suicide is…
- 2nd leading cause of death in you
- 3x higher for men (women make more attempts w less lethal routes)
why do ppl die by suicide?
- they can and they want to, Stigma,
what is suicide:
they killing of ones self in attempts to escape their reality of the feeling of entrapment.
the brain is not developed until…
ages 25-30yr/o
impulsivity occurs most in what age groups?
ppl ages 10=24
joiners theory?
-due to experiences both perceived burdensomeness & failed belongingness- loss of sense of social connection and increased isolation)
- people kill themselves because they can and they want to
bell lets talk 4 pillars:
anti-stigma, care & actress, research, workplace health
where in the brain does impulsivity affect:
prefrontal cortex, not fully developed until age 25-30
Facts of suicide?
feelings of suicide are often well hidden, most often those where there is no signs will commit suicide, those that “cry out” will show signs and are looking for help–> leaves room for intervention.
risk factors to commit suicide:
- suicide of same sexed parent, lack of goals for future, anxiety, depression, risky behaviours, giving away personal affairs, bullying/abuse
warning signs for suicide-pneumonic: American Association Suicidology?
“IS PATH WARM”
Ideation
S-ubstance abuse
P-urposelessness
A-nxiety
T-rapped
H-opelessness/Helplessness
W-ithdrawl
A-nger
R-ecklessness
M-ood changes
Risk assessment
Plan: do they have one? how much detail do they offer up.
Means: violent/passive (OD)?realistic?
Intent: do they expect to carry out the plan within the next few days-weeks
Future orientation: have plans for the future (weeks/months/years)
Protective factors:factors thatmight mitigate the risk of suicide
level of risk assessment: for low risk
- occasional ideation, mild intensity, not highly a lethal method, does not have access to means, specific plan is not considered
moderate level risk:
intermittent suicidal ideation, strong intensity, possibly lethal method, can get access to means, pt has considered details to a specific plan
high level risk:
continuous ideation frequency, overwhelming intensity, overwhelmingly lethal method, pt has immediate access, pt has details of a plan worked out
Assessment management for suicidal pt…
- engage the person in a plan for safety ex: attempt to disable the immediate plan
when can the police apprehend a pt?
- if pt is an immediate risk to themselves/others, can assist if they have a known hx of mental health disorder, showing lack of competence to care for self
Management:refusal of service
offer transport to hospital, complete aid to capacity/refusal of service, police witness of refusal conversation should be doc’d, if pt=going w the police after valid refusal; risk conversations can be held between.
