Suicide and Self-Injury N129

Suicide is ____ times higher in pt with schizophrenia

50 times

____% of individuals have alcohol in their blood at time of death

50%

Secondary Level of Suicide Intervention

treatment of the actual suicidal crisis through clinics, jails, hospitals, or telephone hotline

Which age group of women have highest suicide rate?

40s and 50s

T/F Divorced women are more likely to kill themselves than divorced men.

False. Divorced men are more likely to kill themselves then divorced women.

Overt statement of suicidal ideation

I can't take it anymore; I wish I were deal

Covert statement of suicidal ideation

I won't be a problem much longer; Soon everything will be fine

Tertiary Level of Suicide Intervention

Interventions with a circle of survivors left by individuals who completed suicide to reduce the traumatic after effects

A person with which psychiatric problem is most likely to complete suicide? Personality disorder Major depression Substance abuse Schizophrenia

Major depression

Which age group of males have highest suicide rate?

Males, aged 75 years and older

SAD PERSONS SCALE

S: Male sex A: Age (<19 or >45 years) D: Depression P: Previous attempt E: Excess alcohol or substance use R: Rational thinking loss S: Social supports lacking O: Organized plan N: No spouse S: Sickness 0-4: Low 5-6: Medium 7-10: High

To be considered significant self-injury must last...

a year and happen repeatedly

Low Lethality suicide

slashing wrist, inhaling natural gas, ingesting pills

Oregon's Death with Dignity Act of 1994

terminally ill patients allowed physician-assisted suicide

High Lethality suicide

use of gun, hanging, staging a car crash

Males commit suicide ____ times more often than females

four times

10 major risk factors to assess suicidal potential

1. Sex (male) 2. Age 22-44 or 65+ 3. Depression 4. Previous attempt 5. Ethanol use 6. Rational thinking loss 7. Social supports lacking or recent loss 8. Organized plan 9. No spouse 10. Sickness

Which method of suicide has the highest lethality? Cutting one's wrists Overdose of medication Self-inflicted gunshot wound

Self-inflicted gunshot wound

A client has a nursing diagnosis of risk for suicide R/T a past suicide attempt. Which outcome, based on this diagnosis would the nurse prioritize? The client will remain free from injury throughout hospitalization The client will set one realistic goal related to relationships by day 3 The client will verbalize one positive attribute about self by day 4 The client will be easily redirected when discussion about suicide occurs by day 5

The client will remain free from injury throughout hospitalization

A patient is hospitalized with major depression and suicidal ideation. He has a history of several suicide attempts. For the first 2 days of hospitalization, the patient eats 20% of meals and stays in his room between groups. By the fourth day, the nurse observes that the patient is more sociable, is eating meals, and has a bright affect. Which factor should the nurse consider? 1. The patient is showing improvement and may be ready for discharge. 2. The patient may have decided to commit suicide; the nurse should reassess suicidality. 3. The patient is feeling rested, supported by the therapeutic milieu, and less depressed. 4. The patient is benefiting from the antidepressant he has been taking for 4 days.

The patient may have decided to commit suicide; the nurse should reassess suicidality.

Primary Level of Suicide Intervention

activities that provide support, information, and education to prevent suicide (school students program)