Lithium & Suicide Flashcards
Is the intentional act of killing oneself
Suicide
Suicidal thoughts are common in people with _____ Disorder; because they can swing back and forth between Mania & Depression (especially)
Mood Disorder
In the US, Men commit approx ____% of Suicide which is roughly 3 times the rate if Women, although Women are four times more likely than men to attempt Suicide
72%
The higher suicide rate for ____ are partly the result of the method chosen (e.g. Shooting, Hanging, Jumping from a high building)
Men
Usually ordered as a baseline data and every 6 mos. during treatment; Assessment of Renal Status
Thyroid Function Test
What are the Conditions of Clients who are at an increased risk for Suicide (give at least 3; there are 6 identified)
- Depression
- Bipolar Disorder
- Schizophrenia
- Substance Abuse
- Post Traumatic Stress Disorder
- Borderline Personality Disorder
Identified Medical Problems associated with Suicide (give at least 2; there are 4 total);
Commonly Terminally Ill Patients
- HIV / AIDS
- Diabetes
- Cerebrovascular Accidents
- Head and Spinal Cord Injury
Identified Environmental Factors that increase the Risk for Suicide, give at least 3 (there are a total of 6)
- Isolation
- Recent Loss
- Lack of Social Support
- Unemployment
- Critical Life Events
- Family Hx of Depression or Suicide
Identified Behavioral Factors that increase Suicide Risk (there are 2 identified)
- Impulsivity
- Erratic or Unexplained changes from Social Behavior and Unstable Lifestyle
What disorder involves Impulsivity as a Significant Change in Behavior?
Bipolar Disorder
This term refers to thinking about killing oneself
Suicidal Ideation
Is when a person thinks about and seek ways to commit suicide;
Considered More Lethal
ACTIVE Suicidal Ideation
Is when a person thinks about wanting to die or wishes they were dead but has no plans to cause their death
PASSIVE Suicidal Ideation
Is a suicidal act that either failed or was incomplete
Attempted Suicide
Give at least 1 possible reason as to why an Attempted Suicide resulted to an Incomplete Suicide Attempts having the Act Unfinished
- Someone recognized the Suicide Attempt as a cry for hemp and responded
- The person was discovered and rescued
The most preferred Treatment Modality for Patient who suddenly became Suicidal; other alternatives if not available, please include;
ECT;
As standard practice, Medications with Prescribed Appropriate Type of Therapy
Hx of _________ increases Risk for Suicide (Assessment)
Hx of Previous Suicide Attempt
The 1st _______ Years after an attempt represent the higher risk period, especially the 1st ______ Months
Higher Risk Period:
1st 2 Years after an attempt;
Especially the 1st 3 Months
Those with Relative who Committed Suicide are at Increased Risk because the Relative Suicide offers a Sense of _______/_______ of Suicide as a method of escaping difficult situations
Relative Suicide offers a Sense of Permission/Acceptance of the Suicidal Act
Relative Suicide were believed to contribute to _________ Suicides by Teenagers who are greatly influenced by their Peers’ Action.
Copycat Suicides
People with ______ Ideation lack the energy to Implement the _______
People with Suicidal Ideation lack the Energy to Implement the Suicide Plan
Term in Assessment Phase that refers to People with Suicidal Ideation that send either Direct or Indirect Signals to others about their intent to harm themselves
Warnings of Suicidal Intent
What signs/indications that the Patient with Suicidal Ideation are showing Warning Signs of Suicidal Intent?
- Where and When does the Client intend to Carry Out the Plan?
- Is the intended time a special date or anniversary that has meaning for the client?
Signs of Risky Behaviors
- Few people give bo Warning Signs
- Some artfully hide their distress and suicide plans
Lethality Assessment
- Does the client have a plan, if so, what is it?; Is the plan Specific?
- Are the means available to carry out this plan?
- If the client carries out the plan, is it likely to be lethal?
- Has the client made preparations for death? Such as giving away prized possessions, writing a suicide note, or talking to friends one last time
Identified Interventions for Patients with Suicidal Intent (there are 4 identified)
- Using an authoritative role
- Providing a safe environment
- Initiating a no suicide contract
- Creating a support system list
Family Response of Patients with Suicidal Intent
Suicide is the ultimate rejection of family and friends
Nurse Response for a Patient with Suicidal Intent;
Nurse Attitude must indicate Unconditional ________ Regard not for the act But for the ______ and their desperation.
Unconditional Positive Regard for the Patient and their desperation
Nurse Response for a Patient with Suicidal Intent;
The ideas or attempts are serious signals of a Desperate _______ State.
The nurse must convey the Belief that the person can be ______ and can ______ and ______
The Ideas or Attempts are serious signals of Desperate Emotional State
The Nurse must convey the Belief that the Patient can be HELPED, can GROW and CHANGE
Legal and Ethical Consideration for Care of Patients with Suicidal Tendencies
RESERTS
Self Awareness for Care of Patients with Suicidal Tendencies
RESERTS
