111 PCN Aberrant Behavior Risk

Risk Factor Female Score Male Score
Family History EtOH 1 3
Family History Illegal Drugs 2 3
Family History Prescription Drugs 4 4
Personal History EtOH 3 3
Personal History Illegal Drugs 4 4
Personal History Prescription Drugs 5 5
Age 16-45 1 1
History Preadolescent Sexual Abuse 3 0
Psychological Disease: ADD 2 2
Psychological Disease: OCD 2 2
Psychological Disease: Bipolar 2 2
Psychological Disease: Depression 1 1
  • Low Risk 0-3
  • Moderate Risk 4-7
  • High Risk 8 or more

Psychological Variables Potentially Implicated in Opioid-Related Mortality

  • Fear and desperation in the face of pain (catastrophizing)
  • Impulsivity
  • Chemical coping
  • Lack of acceptance
  • Personal disorder (“borderline”)
    • A: odd, eccentric
    • B: emotional overreactivity, self destructiveness, repetitive acting out
    • C: anxious, avoidant
  • Demoralization, existential distress
  • Sensation seeking
  • Escapism

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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