Self harm and suicidal behaviours Flashcards
What is self harm behaviours?
Self inflicted active destruction of body tissues- hit, scratch, cut, burn, insert objects into body, involves self neglect (not eating food or taking meds), and is a sign of psychological distress.
What is suicidal ideation and intent?
Thoughts, ideas, feelings that person will experience when they want to die (could be intermittent or all the time).
Suicide plan?
They can plan the time, circumstance, how, methods.
Suicide attempt?
When they actually try to commit suicide.
Suicide behaviours/sucide?
Self inflicted acts which dominant want is death.
Some effects of suicide?
Stigma, survivors of suicide loss, settings where nurses work with people with suicidal ideations (could be anywhere). Lived experiences of suicidality, economic costs of suicide.
What is lethality?
Likelihood that death will occur as a result of means used to attempt suicide.
Lethality rate of violent suicide attempts?
High lethality acts- use most lethal means to achieve death
Lethality rate of serious suicide acts?
Moderate lethality acts- use nonviolent means/require intensive care
What is risk/rescue ratio?
Refers to the potential for death/evaluate lethality, risk factors, rescue factors. Risk is low when intention is weak/method used has low lethality. R
Risk factors ratio?
Method, impaired consciousness, required medical treatment, toxicity
Rescue factors?
Location, rescue person, probability for discovery, time, accessibility to rescue.
What are biological theories for suicide?
Recognize and interpret physiologic, neurological, and hormonal changes. Mental illness is primary reason for majority of death by suicide. Suicide is higher in families in which suicide has already occurred.
Psychological theories?
Opportunities to recognize and interpret human development, early childhood experiences, learned responses and defense mechanisms, personality, sexuality, and thoughts, emotions, and behaviours
What is the interpersonal theory of suicide?
Explores how individuals feel belonging, burden, desire to die,
Social theories?
Say suicide is desires to estrange oneself from the world- to isolate/withdraw permanent.
What is hopelessness?
Perception of having no hope that one’s life situation/circumstance will ever change/improve. Characterized by feeling inadequate and inability to act on ones own behalf.
What is helplessness?
Perception that one has limited ability, motivation, or ambition to change their life situations. Characterized by sense of being unable to help oneself/sense that there is a lack of support/protection from others.
What is powerlessness?
Perception of having a state of character without power, influence, or control over ones life cirucmstance. Feel that world will never be fair.
What to assess for risk for suicide?
Having a current plan. method and access, protective factors/resources/support, assessment and reassessment, documentation .
Interventions for biologic domain?
Ensure safety- effective communication, security, restraints/seclusion. Med therapy.
Which province has the highest suicide rate?
Quebec
Risk factors for suicide?
Grief, loss, unemployment, recent stressful life event, family dysfunction, mental illness, substance use, and previous attempts.
True or false: suicide is strongly associated with mood disorders (mainly depression)
True
