Suicide 101
What is suicide?
Client is expressing significant hopelessness in the present and future.
What is a warning sign of suicide?
QP gets a call that a client is referencing suicidal ideation. QP responds by assessing the client, confirms the clients immediate needs, communicates with the caregiver as needed and considers the situation handled OR QP determines that client needs hospitalization and client/caregiver is not agreeable.
When do QPs need to contact their leads?
A written and agreed upon plan that the client will follow if client starts to struggle with ideation.
What is a safety plan?
6 years old.
True or False: Cutting is a clear sign of suicidal ideation.
What is false?
What is a common parental/societal response to suicidal ideation?
What clients should utilize mobile crisis?
What should be included in a safety plan?
Who can complete an IVC?
Asking someone directly if they are suicidal.
What is one of the 3 questions used to assess for suicidal ideation and intent?
Do you want to commit suicide?
Do you have a plan?
Do you have the means to act out the plan?
What is the 3 assessment questions?
Anytime a significant attempt is made (with or with out our presence at time), involvement of police, hospitalization or IVC.
When do you create an incident report?
One includes what the client should do and who they should contact if experiencing ideation. The other is a signed agreement that the client will not hurt themselves in the next 24 hours and if a change occurs the client will follow the safety plan.
What is the difference between a safety plan and a safety contract?
Depression, bi-polar, anxiety, borderline personality, PTSD.
What are the diagnoses commonly associated with suicide?
Suicide is _______ leading cause of death among 15-24 year old's in NC.
What is 3rd?
"I have thoughts about wanting to die, but I have never made a plan."
What is suicidal ideation?
True or False: If a client is threatening self-harm or suicide, it is appropriate to step away (leave the classroom, room or step outside) to call for assistance.
What is false?
The client must leave all doors open, including cracking doors while showering and/or using the bathroom. All weapons are removed or highly monitored including medications and weapons. Client is to be in common areas unless sleeping (with door open).
A form of self-harm that is often used as a coping skill and very often is not related to suicide.
What is cutting?
The reason behind the recommendations that suicide is not published in the media unless the person is of public interest.
What is reporting of suicides in the media has been found to increase suicides?
When does a client need to be IVC'd?
Client calls, says they cannot stop thinking about hurting their selves. QP assesses and it is determined that client needs to be evaluated by the ER. Client agrees to go straight to the ER. QP calls to confirm safety plan was followed and finds out client did not go to the hospital and is now not answering. Caregiver/emergency person is not answering.
When would you call 911?
Client is experiencing suicidal ideation, has a plan and the means to act out the plan. Client will not contract stating they will not hurt themselves (including a client stating "I don't know") and/or there is a lack of trust in the therapeutic relationship. Client is not agreeable to willingly going to the local ER.
When do you IVC?
"My child are the only reason I am here. I would never do that for my children, they need their mama."
What is a barrier to suicide?