CAMHS reported 'the risk of ds killing himself was 'low', as i am doing a good job of keeping him safe'. We are all agreed that the risk of him actually killing himself are low, but what i was asking for was a risk assessment of ds self harming as a result of a plan to return him to school.
Im guessing as i returned him to school free from all injury in September, and a month later it resulted in him being smothered in injuries again (extensive scratching) and needing an emergency mental health assessment by October, the risk is pretty high.
It also escalated to him hurting himself in other ways, that he has never done before, cutting himself with scissors, headbutting doors, walls, tables, baths, punching himself, hitting himself with objects hairbrushes etc, trying to strangle himself, throwing himself of the bed. Wandering around the house of a night, looking for things to hurt himself with.
Drawing pictures of himself hanging from branches and writing i want to die now. Writing notes on his ipod about wanting to die etc, etc.
He also threw the dog down the stairs, strangled the cat, attacked me
This type of self harming he is doing everytime school was mentioned.
For the last 2 and half years he has been silently self harming by scratching and being very inward with it, very quietly, very privately and has never expressed wanting to die.
All sharp objects have to be removed from his reach, he has to sleep in bed with me, with a lock on the door.
Since being off school his scratching injuries have cleared totally, he doesnt self harm in other ways unless returning to school is mentioned.
Last time i tried to get him to school, he got hysterical, throwing himself of the bed, punching himself in the face, trying to strangle himself, screaming about stabbing himself and physically attacking me when i was stopping him.
He then cant sleep, cant eat, with shut himself in his room and refused to come out, wont leave the house to do other things, wont interact,refuse to get dressed etc, etc.
I can see what are saying, no evidence at all, as again its just my word. But thats the way its always been, i cant see it changing. If i could get ds to school, he might well be fine once there, then he would just hurt himself when he gets home.
So plan is get him to school, if he self harms when he gets home, thats your problem, because you are responsible for his safety.
and yes im still up, ds is still awake and its 3.30am due to doing school work. Mealtonin works perfectly well without school work.