r vanligt vid en depression. En del ungdomar vi m\u00f6ter har sj\u00e4lvmordsplaner och har gjort sj\u00e4lvmordsf\u00f6rs\u00f6k. Ett femtiotal ungdomar d\u00f6r av sj\u00e4lvmord varje \u00e5r i Sverige. K\u00e4nslom\u00e4ssig instabilitet och impulsiv aggressivitet ger en s\u00e5rbarhet f\u00f6r suicidalitet. Risken f\u00f6r fullbordat sj\u00e4lvmord \u00f6kar s\u00e4rskilt vid tidigare f\u00f6rs\u00f6k, psykisk st\u00f6rning och sj\u00e4lvskadebeteende. D\u00f6dligheten och risken f\u00f6r f\u00f6rnyat medicinskt allvarligt f\u00f6rs\u00f6k \u00f6kar med v\u00e5ldsam metod. Skyddsfaktorer kan balansera riskfaktorer hos s\u00e5rbara ungdomar. Behandlingen b\u00f6r inrikta sig p\u00e5 att minska risken, \u00f6ka skyddet och minska tillg\u00e5ngen till d\u00f6dliga metoder.<\/p>\n\n\n\n<p>Nyckeln till att identifiera och hantera risk f\u00f6r sj\u00e4lvskadehandling och sj\u00e4lvmord p\u00e5 kort och l\u00e5ng sikt \u00e4r en bred psykosocial och psykiatrisk kartl\u00e4ggning. F\u00f6r att kunna g\u00f6ra det beh\u00f6ver du bygga en f\u00f6rtroendefull relation med s\u00e5v\u00e4l ungdom som f\u00f6r\u00e4lder. Du beh\u00f6ver ocks\u00e5 ta upp en detaljerad och tillf\u00f6rlitlig anamnes. Din riskv\u00e4rdering b\u00f6r grunda sig p\u00e5 information fr\u00e5n ungdom, f\u00f6r\u00e4lder och tidigare journal och v\u00e4gas samman med dina observationer under samtalet. F\u00f6rst d\u00e5 kan du g\u00f6ra en helhetsbed\u00f6mning och en bra s\u00e4kerhetsplanering.<\/p>\n\n\n\n<p>M\u00e5let med den strukturerade riskbed\u00f6mningen \u00e4r att inventera risk p\u00e5 olika niv\u00e5er och s\u00e4tta in \u00e5tg\u00e4rder f\u00f6r att minimera risken f\u00f6r fullbordat sj\u00e4lvmord.<\/p>\n\n\n\n<h3 id=\"modul-om-fyra-sektioner\">Modul om fyra sektioner<\/h3>\n\n\n\n<p>Den f\u00f6rsta sektionen g\u00e5r igenom tidigare sj\u00e4lvmordsf\u00f6rs\u00f6k, sj\u00e4lvmordsavsikt, psykisk st\u00f6rning, instabilitet och \u00f6vriga risk- och skyddsfaktorer f\u00f6r sj\u00e4lvmordshandlingar. Anamnesen b\u00f6r kompletteras med observation som g\u00e5s igenom i sektion tv\u00e5. Sektion tre ber\u00f6r sj\u00e4lvmordsriskbed\u00f6mning och fyra s\u00e4kerhetsplanering.<\/p>\n\n\n\n<p>Sektionerna: Samla information+ Observera ungdomen \u2192 G\u00f6r en sj\u00e4lvmordsriskbed\u00f6mning \u2192 G\u00f6r upp en s\u00e4kerhetsplanering<\/p>\n\n\n\n<h3 id=\"i-denna-modul-lar-du-dig-identifiera\">I denna modul l\u00e4r du dig identifiera<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>Psykisk st\u00f6rning<\/li><li>Tidigare sj\u00e4lvmordsf\u00f6rs\u00f6k,<\/li><li>Grad av instabilitet<\/li><li>Sj\u00e4lvmordstankar\/planer med suicidal avsikt<\/li><li>F\u00f6rm\u00e5ga att medverka i s\u00e4kerhetsplanering<\/li><\/ul>\n\n\n\n<h3 id=\"for-att-kunna-gora-en\">F\u00f6r att kunna g\u00f6ra en<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>V\u00e4rdering av aktuella och l\u00e5ngsiktiga risk-och skyddsfaktorer<\/li><li>Bed\u00f6mning av akut risk och l\u00e5ngsiktig sj\u00e4lvmordsrisk<\/li><li>En individualiserad s\u00e4kerhetsplan<\/li><\/ul>\n\n\n<div class=\"wp-block-document-related mt-8 lg:mt-12 first:mt-0 hidden:print\">\n      <div class=\"\">\n                  <h4 id=\"samtalsstod\" class=\"mb-4 pt-4 font-medium relative\">\n            Samtalsst\u00f6d\n            <hr class=\"absolute top-0 w-full h-1 bg-secondary\" \/>\n          <\/h4>\n        \n        <ul class=\"space-y-4\">\n                                    <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Information-om-samtalet.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          1. Information om samtalet\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      357.0 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                                                <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Kartlaggning-av-person-och-liv.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          2. Kartl\u00e4ggning av person och liv\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      413.9 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                                                <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Kartlaggning-av...-ungdom-1.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          3. Kartl\u00e4ggning av sj\u00e4lvmordsf\u00f6rs\u00f6k,  m\u00e5ende och riskfaktorer\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      582.2 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                                                <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Kartlaggning-av...-ungdom-1.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          4. Diagnostiska fr\u00e5gor med ungdomen\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      582.2 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                                                <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Kartlaggning-av...-foralder.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          5. Strukturerade diagnostiska fr\u00e5gor \u2013 f\u00f6r\u00e4lder\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      485.6 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                                                <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Aterkoppla-din-bedomning.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          6. \u00c5terkoppla din bed\u00f6mning\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      396.7 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                                                <li>\n                <a\n      href=\"https:\/\/slf.se\/sfbup\/app\/uploads\/2022\/05\/Sakerhetsplanering.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          7. S\u00e4kerhetsplanering\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      422.0 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                              <\/ul>\n      <\/div>\n    <\/div>\n  \n\n<div class=\"wp-block-page-teaser\">\n            \n  <div\n    class=\"\n      relative transform group-hover:-translate-y-px group-hover:shadow\n      h-full bg-white rounded shadow-sm\n    \"\n  >\n    \n    <div\n      class=\"\n        w-full\n        px-4 py-5 lg:px-5 pb-3 lg:pb-4\n        \n      \"\n    >\n              <h2 class=\"mb-0 font-semibold text-primary\">\n          Filmklipp\n        <\/h2>\n      \n      \n              <div\n          class=\"\n            mt-3\n            \n          \"\n        >\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=mfDVLC8Gxso\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    Introduktion\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=3Q3ZPb3skSo\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    Kartl\u00e4ggning av person och liv med risk- &#038; skyddsfaktorer\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=hkcdMfYtUVc\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    Sj\u00e4lvmordsf\u00f6rs\u00f6ket med ungdomen; version impulsivt\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=qpsiZe4PMPg\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    Sj\u00e4lvmordsf\u00f6rs\u00f6ket med ungdomen; version planerat\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=1OUy0EKvLgE\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    Strukturerade diagnostiska fr\u00e5gor och sj\u00e4lvmordsf\u00f6rs\u00f6ket med f\u00f6r\u00e4lder\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=0nj_1RcQ9xg\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    \u00c5terkoppla din bed\u00f6mning\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=0nj_1RcQ9xg\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    S\u00e4kerhetsplanering, del 1\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=-yFFqAK04PQ\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    S\u00e4kerhetsplanering, del 2\n                  <\/span><\/a>\n                            <\/div>\n                      <div\n              class=\"\n                block mb-2 leading-none last:mb-0\n              \"\n            >\n                              <a\n      href=\"https:\/\/www.youtube.com\/watch?v=rOeR7twuKFY\"\n      target=\"_self\"\n      rel=\"bookmark\"\n      class=\"inline-flex items-center group\"\n    ><i\n                    aria-hidden=\"true\"\n                    class=\"\n                      material-icons\n                      mr-2 text-secondary align-middle\n                      transform transition-transform\n                      group-hover:translate-x-px\n                    \"\n                  >\n                    arrow_forward\n                  <\/i>\n                  <span\n                    class=\"\n                      text-primary\n                      font-medium text-sm\n                      lg:text-base\n                    \"\n                  >\n                    Planering och avslutning\n                  <\/span><\/a>\n                            <\/div>\n                  <\/div>\n          <\/div>\n  <\/div>\n      <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Tankar p\u00e5 d\u00f6den och p\u00e5 sj\u00e4lvmord \u00e4r vanligt vid en depression. En del ungdomar vi m\u00f6ter har sj\u00e4lvmordsplaner och har gjort sj\u00e4lvmordsf\u00f6rs\u00f6k. Ett femtiotal ungdomar d\u00f6r av sj\u00e4lvmord varje \u00e5r i Sverige. K\u00e4nslom\u00e4ssig instabilitet och impulsiv aggressivitet ger en s\u00e5rbarhet f\u00f6r suicidalitet. Risken f\u00f6r fullbordat sj\u00e4lvmord \u00f6kar s\u00e4rskilt vid tidigare f\u00f6rs\u00f6k, psykisk st\u00f6rning och sj\u00e4lvskadebeteende. &hellip; <a href=\"https:\/\/slf.se\/sfbup\/riktlinjer\/deplyftet\/moduler\/sjalvmordsriskbedomning\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"parent":733,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-802","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Svenska F\u00f6reningen f\u00f6r Barn- och Ungdomspsykiatri<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/sfbup\/riktlinjer\/deplyftet\/moduler\/sjalvmordsriskbedomning\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sj\u00e4lvmordsriskbed\u00f6mning\" \/>\n<meta property=\"og:description\" content=\"Tankar p\u00e5 d\u00f6den och p\u00e5 sj\u00e4lvmord \u00e4r vanligt vid en depression. En del ungdomar vi m\u00f6ter har sj\u00e4lvmordsplaner och har gjort sj\u00e4lvmordsf\u00f6rs\u00f6k. Ett femtiotal ungdomar d\u00f6r av sj\u00e4lvmord varje \u00e5r i Sverige. K\u00e4nslom\u00e4ssig instabilitet och impulsiv aggressivitet ger en s\u00e5rbarhet f\u00f6r suicidalitet. 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