Chapter 25: Suicide and Nonsuicidal Self-Injury

Question 1

What is the 10th leading cause of death in the United States?

Answer 1

Suicide

Question 2

What method is used to help aide with suicidal ideations?

Answer 2

QPR (Question, Persuade, Refer)

Question 3

Which age range has the highest rates of suicides?

Answer 3

45-54

Question 4

Which gender has more deaths and which ones have more attempts in relation to suicide?

Answer 4

males have more deaths and females have more attempts

Question 5

During which age range is suicide a leading cause of death?

Answer 5

15-24

Question 6

Which diagnoses are most commonly associated with suicide?

Answer 6

major depressive disorder, substance abuse, and psychosis

Question 7

Which percentage of individuals diagnosed with schizophrenia die by suicide within 10 years of receiving the diagnosis?

Answer 7

10%

Question 8

What percentage of those diagnosed with schizophrenia will attempt suicide at least once?

Answer 8

20%

Question 9

low _____ levels are typically seen in patients with suicidal ideations

Answer 9

serotonin

Question 10

What are the cognitive styles that contribute to the higher risk of suicide for some individuals?

Answer 10

rigid all-or-nothing thinking, inability to see different options, and perfectionism

Question 11

Which family characteristics have been linked to higher levels of suicide?

Answer 11

conflict within the family and neglect, low parental monitoring, and ACEs

Question 12

What are cluster suicides?

Answer 12

sometimes referred to as contagion suicides or copycat suicides and oftentimes occur after a the suicide of a relative, peer, idol, or public figure has died by suicide

Question 13

what are 7 of the most common factors contributing to death by suicide?

Answer 13

relationship problems, crisis in the past or upcoming 2 weeks, problematic substance abuse, physical health problems, job/financial problem, criminal legal problems, and loss of housing

Question 14

What is a suicide risk assessment based on?

Answer 14

identifying specific risk and protective factors, taking a psychosocial and health history and establishing a therapeutic relationship with the patient during the interview

Question 15

What is the assessment tool that is commonly used for suicide?

Answer 15

Suicide Assessment Five-Step Evaluation and Triage (SAFE-T)

Question 16

What are the three main elements to consider when evaluating the lethality of a suicide plan?

Answer 16

is there a specific plan with details?
How lethal is the proposed method?
Is there access to the planned method?

Question 17

What are examples of higher-risk, hard methods for suicide?

Answer 17

using a gun, jumping off a high place, hanging, poisoning with CO, staging a car crash

Question 18

What are examples of lower-risk lethal methods (aka soft methods)?

Answer 18

cutting wrists, inhaling natural gas, ingesting pills

Question 19

What is the nursing diagnosis with the highest priority?

Answer 19

risk for suicide

Question 20

What are some nursing diagnoses that address problems related to depressed mood, anxiety, mania, or disturbed thought?

Answer 20

self-care deficit, impaired sleep, impaired nutritional intake, anxiety

Question 21

What is a good outcome for a nursing diagnosis of risk for suicide?

Answer 21

decreased risk for suicide

Question 22

Which medication is used as treatment for bipolar disorder and major depressive disorder and significantly reduces suicide and suicide attempts?

Answer 22

lithium

Question 23

What is important to assess at the beginning of antidepressant therapy and why?

Answer 23

any signs of suicidal ideations, as patients now have the energy to commit suicide