30 Suicide

Question 1

___ are more likely to attempt suicide but ______ are more likely to complete suicide

Answer 1

females; adolescent, middle, older adult males

Question 2

risk factors

Answer 2

-military/veterans
-lgbtq
-comorbid mental illness
-biological factors
(fam hx, physical disorder like AIDS, cancer)
-psychosocial factors
-cultural factors
(native americans)
-environmental factors (access to firearms, lack of access to MH care)

Question 3

protective factors

Answer 3

• *intact reality testing**
• feeling of responsibility towards partner or kids
• current pregnancy
• religious/cultural belief
• overall satisfaction in life
• presence of adequate social support
• effective coping/problm-solvng skills
• access to medical care

Question 4

primary prevention

Answer 4

• community education

- screenings to ID individuals at risk

Question 5

secondary prevention

Answer 5

• individual w acute suicidal crisis

- suicide precautions

Question 6

tertiary prevention

Answer 6

focused on providing support + assistance to survivors of a client who completed suicide

Question 7

suicide precautions

Answer 7

• 1-on-1 supervision
• document location, mood, quoted statements, behavr Q15min
• search belongings w pt present
• plastic utensils, count utensils brought in + out of room
• check environment for hazards 9window, shower rod)
• ensure hands are visible when sleeping
• no private room
• keep doors open at all times
• ID lethal meds
• restrict visitors fr bringing harmful items

Question 8

there is an increased risk of suicide during…

Answer 8

staff rotation times

Question 9

meds to prevent suicide

Answer 9

• SSRI
• sedative hypnotic anxiolytic (benzo)
• mood stabilizers (lithium)
• 2nd gen antipsychotics

Question 10

always use a ___ when the client answers w a negative

Answer 10

follow up Q

ex) r u think about suicide? No (neg) im just sad.
- i can see ur sad, are u thinking of hurting urself?

Question 11

limit the amount of time an at risk pt is…

Answer 11

alone

Question 12

biological factors

Answer 12

• low serotonin levels
• fam hx
• physical disorders (aids, cancer, cirrhosis)

Question 13

nursing self awareness

Answer 13

required to assess nursing bias to establish trust + rapport

Question 14

nursing teaching

Answer 14

• teach assertion
• instill hope w goal setting/planning
• brief frequent contacts
• sit w nonverbal pt
• allow crying
• express concern
• ID support system
• meds