Suicide/prevention Flashcards
Clients are often what about death when suicidal
Ambivalent
Consider relious beliefs and cultrual influence surounding suicde
Can help and make them ambivalent
Myths about suicide (6)
People who talk about suicide dont actually do it
People who are suicidal only want to hurt themselves
You cannot help them if they truly wanna do it
If you ask about it this will lead them to do it
Ignoring it or challege them to do it then they will stop threatening
They just want attention
females suicide (EXAM)
RF
Attempt more frequently
Less violent (take pills
Adolescent
Midddle
And older adult MALES (EXAM)
RF
More likely to actually do it
Other RF
Active military
LGBTQ
Comorbid mental illness:
-depression, substance abuse, schizophrenia, bipolar, personality
Older adult clients are a RF bc (7)
Untreated depression
Loss of employment
Feeling of isolation
Prior attempt
Change in functional ability
Etoh/substance use
Loss of loved one
Biological RF
family hx
Physical disorders:
Aids,CA, CV disease, stroke, CKD, cirrhosis, dementia, epilepsy, head injury, huntingtons, MS
Psychosocial RF
Hopelessness
Intense emotions
Poor interpersonal relationships
Developmental stressors (post partum depression, highschool-college)
Cultural RF (EXAM)
American indian
Alaskan native ethic groups
Have highest risk of suicide
Environmental RF
Access to lethal methods
Lack of access to mental health care
Unemployment
Protective factors
Feeling responsibility toward partner/child
Current pregnancy
Religion/cultrue (EXAM)
Satisfaction with life
Adequate social support
Coping and problem solving skills
Access to medical care
Expected findings with SI
Verbal/nonverbal clues
Ask if their thinking about suicide
Assess with a scale
Comments can be overt or covert (EXAM)
Physical signs (scratches/cuts)
Overt vs covert
Overt (i want to kill myself)
Covert (it will all be over soon) (not directly saying it)
How to assess the clients suicide plan (EXAM)
Do they have a plan
Lethality
Can they describe the plan
Access
Mood changes
Nursing care:
Primary
Secondary
Tertiary interventions
Primary: community wide
Secondary: more personalized (1:1sitter, temp hold)
Tertiary: after effect (how to prevent it later)
If they say they want to commit suicide what always happens (EXAM)
Admitted
On hold
Loses right to make decisions
1:1 sitter
Suicidal precautions
1:1 sitter
Documentation: location/mood/statements/bahaviros q15mins
Increased risk with antidepressants (EXAM)
Search belongings
Eating utensils
Hands visible
Cheeking (check if they swallowed meds)
perscribed meds can be potential OD if they save them
Visitor restrictions
Self assessment of our selves
How we feel
Comfort asking about suicide
Previoud experiences with suicide
Benefits from:
Debriefing, sharing, collaboration
Meds
SSRI
Know all names:
Citropram
Escitropram
Sertraline
Fluvoamine
Fluoatine
Paroxetine
Decrease risk of lethal OD
Dont stop abruptly
Takes time to work
*monitor increased depression/intent of suicde)
Meds:
Lithium
Benzodiaepines
2nd gen antipsychotics
Lithium (protective against suicide, manic depression)
Benzos(alieve anxiety and combative behavior)
2nd gen (fast acting, manic, shizophrenia)
Other forms of tx
Therapeutic commuication
ETC (shock therapy)
Support system
No suicide contract (agree to not commit suicide)
Care after discharge
Agree to no-suicide contract
Support system addressed
Provide support service info
