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Ch 18

Mr. D Suicide

QuestionAnswer
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