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Mental Health

Suicide

QuestionAnswer
Suicide occurs more frequently among those with what disorders? Major depression and bipolar disorder, schizophrenia, alcohol and substance use disorders, borderline and antisocial personality disorders, and panic disorder.
______ is not necessarily synonymouns with a mental disorder. suicide
The act of purposeful self-destruction represented by taking one's own life is usually accompanied by intense feelings of pain and hopelessness, coupled with the belief that there are no solutions.
Low levels of ______ are thought to play a part in the decision to commit suicide. serotonin
Suicidal behavior seems to run in Families
Physical disorders are related to the biological risk in suicide
What are the somatic conditions associated with increased suicide risk? AIDS, cancer, cardiovascular disease, chronic renal failure with hemodialysis, cirrhosis, cushings disease, dementia, epilepsy, head injury, huntington's disease, MS, peptic ulcer, and prostatic hypertrophy.
The suicidal persons most liely to act out suicidal fantasies are those who have experienced: A loss of love, a narcissistic injury, overwhelming moods such as rage or guilt, identification with a suicide victim, revenge, reunion with a loved one, or rebirth.
Adolescents have a special risk of impulsive suicide known as copycat suicide
Protective factors when a person is contemplating suicide are: Sense of responsibility to family, pregnancy, religious beliefs,satisfaction with life, positive social support, effective coping skills, effective problem-solving skills, intact reality testing.
Not all clients who show suidical ideation or who make a suicide attempt truly want to die
A nonfatal self-injury with a clear intent to cause bodily harm or death. parasuicide
What three main elements must be considered when evaluation lethality? Is there a specific plan with details? How lethal is the proposed method?? Is there access to the planned method?
People who have definite plans for the ____, ____, and ____ are at high risk. time, place and means
This term indicates how quickly a person would die by that mode. lethality
Higher-risk methods of lethality are: Using a gun, jumping off a high place, hanging oneself, poisoning with carbon monoxide, and stageing a car crash.
Lower-risk methods of lethality are: Slashing one's wrists, inhaling natural gas, ingestng pills.
On the SAD PERSONS Scale the first "S" stands for sex = 1 point if male
On the SAD PERSONS Scale the "A" stands for age = 1 point if 25 to 44 or 65 or older
On the SAD PERSONS Scale the "D" stands for depression = 1 point if present
On the SAD PERSONS Scale the "P" stands for previous attempt = 1 point if present
On the SAD PERSONS Scale the "E" stands for ethanol use = 1 point if present
On the SAD PERSONS Scale the "R" stands for rational thinking loss = 1 point if psychotic for any reason
On the SAD PERSONS Scale the second "S" stands for social supports lacking = 1 if lacking, especially recent loss
On the SAD PERSONS Scale the "O" stands for organized plan = 1 if plan with lethal method
On the SAD PERSONS Scale the "N" stands for no spouse = 1 if divorced, widowed, separated, or single male
On the SAD PERSONS Scale the last "S" stands for sickness = 1 point if severe or chronic
If a patient has a score of 0-2 points on the SAD PERSONS Scale, what is the clinical action? Send home with follow-up.
If a patient has a score of 3-4 points on the SAD PERSONS Scale, what is the clinical action? closely follow up; consider hospitalization.
If a patient has a score of 05-6 points on the SAD PERSONS Scale, what is the clinical action? Strongly consider hospitalization.
If a patient has a score of 7-10 points on the SAD PERSONS Scale, what is the clinical action? Hospitalize or commit.
This level of intervention includes activities that provide support, information, and education to prevent suicide. It can be practiced in schools, homes, hospitals, and work settings. Primary Intervention for suicide.
This intervention is the treatment of the acutal suicidal crisis. It is practiced in clinics, in hospitals, and on telephone hotlines. Secondary Intervention for suicide.
This level of intervention revers to interventions with the family and friends of a person who has committed suicide to reduce the traumatic aftereffects. Tertiary Intervention or Postvention
The suicidal patient is observed continuously
Monitoring flow sheets for suicide precautions are more clinically useful if the include a description of affect as well as behavior.
The nurse monitoring the environment of a patient threatening suicide needs to monitor for safety hazards
Suicide risk is highest in the _______ of admission and during times of ______. first few days and staff rotation
What cultural group is known to have the highest suicide rate? naive americans
What is the most common method of suicide among men and women? Suicide by firearm
The nurse has interviewed a suicidal client who subsequently agreed to come to the clinic the next day. The nurse also proposes that the client enter into a no-suicide contract. Such a contract would contain a provision that the client promises not to kill self, on purpose or accidentally, for 24 hours
A client who will not enter into a no-suicide contract should be placed on the highest level of suicide watch
The morning after he was admitted, a suicidal client wishes to use the cordless electric razor the staff took from his suitcase the night before. The nurse should give him the razor and ask him to return it when he is finished
When a colleague committed suicide, the nurse stated "I do not understand why she would take her own life." This is an expression of denial