Facts
Defined as the act of one taking one's own life.
Suicide.
Risk for suicide increases with what?
Age, unemployment, sexual orientation, poly substance abuse, family history,
Suicide is a disorder.
False: Suicide is a behavior
Most important for a nurse to do what in assessment of a patient?
Identify and distinguish thoughts, plans or attempts
Name 2 Psychological Theories r/t suicide
Anger turned inward
Hopelessness & other s/s of depression
Desperation & guilt
Hx of aggression & violence
Shame & humiliation
Suicide is the _______ leading cause of death overall.
10th
Suicide is higher among what professions?
Dentists, lawyers, law enforcement officers, physicians, insurance agents
Common method of suicide with males is suffocation.
False: Firearms
2 Nursing Diagnoses for suicidal patient
1) Risk for Suicide
2) Hopelessness
In response to changes that occur in an individual's life that disrupts feelings of relatedness to the group
Anomic Suicide
What % of those who attempt, or are successful with suicide, have a diagnosed mental illness?
More than 90%
3 types of bullying
Physical, cyberbullying and psychological bullying
Men are more likely than women to seek help from friends or professionals
True
Analysis of the suicidal crisis includes:
1) Precipitating stressor
2) Relevant history
3) Life-stage issues
Response of the individual who feels separate & apart from mainstream of society
Egoistic Suicide
______ are 70% more successful at completion of suicide attempts.
Men
Divorce or being a widow(er) increase the chances of one taking their own life.
True: Divorced men are 3x more likely to take their own lives and widows have also been identified as at greater risk
Religious affiliation is associated with decreased suicide attempts
True
Name 3 suicide precautions
1:1 observations
search belongings
documentation of pt's location, mood, quoted statements, and behavior q15 min
Remove all items that can be used to hurt selves
Excessively integrated into the group; often governed by cultural, religious or political ties; alliance is so strong that the individual will sacrifice their own lives for the group
Altruistic Suicide
Highest rate of suicides occur in what age group?
45-64
Which mental disorders are associated most with suicide?
Depression, anxiety disorders, bipolar disorder, schizophrenia, eating disorders, personality disorders, psychosis with command hallucinations and substance abuse
The more money you have the lower your risk for suicide.
False: those who are in the higher and lower socioeconomic classes actually have higher suicide rates than those in the middle class
What acronym is used to summarize important factors the may increase a person's risk for suicidal behavior?
Is Path Warm:
I- Ideation S-Substances Abuse
P-Purposelessness A-Anger
T- Trapped H-Hopelessness
W-Withdrawn A-Anxiety
R- Recklessness M-Mood
Factors that elevates suicidal ideation to active risk for attempts in a 3 step trajectory
1) pain combined with hopelessness increases suicidal ideation
2) Connectedness prevents suicide ideation from escalating in those at risk, but when pain and hopelessness exceed one’s sense of connectedness to others, suicide ideation becomes active.
3) When strong, active suicide ideation is present, it leads to an attempt only if one has capacity to make an attempt