Chapter 25: Suicide and Nonsuicidal Self Injury

Question 1

suicidal ideation

Answer 1

thinking about killing oneself

Question 2

suicide attempt

Answer 2

engaging in potentially self injurious behavior with the intention of death

Question 3

suicide

Answer 3

intentional act of killing oneself by any means

Question 4

nonsuicidal self injury

Answer 4

intentional damage to ones body tissue, without conscious suicidal intent, and for purposes not socially or culturally sanctioned

Question 5

what is the proper terminology for dying from suicide

Answer 5

completed suicide

Question 6

what can suicide attempt result in

Answer 6

death
injuries
no injuries

Question 7

suicidal behavior tends to run in

Answer 7

families

Question 8

Freuds thoughts

Answer 8

agression turned inward

Question 9

menningers three parts to suicide hostility

Answer 9

wish to kill
wish to be killed
wish to die

Question 10

Aaron beck thought central emotion is

Answer 10

hopelessness

Question 11

why are teens at highest risk

Answer 11

due to immature prefrontal cortex

Question 12

what are some environmental risk factors

Answer 12

family confilct
low parental monitoring
clusters of suicides

Question 13

what are cluster suicides

Answer 13

copy cat
13 reason why

Question 14

what are 2 types of statements we should be assessing for

Answer 14

overt and covert

Question 15

overt statements

Answer 15

verbalized, gestures, facial expressions

Question 16

covert statements

Answer 16

mental, invisible, cognitive, require interpretation

Question 17

why is a sudden switch from sad to happy alarming

Answer 17

finally made decision and came to conclusion

Question 18

what are the 3 questions we are going to ask to assess suicidality

Answer 18

1. do you want to commit suicide
2. do you have a plan
3. what is your plan
4. do you have access to that plan

Question 19

“I can’t take it anymore”
“life isn’t worth living anymore”
“I wish I were dead
“everyone would be better if I died

Answer 19

overt

Question 20

“its okay, soon everything will be fine”
“things will never workout”
“I won’t be a problem much longer”
“Nothing feels good to me anymore and probably never will”
“how can I give my body ti medical science”

Answer 20

covert

Question 21

covert behavioral clues

Answer 21

withdrawing
giving away prized possessions

Question 22

suicide screening scale

Answer 22

SAD PERSONS scale

IS PATH WARM

Question 23

regards to the plan, who is at the highest risk

Answer 23

people with definite plans for time, place, and means

Question 24

hard vs soft methods

Answer 24

how quickly a person would die
quicker=hard
slower=soft

Question 25

hard methods

Answer 25

gun, jumping off of high place, hanging, carbon monoxide poisoning, staging a car crash

Question 26

soft methods

Answer 26

slashing ones wrists
inhaling natural gas
ingesting pills

Question 27

priority diagnosis

Answer 27

risk for suicde

Question 28

levels of intervention

Answer 28

primary
secondary
teritiary

Question 29

primary intervention

Answer 29

activities that provide support, information, and education to prevent suicide

Question 30

secondary intervention

Answer 30

treatment of the actual crisis

Question 31

tertiary intervention

Answer 31

interventions with a circle of surviors led by individuals by individuals who competed suiide to reduce the traumatic affects

Question 32

evaluation is

Answer 32

ongoign

Question 33

placing a suicidal person in a controlled hospital environment can provide

Answer 33

structure and control

Question 34

what do we treat with pharmacological or brain stimulation

Answer 34

underlying cause

Question 35

for someone who self harms what do we ask

Answer 35

what is used and when last done

Question 36

assessment

Answer 36

importance of empathy
help pt identify triggers

Question 37

when we are caring for self harm injuries

Answer 37

this is not the time to ask
you want to be cut and dry in this case because if you are not this could reinforce the behavior