exam ii: ch25 - suicide and nonsuicidal self injury

Question 1

what is the more appropriate term to describe passing away d/t self harm

Answer 1

“died by suicide” NOT “committed suicide”

Question 2

why do more men die by suicide but more women attempt?

Answer 2

men pick more lethal ways

Question 3

what is the Healthy People goal by 2025

Answer 3

reduce annual suicide rate by 20%

Question 4

what is the demographic with the highest rate of suicide

Answer 4

white, non-hispanics

Question 5

intentional ending of one’s own life

Answer 5

suicide/completed suicide

Question 6

all willful, self-inflicted, life-threatening attempts that have not led to death

Answer 6

suicide attempt

Question 7

thinking of self harm

Answer 7

suicidal ideation

Question 8

what are the 3 questions you must ask during assessment of pt

Answer 8

1. do you have thoughts of killing yourself
2. do you have a plan
3. do you have a means

Question 9

statements such as “i can’t take it anymore, life isn’t worth living, i wish i were dead”

Answer 9

overt statements

Question 10

statements such as “ts okay now everything will be fine. It won’t be a problem for much longer. I want to give my body to science”

Answer 10

covert statement

Question 11

what are cluster/copycat suicides and at what age is it the most common?

Answer 11

occur closer together in time and space than normally expected in a community

more common in adolescents

Question 12

risk factors: substance abuse, aggression, isolation, disruptive behaviors, depression, social isolation

Answer 12

strongest risk factors for adolescent/young adult suicide

Question 13

what questionnaire is used to determine suicide risk?

Answer 13

columbia suicide severity rating scale (c-ssrs) tool

Question 14

explain the 6 step protocol for suicidal patient

Answer 14

1. safe env
2. document activity q15min, 1:1 monitoring
3. record all interventions
4. observation
5. verbal/written no suicide contract
6. encourage expression of feelings

Question 15

at what age does non-suicidal self injury peak at?

Answer 15

late adolescence

Question 16

when is the risk of suicide the highest when first administering antidepressant? why?

Answer 16

first 7-14 days bc activating energy of previously apathetic people