logging in or signing up Nursing week 2:Suicide rasardea Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 1129 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: March 08, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: asiaa (35 month(s) ago) please send me this presentation in my email, email@example.com. thanks a lot Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript 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 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.