Purple
Examples of verbalized threats to commit suicide
What are: "I'm going to kill myself", "I wish I were dead", 'My family would be better off without me", "The only way out for me is to die", "It's just too much for me to put up with", "Nobody needs me anymore" ?
Protective factors, against suicide or violence
What are effective and appropriate clinical care for -mental -physical and substance use disorders, easy access to a variety of clinical interventions and support, restricted access to highly lethal methods, family and community support, learned coping and stress reduction skills, cultural and religious beliefs that discourage suicide and support self-preservation?
The response a client has to an extremely negative event
What is Truama?
To assess for risks of clients assessments must include
What are: examining risk and protective factors, as well as presence of behavioral warning signs?
Risk Factors of Violence
Youth who are violent before 13, (most highly aggressive children or children with behavioral disorders don't become serious violent offenders), serious violence is associated with -drugs -guns and other risky behaviors, involvement with delinquent peers & gang membership= two most powerful predictors of violence?
Trauma be also difficult for them
Who are those that are close to the client?
Behavioral warning signs of Violence
What are drug and alcohol use, marked personality changes, angry outbursts, preoccupations with killing, -war -violence -weapons etc., isolation from others, obtaining guns or other legal methods?
Risk assessments should include examining
What are: -frequency -intensity -duration of suicidal or violent thoughts, access to or availability of method/s, ability or inability to control suicidal/violent thoughts, factors making a client feel better or worse, consequences of actions, deterrents to acting on thoughts, whether client has used drugs or alcohol to cope, measure a client needs to maintain safety?
Effective programs combine addressing both individual risk and environmental conditions, building individual skills and competencies, changes in peer groups, interventions that target change in social context, effective and appropriate clinical care for -mental -physical and substance abuse disorders, easy access to variety of clinical interventions and support, restricted access to highly lethal methods, family and community support, learned coping and stress reducing skills
What are Protective factors against Violence?
Common emotional reactions to Trauma
What are: anxiety, denial, agitation, irritability or rage flashbacks or intrusive memories, feeling disconnected from the world, unrest in certain situations, being "shut down", being very passive, feeling depressed, guilt/shame/ self-blame, unusual fears, impatience, having a hard time concentrating, wanting to hurt oneself, being unable to trust anyone, feeling unlikable, feeling unsafe?
A situation where a social worker may limit a client's right to self-determination
What is when a client is a danger to self or others?
Behavioral manifestations of Trauma
What are: insomnia or fatigue, using substances, keeping to oneself, overworking, lethargy, eating problems, drug or alcohol use, doing certain things over and over, always having to have things a certain way, doing strange or risky things?
Change in eating and sleeping habits, drug and alcohol use, unusual neglect of personal appearance, marked personality change, loss of interest in pleasurable activities not tolerating praise or rewards, giving away belongings, isolation from others, taking care of legal and other issues, dramatic increase in mood, verbalizes threats to commit suicide or feelings of despair and hopelessness
What are Behavioral Warning Signs (of suicide)?
In order for clients to make behavioral changes, social workers must...
What is: work with clients to address the underlying emotional impacts of the trauma?
Presence of firearm or easy access to 'lethal methods', losses such as -relationship -job -financial -social, exposure to suicidal behavior of others through media or peers, family history of suicide, substance abuse, presence of psychiatric disorders -anxiety disorder -personality disorder, lives alone/ lack of social support, hx of previous suicide attempt
What are risk factors for suicide or violence?