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Module 4 - Ch. 21
Suicide Prevention
| Term | Definition |
|---|---|
| Define suicide? | Voluntary act of killing oneself, a fatal, self-inflicted destructive act with explicit or inferred intent to die, sometimes called suicide completion. |
| Define suicidality? | All suicide related behaviors and thoughts of completing or attempting suicide and suicide ideation. |
| Define suicide attempt? | Non-fatal, self-inflicted destructive act with explicit or implicit intent to die. |
| Define parasuicide? | Voluntary, apparent attempt at suicide, commonly called a suicidal gesture, in which the aim is NOT death. |
| Define suicidal ideation? | Thinking about and planning one's own death. |
| Population groups that have the highest rates for suicide? | Males have a higher suicide completion rate four times more than females. White men most at risk especially older men. |
| What are key factors associated with suicide completion? | If the patient has all the factors in the risk assessment. 1 Suicidal ideation 2 A plan 3 Severe with intent to carry out plan 4 Patient has the means (gun/pills) to carry out plan |
| What are three evidence-based interventions used to reduce imminent and ongoing suicide risk for your patient? | 1. Reconnecting the patient to other people and instilling hope 2. Restoring emotional stability and reducing suicidal behavior 3. Ensuring safety |
| T/F: Documentation and reporting when caring for patients who may be at risk for suicide isn't that important. | False. Documenting and reporting things such as history, assessment, and interventions, Risk assessment results: presence or absence of suicidal thoughts, intent, plan, and available means. drugs/alcohol use; are some key things to be documented |
| T/F: The aim of parasuicide is death? | Fales. Parasuicide refers to a voluntary, apparent attempt at suicide in which the aim is not death. |
| T/F: Women account for more cases of deaths from suicide than men? | False. More men complete suicide resulting in death than women. |
| Name four steps nurses use when performing a risk assessment on their patient to determine if they're at risk for suicide to initiate proper treatment? | 1. ASK? - "Do you want to hurt yourself?" - Identify suicidal ideation 2. Elicitation of a plan - "Have you created a plan to do this?" 3. Determination of the severity/intent - "Do you plan to carry this plan out?" 4. Available means?Does pt have gun? |
| A nurse is engaged in case finding. Which activity would be involved? A. Identifying those at risk B. Assessing for suicidal ideation C. Ascertaining for a suicide plan D. Determining the severity of the intent | A. Case finding involves identifying people who are at risk for suicide to initiate proper treatment. Identifying suicidal ideation, ascertaining a suicide plan, and determining the severity of the intent or activities involved in risk assessment. |
| Which intervention reflects the psychological domain when providing care to a patient who has attempted suicide? A. Providing care for the self-inflicted injury B. Challenging the patient's suicidal mindset C. Providing social skills training | B. Challenging the patient's suicidal mindset would be in intervention addressing the patient's psychological domain. Providing care for the self-inflicted injury and administering medication reflect the biologic domain. |
| Define lethality? | refers to the probability that a person will successfully complete suicide. Lethality is determined by the seriousness of the person’s intent and the likelihood that the planned method of death will succeed. |
| Etiology or cause of suicidal behavior: Biologic theories? | Depression, severe childhood trauma, genetic factors can be directly linked to suicidal behavior |
| Etiology or cause of suicidal behavior: Psychological theories? | Cognitive theories: cognitive triad; hopelessness, and other cognitive symptoms Emotional factors, personality traits Interpersonal-psychological theory of suicidal behavior |
| Etiology or cause of suicidal behavior: social theories? | Social distress, suicidal contagion (ex. military friends, one goes therefore causing other to commit suicide too) Economic disadvantage |
| T/F: Suicide is the 10th leading cause of death in the US? | True |
Created by:
bolenrocks