Suicide/prevention Flashcards

1
Q

Clients are often what about death when suicidal

A

Ambivalent

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2
Q

Consider relious beliefs and cultrual influence surounding suicde

A

Can help and make them ambivalent

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3
Q

Myths about suicide (6)

A

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

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4
Q

females suicide (EXAM)

A

RF

Attempt more frequently

Less violent (take pills

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5
Q

Adolescent
Midddle
And older adult MALES (EXAM)

A

RF
More likely to actually do it

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6
Q

Other RF

A

Active military
LGBTQ
Comorbid mental illness:
-depression, substance abuse, schizophrenia, bipolar, personality

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7
Q

Older adult clients are a RF bc (7)

A

Untreated depression

Loss of employment

Feeling of isolation

Prior attempt

Change in functional ability

Etoh/substance use

Loss of loved one

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8
Q

Biological RF

A

family hx

Physical disorders:
Aids,CA, CV disease, stroke, CKD, cirrhosis, dementia, epilepsy, head injury, huntingtons, MS

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9
Q

Psychosocial RF

A

Hopelessness
Intense emotions
Poor interpersonal relationships
Developmental stressors (post partum depression, highschool-college)

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10
Q

Cultural RF (EXAM)

A

American indian

Alaskan native ethic groups

Have highest risk of suicide

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11
Q

Environmental RF

A

Access to lethal methods
Lack of access to mental health care
Unemployment

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12
Q

Protective factors

A

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

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13
Q

Expected findings with SI

A

Verbal/nonverbal clues
Ask if their thinking about suicide
Assess with a scale

Comments can be overt or covert (EXAM)

Physical signs (scratches/cuts)

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14
Q

Overt vs covert

A

Overt (i want to kill myself)

Covert (it will all be over soon) (not directly saying it)

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15
Q

How to assess the clients suicide plan (EXAM)

A

Do they have a plan

Lethality

Can they describe the plan

Access

Mood changes

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16
Q

Nursing care:
Primary
Secondary
Tertiary interventions

A

Primary: community wide

Secondary: more personalized (1:1sitter, temp hold)

Tertiary: after effect (how to prevent it later)

17
Q

If they say they want to commit suicide what always happens (EXAM)

A

Admitted
On hold
Loses right to make decisions
1:1 sitter

18
Q

Suicidal precautions

A

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

19
Q

Self assessment of our selves

A

How we feel

Comfort asking about suicide

Previoud experiences with suicide

Benefits from:
Debriefing, sharing, collaboration

20
Q

Meds
SSRI

A

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)

21
Q

Meds:
Lithium
Benzodiaepines
2nd gen antipsychotics

A

Lithium (protective against suicide, manic depression)

Benzos(alieve anxiety and combative behavior)

2nd gen (fast acting, manic, shizophrenia)

22
Q

Other forms of tx

A

Therapeutic commuication
ETC (shock therapy)
Support system
No suicide contract (agree to not commit suicide)

23
Q

Care after discharge

A

Agree to no-suicide contract

Support system addressed

Provide support service info