Suicide and Self Harm

Question 1

Treatment Plan

Answer 1

• Help the client understand their reaction to a crisis as normal and temporary.
• Selectively choose and use appropriate approaches to action planning.
• Modify or eliminate past coping skills so they don’t interfere with your current plan of attack.
• Create a contract or have the patient sign a treatment plan so you are both on the same page.
• Identify useful referral resources.
• Use 3 basic approaches:
  1. start by being non-directive-let the patient tell you why he/se has come to you
  2. be collaborative-work together on a joint plan
  3. Be directive-if the person does not or will not make a plan.

Question 2

Goals

Answer 2

• Main focus is on restoring a client’s equilibrium or baseline functioning.
• Assist the client in developing new coping mechanisms to deal with the immediate crisis and any future dificulties.
• Assist the client in developing problem-solving skills
• Assist client in mobilizing social supports and services.

Question 3

Termination

Answer 3

• Review progress
• Review resources and support system
• Schedule a follow-up session

Question 4

What are some risk factors for suicide and self-harm

Answer 4

Recent loss of spouse, friends, job
person conveying hopelessness #1 emotional signal for S/I
elderly
depression
Hx of attempts-could be borderline personality disorder.

Question 5

If pt has a plan and a means for S/I what intervention do you use.

Answer 5

Assess for 5150-involuntary 72 hour hold. Consider voluntary hospitalization first if clt refuses then opt for involuntary.

Question 6

Why do self cutters, cut?

Answer 6

often to regulate boredom, are not suicidal.