Suicide and Nonsuicidal Self-Injury Flashcards
Suicidal Ideation (SI)
thinking about personal death, including the wish to be dead, considering methods of accomplishing death and formulating plans to carry the act out
Suicide
intentional act of killing oneself by any means
Suicide attempt
actually carrying out an act or acts with the intention of death, which may or may not be fatal
Completed Suicide
self-injurious acts committed by an individual results in death
Which psychiatric disorders makes someone more at risk?
- depression
- PTSD
- Anorexia
- Schizophrenia
- Substance use disorders
What assessment tool us used to screen for suicidal thoughts?
SAFE-T (Suicide Assessment Five-step Evaluation and Triage)
As a nurse what nonverbal behavioral clues should be alert for?
I should be alert if there a sudden brightening of mood with more energy esp. after recently prescribing antidepressants, giving away possessions, writing letters or organizing financial affairs.
What 3 main elements should I consider when evaluating lethality?
- is there a specific plan w/ details
- How lethal is the proposed method?
- Is there access to the planned method?
What are some nursing DX for a pt for suicide?
- Risk for suicide
- Self-care deficit
- Sleep pattern disturbance
- Alt. nutrition
- Anxiety
Nonsuicidal self-injruy
deliberate and direct attempts to inflict shallow, yet painful injuries to the surface of the body w/o intending to end one’s life
What is the book’s reason that people are self-injurious?
alleviate psychic pain or to pierce psychic numbness these individuals describe
What are some self-injury acts?
- cutting
- burning
- scraping/scratching skin
- biting
- hitting
- skin picking
What are some nursing Dx for self-injury acts?
- Self-mutilation
- Risk for self- mutilation
T/F/ ECT neither increases or decreases acute suicidal ideation
ECT decreases SI