Nursing week 2:Suicide

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By: asiaa (42 month(s) ago)

please send me this presentation in my email, asia-100933@hotmail.com. thanks a lot

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Etiology : 

3/8/2010 1 Etiology Suicidology is the scientific study of suicide www.suicidology.org 1-800-SUICIDE or 1-800-273-TALK Biologic Factors: serotonin Psychologic Factors: cognitive rigidity Sociologic Factors: alienation

Risk Factors : 

3/8/2010 2 Psychiatric Disorders – 90% comorbidity Mood Disorder (2/3 suicides) Schizophrenia Panic Disorder Age – 65 or older, 15 – 24 years old Gender, Ethnicity, Recent losses Suicide plan History of previous attempts Alcohol and other drugs Risk Factors

Suicide Assessment : 

3/8/2010 3 Suicide Assessment Risk Factors Lethality Assessment Imminence vs. Nonimminence Ideation vs. Intent Chosen Method and Accessibility

Five Levels of Suicidal Behavior : 

3/8/2010 4 Five Levels of Suicidal Behavior 1. Suicidal ideation 2. Suicide threats 3. Suicide gestures 4. Suicide attempts 5. Completed or successful suicides

Nurse Alert : 

3/8/2010 5 Nurse Alert Talking about suicide does not cause someone to be suicidal. Ask. A dramatic change in affect for the better may be an indication that the person has resolved ambivalence about suicide. Be Alert. Ask.

Assessment : 

3/8/2010 6 Assessment Determine risk factors Observe behavior of client History: suicide attempts, family Mental Status exam Physical exam ASK about suicidality

Warning Signs : 

3/8/2010 7 Warning Signs I Ideation S Substance Abuse P Purposelessness A Anxiety T Trapped H Hopelessness W Withdrawal A Anger R Recklessness M Mood Change Is Path Warm?

Nursing Diagnosis : 

3/8/2010 8 Primary Diagnosis Risk for suicide Risk for self-directed violence Secondary diagnoses may include: Ineffective coping Hopelessness Powerlessness Chronic low self-esteem Social isolation Disturbed thought processes Nursing Diagnosis

Safety : 

3/8/2010 9 Safety Outcome Identification – Client will remain safe and free from self harm Plan of Care Implementation – prevent harm, increase improved coping Deliberate, Conscientious Evaluation

Prognosis : 

3/8/2010 10 Prognosis Suicidal behavior is a treatable mental health problem Most suicidal individuals desperately want to live, they are just unable to see alternatives to their problems.

A suicidal client tells the nurse, “There is no other way out for me. I have so many problems that there’s nothing left to do.” Which statement by the nurse would be a helpful approach? : 

3/8/2010 11 A suicidal client tells the nurse, “There is no other way out for me. I have so many problems that there’s nothing left to do.” Which statement by the nurse would be a helpful approach? “I can see that things are bad. It’s good you recognize your limitations.” “Let’s look at the problem you consider most urgent to see if there’s a solution.” “We’ll begin problem solving together as soon as you stop feeling suicidal.” “Your thinking is depressed. We can teach you to think differently