suicide and non suicidal self injury

Question 1

suicide

Answer 1

intentional act of killing oneself by any means

Question 2

suicidal ideation

Answer 2

thinking about killing oneself

Question 3

completed suicide

Answer 3

success in completing suicide

Question 4

no suicidal self injury

Answer 4

self directed to surface of body for relief

Question 5

suicide rates higher in

Answer 5

MDD
other psych problems
kids –> social media
active duty, veterans
men

Question 6

2:2:2 rule

Answer 6

2 days before admission, 2 days in the hospital, 2 days after discharge

Question 7

risk factors

Answer 7

male 4x more likely (female poison, man firearm)
age –> 50+ 75+ common
high stress job
poor physical health
lethal plan
loss (break up, death, failure, financial difficulties, bullying)
previous attempt
hx of suicide in the family
substance abuse
mood disorder (depression, BD)
access to means (gun in home)
swapping of means
hx of trauma/ abuse

Question 8

self assessment: health professionals

Answer 8

fear guilt, grief, puzzlement, condemnation of suicidal feeling/intent
acknowledge feelings to team to avoid countertransference

Question 9

application of nursing Process diagnosis

Answer 9

risk for suicide
self care deficit
sleep pattern disturbances
altered nutrition
anxiety

Question 10

application of nursing Process outcome identification

Answer 10

not suicide :)

Question 11

application of nursing Process Planning

Answer 11

1. limit setting for safety
2. developing self esteem
3. discovery of motive and its role
4. discovery self control
5. replacement with coping skills
6. entering maintenance phase

Question 12

application of nursing Process primary intervention

Answer 12

suicide education and prevention
question persuade refer
safety plan (suicide watch –> arms length)

Question 13

application of the nursing process psychobio interventions

Answer 13

meds
safety and teamwork
health teaching and promotion
case management
documentation of care
prevention for survivors

Question 14

environmental safety guidelines

Answer 14

use and count plastic utensils
no privacy
jump and hang proof
lock doors to non patient areas
monitor gifts and get rid of harmful ones
in patients presence assess belongings

Question 15

Nonsuicidal self injury risks

Answer 15

family depression
LGBT
BPD
anxiety
substance abuse

Question 16

questions to ask

Answer 16

have you ever felt life was not worth living
have you been thinking of death recently
do you think of suicide
have you attempted
do you have a plan? what is it?

Question 17

lethality high (hard methods)

Answer 17

gun
jump off high place
hanging
poisoning with carbon dioxide
staging a car crash

Question 18

lethality low (soft)

Answer 18

cutting
inhaling natural gas
ingesting pills