To think someone having carers 7 hours a day doesn’t reduce the risk of someone being a serious risk to themselves

[Youlose7777]

With multiple attempts and hospital admissions sometimes they haven’t even told anyone to seek help. People who did mental health act assessment sent them home as they have carers 7 hours a day but untimely they do still live alone.

Personally think they need a short inpatient stay

What are the issues? I only have experience of elderly people but you are not wrong at all.
Unless they are safe unsupervised, they ain't safe

What do you think this would achieve? Inpatient stays are usually to start/restart medication. Are they not taking medication?

Someone’s there at all ti

At all times

And then what? A short stay would be just that. What would happen afterwards?

Short inpatient stays can in themselves be very discombobulating. Then the patient goes home, probably has to get used to completely different carers because the ones they had before the admission to hospital will now have moved on to new clients. All in all probably not really a good idea.

Are you the poster with EUPD that is desperate to go back into supported living?

Thought I recognised the syntax of the post.
op it’s you and you want to have carers with you to take of all your needs?

Well carers for 7 hours clearly reduces the risk, it just doesn't eliminate it.

If the risk is due to emotional pain and suicidal thoughts, having carers come in periodically to support the person should help somewhat - so they are not left alone in pain for too long.

If it's more of a psychosis issue or something else then things may be less logical and they could be at risk at any moment.

In either case it obviously doesn't eliminate the risk of self-harm completely.

Unfortunately mental health services are rubbish and probably don't offer what is needed.

Risk is always a hard one to judge. For someone with multiple DSH attempts the risk of further DSH is going to be high but the risk of coming to any actual harm because of it is pretty low (misadventure aside).

In patient stays usually not very helpful in EUPD and should ideally be avoided

And what happens after hospital discharge? I EUPD the patient just escalates their behaviours further and could have an accidental suicide. It really is better to find coping mechanisms in the community.

I don’t have eupd I have traits..I’ve never been in supported living so back to it isn’t a thing.

What about if the person had been in coma that’s pretty bad?

Do they have an acquired brain injury? That might influence my decision making, but if not then no, the ones is still on them to use available resources to keep themselves safe.

Well it does “reduce” the risk, but it won’t “eliminate” the risk.

Being an inpatient in a mental health hospital is similar to being in prison. I've heard some people say it's worse that prison. It isn't always the best place to recover when there are intimidating patients and patients screaming all night. Some people end up worse when in there.
There's a reason we have laws that stop people being detained unless it is absolutely necessary. It's not often the best option and it's locking up and removing the freedom of innocent people.

Is 'they' you? It sounds like you think that nobody is taking you seriously and that they don't care enough to help you?

And in real life, whether MH or not, there is no such thing as no risk at all. Risk still exists.

Does having been in a coma increase a person's tendency to harm themselves?

Hospital is not a panacea and it is an illusion of feeling safe and contained which isn’t real. Staff would not want anyone to have someone with them at all times, they would want people to take some personal responsibility and maintain their own safety. Risks can increase in hospital because people think staff are available and will see them and this can and does sadly lead to serious incidents.

There is a reason admission is not the recommended pathway for people with emotional intensity. You need to work with your carers and your community team to build your coping skills and distraction strategies. Identity the times you struggle most and plan things to keep you occupied. Use local crisis cafes if you have them, mental health support phone lines via 111 option 2.

Please don’t think you need to prove your need for hospital by harming yourself, work with services toward long term recovery. It is wholly achievable in time💐

OP, I hear you are scared. It feels hard to cope alone. I'm sure you can find support, perhaps from a dedicated mental health forum and keep mumsnet for chatting

I don’t get any support from services really