Self harm and suicidal behaviours

Question 1

What is self harm behaviours?

Answer 1

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.

Question 2

What is suicidal ideation and intent?

Answer 2

Thoughts, ideas, feelings that person will experience when they want to die (could be intermittent or all the time).

Question 3

Suicide plan?

Answer 3

They can plan the time, circumstance, how, methods.

Question 4

Suicide attempt?

Answer 4

When they actually try to commit suicide.

Question 5

Suicide behaviours/sucide?

Answer 5

Self inflicted acts which dominant want is death.

Question 6

Some effects of suicide?

Answer 6

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.

Question 7

What is lethality?

Answer 7

Likelihood that death will occur as a result of means used to attempt suicide.

Question 8

Lethality rate of violent suicide attempts?

Answer 8

High lethality acts- use most lethal means to achieve death

Question 9

Lethality rate of serious suicide acts?

Answer 9

Moderate lethality acts- use nonviolent means/require intensive care

Question 10

What is risk/rescue ratio?

Answer 10

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

Question 11

Risk factors ratio?

Answer 11

Method, impaired consciousness, required medical treatment, toxicity

Question 12

Rescue factors?

Answer 12

Location, rescue person, probability for discovery, time, accessibility to rescue.

Question 13

What are biological theories for suicide?

Answer 13

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.

Question 14

Psychological theories?

Answer 14

Opportunities to recognize and interpret human development, early childhood experiences, learned responses and defense mechanisms, personality, sexuality, and thoughts, emotions, and behaviours

Question 15

What is the interpersonal theory of suicide?

Answer 15

Explores how individuals feel belonging, burden, desire to die,

Question 16

Social theories?

Answer 16

Say suicide is desires to estrange oneself from the world- to isolate/withdraw permanent.

Question 17

What is hopelessness?

Answer 17

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.

Question 18

What is helplessness?

Answer 18

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.

Question 19

What is powerlessness?

Answer 19

Perception of having a state of character without power, influence, or control over ones life cirucmstance. Feel that world will never be fair.

Question 20

What to assess for risk for suicide?

Answer 20

Having a current plan. method and access, protective factors/resources/support, assessment and reassessment, documentation .

Question 21

Interventions for biologic domain?

Answer 21

Ensure safety- effective communication, security, restraints/seclusion. Med therapy.

Question 22

Which province has the highest suicide rate?

Answer 22

Quebec

Question 23

Risk factors for suicide?

Answer 23

Grief, loss, unemployment, recent stressful life event, family dysfunction, mental illness, substance use, and previous attempts.

Question 24

True or false: suicide is strongly associated with mood disorders (mainly depression)

Answer 24

True