week 3: suicide risk assessment intervention and response to crisis Flashcards
what is self harm (addictive?)
self inflicted behaviour that causes harm or destruction to ones body
- can be addictive due to endorphin release
what is suicidal ideation
the thoughts, ideas, or feelings of ones experience about wanting to die, and/or wishing to relieve themselves of that emotional pain
what is a suicidal plan
the creation of a plan to end ones life (may be detailed/thought out or impulsive)
what is a suicidal attempt
behaviour that does not result in death but had the intention of dying
what is suicide death (examples of evidence)
fatal death as a result of self-inflicted behaviour
- must have evidence of intention to die
evidence
- note
- speaking to others
- online search history
active vs passive thoughts of suicide
active
- thinking about taking actions of ones life NEEDS a plan & intent
passive
- thoughts about wanting to die with NO plan or intent to act
what is lethal means restriction
reducing a suicidal persons access to highly lethal means
- restricting means gives them extra time to seek help and receive interventions
- ex: if someone tried to OD on meds, take them away
statistics regarding suicide (3 & strongest SDOH)
youth have a higher rate of suicide attempts
children rates are increasing
men are 3x more likely to die by suicide
two strongest SDOH for suicide: income, education
suicide prevention, what to note
focus on primary prevention, think UPSTREAM
suicide prevention - primary (what is it & 3 ex)
intervention before the health effects occur
- suicide screening
- informational campaigns
- reducing stigma
suicide prevention - secondary (what is it, 2 ex)
early identification and treatment of someone at risk of/living with a health affect
- ongoing suicide screening & risk formulation
- treating suicidality
suicide prevention - tertiary (what is it, 3 ex)
more likely in acute care, lessen the impact/progression of an ongoing health issue
- inpatient care after a suicide attempt
- suicide survivors support group
- suicide prevention improvements in health care system
risk factors for suicide - IS PATH WARM
ideation
substance use
purposelessness
anxiety/agitation
trapped
hopelessness/helplessness
withdrawal
anger
recklessness
mood change
what are protective factors
risk mitigators
- reasons to live, anything important to your client
- access to benefits/social supports
access to lethal means (importance, ex)
- many suicidal crises are short lived
- discuss what lethal means are available to them
- ex: work with family so that individual has less control over meds
suicide screening - 2 types
CSSRS - short screen
direct questions that assess
- ideation
- plan and intent
- behaviour
rating of low, moderate, high
CSSRS - lifetime
- assesses the patient’s lifetime history of suicidality
intervention (4)
- suicide risk assessment and formulation of risk
- safety planning (lethal means restriction)
- post vention (after suicide attempt/after suicide)
- immediate/imminent risk may necessitate inpatient admission (form under MHA)
