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Ch 18
Mr. D Suicide
| Question | Answer |
|---|---|
| True or False. PPL who talk about suicide never commit it. | False |
| True or False. Mentioning the word suicide will cause the suicidal individual to actually commit suicide. | False |
| True or False. There is no way to help someone who really wants to actually commit suicide. | True |
| True or False. PPL who talk about suicide are only trying to get attention. | False |
| Approximately ___% of all PPL who commit suicide or attempt suicide have a diagnosed mental disorder. | 95% |
| Suicide is not a | diagnosis or a disorder |
| Suicide is a | behavior |
| Suicide risk may increase early during treatment with | antidepressants, as the return of energy brings about an increased ability to act out self destructive wishes. Especially with teenagers (Prozac Zoloft) |
| Suicide rate for single person is ____ of married persons. | twice |
| Suicide rate for divorced, separated, and widowed person is? | 4-5 times more than normal |
| ____ _____ over the age of __ are at the greatest risk of all gender/race groups to commit suicide. | White Male >80yrs |
| Most common method of completed suicide in children and adolescents. | Firearms |
| Suicide is ranked #__ cause of death among teenagers. | 2 |
| __ out of __ teens who attempt suicide will give a clear sign (poem, post, or blog on Youtube/Facebook/Twitter). | 4 out of 5 |
| Teen suicides outnumber teen | homicides |
| Teenage suicide risk factors | death obsession, grade drop, guilt/shame, change in personality or appearance |
| #1 suicide city | Las Vegas (non residents) |
| #1 suicide state | Alaska |
| Women attempt suicide ____ than men. | more |
| Men succeed at suicide ____ than women. | more |
| Suicide by firearm: | 56%men 30%women |
| Suicide by hanging: | 24%men 21%women |
| Suicide by poisoning/OD: | 13%men 40%women |
| Individuals with ____ _____ are far more likely to commit suicide than those in any other psychiatric group. | mood disorders (major depression and bipolar disorder) |
| What to ask suicidal person? | 1 Do you have a plan? 2 Tell me your plan in detail. 3 What have you lost? 4 Determine baseline |
| Be aware of clients support system such as: | friends family peers |
| Precipitating stressors are | what led you to this point |
| Relevant history | Have you been suicidal before. Is there a family history of suicide attempts or mental illness. Asocial or no friends. |
| Life stage issues such as: | Retirement, mid-life crises, adolescents. |
| protective factors (+) | religion, young age |
| risk factors (-) | bipolar, single, alcohol, homeless, history of suicide, delusional |
| Highest risk for suicide | John, 72, white, methodist, low income, cancer |
| Some biological factors may be associated with the predisposition to suicide. | genetics, decreased serotonin levels |
| Theresa, 27, over dosed on meds. She said "Boyfriend broke up with me. We been together for 6 years. I love him. I'll never get over him." What is the best response? | "You must be feeling very sad about your loss." |
| Nurse identifies Theresa as a risk for suicide related to feelings of hopelessness due to loss of relationship. What be the outcome criteria. | The client has experienced no physical harm to herself |
| Theresa is hospitalized after suicide attempt. What would Freud say is the cause. | She is angry at her boyfriend for breaking up with her and has turned the anger inward on herself. |
| Suicidal Theresa says "When I get out of here, I'm going to use a no-fail method." What is the best response? | What exactly do you plan to do? |
| Suicide Risk for depressed, withdrawn, statements of worthlessness, ADL difficulty, no support | High |
| Theresa attempt suicide before and is on suicide watch. She says that she is still feeling suicidal. What is the best intervention? | Check on Theresa every 15 minutes or assign a staff person to stay with her on a one-to-one basis. |
| Appropriate suicide precaution intervention? | Remove all sharp objects, belts, and potentially dangerous items. Accompany client to off unit activities. Obtain promise that she will not self harm within next 12 hrs. |
| Successful psycho therapy could be measured by which behaviors? | Theresa has an increased sense of self worth. |
| 7 Nsg Interventions for suicidal patient. | 1 "Have you thought about harming yourself? How?" 2 removing dangerous stuff. 3 No-harm contract. 4 Watch closely. 5 Meds. 6 Frequent IRREGULAR rounds. 7 talk about feelings |
Created by:
Sanctus Verus
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