Chapter 21 - Suicide Prevention Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Suicide is the #2 cause of death in what age group?

A

Adolescents

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2
Q

Suicide

A

Voluntary act of killing oneself, a fatal, self inflicted destructive act with explicit/inferred intent to die

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3
Q

Suicidality

A

A suicide related behaviors and thoughts of completing/attempting suicide and suicidal ideation

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4
Q

Suicidal Ideation

A

Thinking about and planning one’s own death

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5
Q

Parasuicide

A

Voluntary apparent attempt at suicide, the aim is not death

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6
Q

Suicide Attempt

A

Nonfatal, self-inflicted destructive act with explicit/implicit intent to die

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7
Q

Lethality

A

The probability that a person will successfully complete suicide (The Plan)

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8
Q

If the nurse refers to a pt.’s lethality as being soft what does this mean?

A

A soft lethality could be an overdose

Anything that a nurse can treat to help bring the pt. back

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9
Q

If the nurse refers to a pt.’s lethality as being hard what does this mean?

A

Ex. gunshot or jumping off a bridge

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10
Q

Attempted Suicide rates are higher in what population?

A

Adolescents

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11
Q

Completed suicide rates are higher is what population?

A

Older white males

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12
Q

Risk factors for suicide

A
Mental illness (new diagnosis)
Psychological - distress, low self-esteem, childhood physical and sexual abuse
Social isolation
Being male
Sexual identity
Being white
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13
Q

Spirituality is a __ factor

A

Protective factor

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14
Q

The most common mental illness that leads to suicide

A

Depression

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15
Q

Severe childhood trauma can change a child to be what type of personality? Relation to suicide?

A

Type D personalities are more at risk for suicide

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16
Q

Suicide contagion

A

Social exposure to suicide is associated with an increased personal risk for suicidal behavior

17
Q

A pt comes into the ER and is having a suicidal thoughts. Priority action

A

Admit to inpatient
Suicide precautions
Do not leave them alone - can be delegated

18
Q

Reassurance

A

Good

“You are in a safe unit in the hospital. You are safe”

19
Q

False reassurance

A

Bad

“Everything is going to be okay”

20
Q

Warning signs of suicide

A
Ideation
Substance abuse
Purposelessness
Anxiety, agitation
Trapped 
Hopelessness
Withdrawal
Angry, rage
Recklessness
Mood change
21
Q

Risk Assessment the nurse should do to assess for suicide ideation

A

Ask: identification of suicide ideation
Plan: Do they have a plan?
Intent: Determine the severity of the intent
Means: Evaluate the available means

22
Q

Most effective interventions to reduce suicide behaviors

A

Meds + Therapy

23
Q

Biological interventions

A

Physical care of self inflicted injuries
Med management
Electroconvulsive therapy (last resort)

24
Q

Psychological interventions

A

Challenging the suicidal mindset
Developing new coping strategies
Committing to Tx

25
Q

Social Interventions

A

Social skills training
Development of support networks
Stigma reduction

26
Q

Important documentation points

A

Use of drugs, alcohol, prescriptions, and herbs
Level of Pt. judgement
Prescribed meds, dose, and # of pills dispensed