Do you guys remember me mentioning about a 10-y-o girl who self-harmed few days before? She's back in the ward again. I felt utterly disgusted to see her again in the Paeds ward, after only a day of being discharge out- this time around with another attempt of self harm (with knife on throat!!!) Disgusted is probably a harsh word to use. Probably not entirely ethically sound either. But hey, WHY ON EARTH?
I tried to think about possibly reason(s) of her committing the action of deliberate self-harm. Many times. And every single time I cant convince myself that her actions are justifiable. Not at all.
Physically: WELL.
Mentally: Distorted I guess. To think that childhood is the happiest time in life for most people (normal people thats it), its just inexplicable. What could have troubled her mind? Bear in mind she's in primary school. Pretty much normal family and pretty much normal social circumstances. Is there is anything bothering her so much in term of getting along with her parents/siblings at home or being bullied in school? NO. No mentioning of that in her file. Is she at risk of any kind of abuse (physical/sexual/emotional/neglect). NO. Bloody no!
Psychosocial issues: Come from an average middle class family. Few other siblings, very concerned parents. Patient reported argument with mum triggered her to kill herself. Like what???? Basically she doesnt get along well with mum, about everything and anything. I mean: come on, every one would have gone through the similar (or almost similar) situation, but we are fine with it. We all find ways to get around it, cope with it, distract ourself from this pathetic self-wallowing cycle. For goodness sake. 10 year old and thinking of ending her life? What the hell was she thinking? Is she harming herself to get attention? She certainly succeed then. But in a very wrong way. BAD!!! Still- her deliberate action is unjustifiable.
Body image issue: Possibly. But nay- dont think so, she's only 10 year old, but there's is nothing in her history suggest that. No body dysmorphism disorder noted, not under any apparent pressure to look at her best all the time. Still pre-pubertal, not associated witha ny normal teenage tantrums in the challenging growing to be an adult kind of story. Nope- none of that. She looks like any other 10 year old girls. No different at all.
Neurodevelopmental: No problem in this area either. No learning disabilities. No indication to say that she's struggling at school or struggling to fit in with her peers.
CAMHS (Child and Adolescence Mental Health Services) was called in (repeatedly) to assess her case. They can't get to the bottom of her DSH either. Clearly, it's better to keep her in hospital because the risk of another attempt is rather high if she is discharged. Tell me what other better way to care for this patient?
I tried to think about possibly reason(s) of her committing the action of deliberate self-harm. Many times. And every single time I cant convince myself that her actions are justifiable. Not at all.
Physically: WELL.
Mentally: Distorted I guess. To think that childhood is the happiest time in life for most people (normal people thats it), its just inexplicable. What could have troubled her mind? Bear in mind she's in primary school. Pretty much normal family and pretty much normal social circumstances. Is there is anything bothering her so much in term of getting along with her parents/siblings at home or being bullied in school? NO. No mentioning of that in her file. Is she at risk of any kind of abuse (physical/sexual/emotional/neglect). NO. Bloody no!
Psychosocial issues: Come from an average middle class family. Few other siblings, very concerned parents. Patient reported argument with mum triggered her to kill herself. Like what???? Basically she doesnt get along well with mum, about everything and anything. I mean: come on, every one would have gone through the similar (or almost similar) situation, but we are fine with it. We all find ways to get around it, cope with it, distract ourself from this pathetic self-wallowing cycle. For goodness sake. 10 year old and thinking of ending her life? What the hell was she thinking? Is she harming herself to get attention? She certainly succeed then. But in a very wrong way. BAD!!! Still- her deliberate action is unjustifiable.
Body image issue: Possibly. But nay- dont think so, she's only 10 year old, but there's is nothing in her history suggest that. No body dysmorphism disorder noted, not under any apparent pressure to look at her best all the time. Still pre-pubertal, not associated witha ny normal teenage tantrums in the challenging growing to be an adult kind of story. Nope- none of that. She looks like any other 10 year old girls. No different at all.
Neurodevelopmental: No problem in this area either. No learning disabilities. No indication to say that she's struggling at school or struggling to fit in with her peers.
CAMHS (Child and Adolescence Mental Health Services) was called in (repeatedly) to assess her case. They can't get to the bottom of her DSH either. Clearly, it's better to keep her in hospital because the risk of another attempt is rather high if she is discharged. Tell me what other better way to care for this patient?
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