Suicide

Question 1

what is suicide

Answer 1

the action of taking ones own life

Question 2

what is suicidal ideation

Answer 2

• people that suicidal thoughts
• related to inner pain, hopelessness, worthlessness
• having a plan of taking their life

Question 3

what are the risk factors for suicide

Answer 3

• history of suicide attempts
• persistent mental illness
• chronic medical illness
• status (divorced, single, indigenous, young adult)
• recent stressful event
• no support system
• sense of hopelessness
• substance use disorder
• impulsivity, aggression

Question 4

what are the protective factors of suicide

Answer 4

• positive support system
• personal or cultural beliefs
• dependent young children
• absence of mental disorders
• supportive relationship
• effective coping skills
• living close to medical and mental resources

Question 5

what is the ethology of suicide

Answer 5

neurobiology
genetic
psychosocial
cultural factors
societal factors

Question 6

what is the assessment

Answer 6

verbal and nonverbal clues
MSE
Lethality of the plan

Question 7

what are some non verbal behaviours

Answer 7

sudden brightening of the mood
obtaining weapons
isolating themselves
sudden interest in religion
writing letters to loved ones
organizing finances
giving away their things

Question 8

what are examples of overt statements

Answer 8

life isn’t worth living anymore
Everyone would be better of if I were dead

Question 9

what are examples of covert statements

Answer 9

I won’t be a problem much longer
nothing feels good to me anymore

Question 10

what is the sad persons scale

Answer 10

sex
age
depression
previous attempt
ethanol use
rational thinking
social support
organized plan
no spouse
sickness

Question 11

what are some examples of nursing diagnoses for suicide

Answer 11

risk for suicide
ineffective coping
hopelessness
social isolation
low self esteem

Question 12

what are the levels of interventions

Answer 12

primary
- activates that provide support, information, education
secondary
- treatment of the actual crisis
tertiary
- interventions with survivors and by individuals who died to reduce traumatic aftereffects

Question 13

what is the planning
- safety
- reduced suicidal behaviour
- no suicide contract

Question 14

what are short term outcomes

Answer 14

keep client alive and safe
verbalize need for help
identity their protective factors
express the will to live

Question 15

what are some intermediate outcomes

Answer 15

• maintain self control
• report increased coping
• report more emotional assistance
• set goals

Question 16

preventative confinement

Answer 16

72 hours

Question 17

temporary confinement

Answer 17

96 hours

Question 18

court authorized confinement

Answer 18

up to 21 days

Question 19

what are the levels of surveillance

Answer 19

discrete
- low risk
- low AWOL risk
- pjs
- may leave unit with family member or staff
- every 30 minutes check

strict
- moderate risk
- every 15 minutes
moderate AWOL risk
hospital gown
limited personal items
cannot leave unit

constant
- hight risk
- continual monitoring
- high AWOL risk
- hospital gown
- limited personal effects
- cannot leave unit

Question 20

what is nonsuicidal self injury

Answer 20

painful injuries to the body without taking ones life
- cutting
- skin picking
- hitting
- burning
- biting

most often for self punishment
- peaks at 20-29 years old
- happens due to other mental health illnesses, depression, anxiety, eating disorders, substance use disorders

Question 21

nursing assessments for NSSI

Answer 21

development of recovery plan
therapeutic relationship building
advanced nursing practice
assessment
treatment of the injuries