Violence (Suicide) Flashcards
what would you use to assess for suicide risk?
Engages in self destructive behavior
Verbalizes intent
Expresses a need to have an ‘out’ readily available
Recent loss or crisis
Social and personal supports and resources
Current medical status - chronic or terminal illness
Demographic or historical data
Age
Sex
Living Arrangements
Family Hx of Suicidal behavior
What is the prevalence and comorbidity of suicide?
55-64 y.o. - 8th cause
11th leading cause of death (all ages) Adolescents - fastest growing group, 3rd cause of death 25-34 y.o. - 2nd cause 35-44 y.o. - 3rd cause 55-64 y.o. - 8th cause
What are some cognitive or sensory risks for suicide?
Delusions
Hallucinations - command?
Symptoms of depression
Expressions of hopelessness, helplessness
i.e. Things will be ok soon. = covert meaning
What does the acronym SIGECAPS stand for?
Sleep Interest Guilt Energy Concentration Appetite Psychomotor retardation/agitation Suicidal ideation
Why should you be concerned if your pt who is on recent antidepressant therapy becomes energized?
They may now have the energy to go through with suicidal thoughts.
Nursing goals for Suicidal Patient?
Pt will remain safe (time period)
Pt will identify one alternative to suicide that they will take if suicidal thoughts occur. (suicide contract, coping mechanisms)
What are some interventions for a suicidal patient?
-encourage establishment of a ‘no suicide’ contract
-assist with decision making until pt can manage
-provide opportunity to express anger constructively
-provide pt education about:
Problem solving
coping skills
resources to call for help
assertiveness
How do you evaluate goals for the suicidal patient?
Evaluate if goal for safety has been met
Evaluate if patient is able to:
- Carry out ADLs
- Focus on others rather than just self
- Make decisions
- Ask for help when needed
- Identify sources of anger
- Discuss ways problems may be solved
- Verbalize hope for the future
