Question | Answer |
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 |