Chapter 4

Question 0

What are some clues or symptoms that someone may be suicidal?

Answer 0

Giving this away
Writing a will 
Being preoccupied with death
Recent death of a friend or relative
Feeling worthless, hopeless
Increase drug and alcohol use
Displaying psychotic behavior
Verbal hints 
Living alone
Being isolated

Question 1

What is suicidal ideation?

Answer 1

It often results when a client feels totally overwhelmed because of his or her perception of a variety of precipitating events.

Question 2

What is the purpose of a suicide assessment?

Answer 2

Assessing for signs of suicide and the risk level. The more signs and symptoms there are the higher the risk

Question 3

What is the SIS-MAP?

Answer 3

Scale for Impact of Suicidality Management, Assessment and Planning of Care

Question 4

What are low risk suicidal clients?

Answer 4

Clients that have never tried suicide, have adequate support systems.

Question 5

What are middle risk suicidal clients?

Answer 5

A client that has theatre end to kill themselves, they may need to be hospitalized. A no-suicide contract is commonly used. And a suicide watch by family or friends is put in place.

Question 6

What is a high risk suicidal client?

Answer 6

They are usually very depressed and angry, have tried suicide before, and lack support from loved ones. If pressed will admit to having a plan and the means for killing themselves.
Hospitalization becomes necessary

Question 7

What is PET?

Answer 7

Psychiatric Emergency Team

Question 8

What is SMB and NSSI?

Answer 8

Self Mutilative Behavior- deliberately damaging ones own body tissue without suicidal intent

Non suicidal self injury

Question 9

What is the criteria to consider when considering whether someone fits an NSSI syndrome?

Answer 9

1. Engaging five or more self-inflicted injuries to the body to induce bleeding or pain with a sense of suicidal intent.
2. At least two of the following feelings: negative feelings and thoughts, period of preoccupation with the intended behavior that is difficult to resist.
3. Behavior causes impairment or dysfunction,
4. Behavior does not occur during state of psychosis, delirium, or intoxication.

Question 10

What is a psychotic decompensation?

Answer 10

It is a state of active delusions and hallucinations during which the person is out of touch with reality.

Question 11

What is a mental status exam?

Answer 11

Is a formal assessment tool that AIDS in determining if someone is psychotic and therefore gravely disabled, a danger to self or others.