Suicide

What are other risk factors associated with suicidal behavior? (8)

- Use of alcohol and barbiturates -Psychosis with command hallucinations -Affliction with a chronic, painful, or disabling illness -Family history of suicide -Homosexual individuals have a higher risk of suicide than their heterosexual counterparts. -Having attempted suicide previously increases the risk of a subsequent attempt. About half of those who ultimately commit suicide have a history of a previous attempt. - Loss of a loved one through death or separation -Lack of employment or increased financial burden

What are the 6 psychological theories of suicide?

1. anger turned inward 2. hopelessness 3. desperation & guilt 4. history of aggression and violence 5. shane and humiliation 6. developmental stressors

What are Durkheim's 3 categories of sociological theory of suicide?

1. egotistic 2. altruistic 3. anomic 4. fatalistic

What are the 2 biological theories of suicide?

1. genetics 2. neurochemical factors

What are some other psychiatric disorders that account for suicidal behavior? (4)

1. schizophrenia 2. personality disorders 3. anxiety d/o 4. severe insomnia

What are 4 things to look for when assessing suicidal ideas or acts?

1. seriousness of intent 2. plan 3. means 4. verbal and behavioral clues

What are the 3 analysis of the suicidal crisis?

1. the precipitating stressor 2. relevant history 3. life-stage issues

Which race has the highest risk for suicide?

1. white 2. native americans 3. african americans 4. hispanic americans 5. asian americans

What age group is suicide the third leading cause of death?

15-24 y/o 4th leading cod: 25-44 8th leading cod: 45-64

Which is a misconception about suicide?  A. Eight out of ten individuals who commit suicide give warnings about their intentions. B. Most suicidal individuals are very ambivalent about their feelings about suicide. C. Most individuals commit suicide by taking an overdose of drugs. D. Initial mood improvement can precipitate suicide.

C. Most individuals commit suicide by taking an overdose of drugs.

The nurse is caring for an actively suicidal client on the psychiatric unit. What is the nurse's priority intervention? A. Discuss strategies for the management of anxiety, anger, and frustration. B. Provide opportunities for increasing the client's self-worth, morale, and control. C. Place client on suicide precautions with one-to-one observation. D. Explore experiences that affirm self-worth and self-efficacy.

C. Place client on suicide precautions with one-to-one observation.

A client with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. At this time, which is the most appropriate nursing intervention for this client? A. Provide the client with a safe and structured environment. B. Isolate the client from all stressful situations that may precipitate a suicide attempt. C. Observe the client continuously to prevent self-harm. D. Assist the client to develop more effective coping mechanisms.

D. Assist the client to develop more effective coping mechanisms.

This type of suicide occurs when individuals and the group are too close and intimate. This kind of suicide results from the over integration of the individual into social proof, for example - Sati customs, Dannies warriors.

altruistic suicide

This type of suicide is due to certain breakdown of social equilibrium, such as, suicide after bankruptcy or after winning a lottery. In other words, anomic suicide takes place in a situation which has cropped up suddenly.

anomic suicide

when a man becomes socially isolated or feels that he has no place in the society he destroys himself. This is the suicide of self-centered person who lacks altruistic feelings and is usually cut off from main stream of the society.

egoistic suicide

This type of suicide is due to overregulation in society. Under the overregulation of a society, when a servant or slave commits suicide, when a barren woman commits suicide, it is the example of fatalistic suicide

fatalistic suicide

What is the leading cause of death among suicide victims?

gunshot wounds

What is the most common psychiatric illnesses that precede suicide?

mood & substance disorders

Which socioeconomic class has a higher suicide rate?

very highest and lowest classes middle class has the lowest

Who is at the greatest risk for suicide?

white men, older than 80 years