Chapter 25: Suicide and Nonsuicidal Self Injury Flashcards
suicidal ideation
thinking about killing oneself
suicide attempt
engaging in potentially self injurious behavior with the intention of death
suicide
intentional act of killing oneself by any means
nonsuicidal self injury
intentional damage to ones body tissue, without conscious suicidal intent, and for purposes not socially or culturally sanctioned
what is the proper terminology for dying from suicide
completed suicide
what can suicide attempt result in
death
injuries
no injuries
suicidal behavior tends to run in
families
Freuds thoughts
agression turned inward
menningers three parts to suicide hostility
wish to kill
wish to be killed
wish to die
Aaron beck thought central emotion is
hopelessness
why are teens at highest risk
due to immature prefrontal cortex
what are some environmental risk factors
family confilct
low parental monitoring
clusters of suicides
what are cluster suicides
copy cat
13 reason why
what are 2 types of statements we should be assessing for
overt and covert
overt statements
verbalized, gestures, facial expressions
covert statements
mental, invisible, cognitive, require interpretation
why is a sudden switch from sad to happy alarming
finally made decision and came to conclusion
what are the 3 questions we are going to ask to assess suicidality
- do you want to commit suicide
- do you have a plan
- what is your plan
- do you have access to that plan
“I can’t take it anymore”
“life isn’t worth living anymore”
“I wish I were dead
“everyone would be better if I died
overt
“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”
covert
covert behavioral clues
withdrawing
giving away prized possessions
suicide screening scale
SAD PERSONS scale
IS PATH WARM
regards to the plan, who is at the highest risk
people with definite plans for time, place, and means
hard vs soft methods
how quickly a person would die
quicker=hard
slower=soft
hard methods
gun, jumping off of high place, hanging, carbon monoxide poisoning, staging a car crash
soft methods
slashing ones wrists
inhaling natural gas
ingesting pills
priority diagnosis
risk for suicde
levels of intervention
primary
secondary
teritiary
primary intervention
activities that provide support, information, and education to prevent suicide
secondary intervention
treatment of the actual crisis
tertiary intervention
interventions with a circle of surviors led by individuals by individuals who competed suiide to reduce the traumatic affects
evaluation is
ongoign
placing a suicidal person in a controlled hospital environment can provide
structure and control
what do we treat with pharmacological or brain stimulation
underlying cause
for someone who self harms what do we ask
what is used and when last done
assessment
importance of empathy
help pt identify triggers
when we are caring for self harm injuries
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
