Exam 1: Suicide and Nonsuicidal Self-Injury

Completed suicide

a suicide attempt that results in death

Suicidal Ideation

thoughts of killing oneself

Secondary Prevention (abuse)

Early intervention in abusive situations to minimize their disabling or long-term effects

Suicide

Intentional act of killing oneself by any means

Seclusion

Involuntary confinement alone in a room that the patient is physically prevented from leaving

Primary prevention (abuse)

Measures taken to prevent the occurrence of abuse

Treatment

treatment of the actual suicidal

Types of abuse

Physical, sexual, emotional, neglect, economic

Anger

An emotional response to frustration of desires, threat to one's needs (emotional or physical), or a challenge

Restraints

Any manual method, physical or mechanical device, material, or equipment that restricts freedom of movement

Suicide behavior disorder (DSM-V)

-Attempt within last 24 months -Attempt was not initiated in delirium or confusion -Attempt was not undertaken for a religious or political objective

Tertiary Prevention (abuse)

-Facilitating the healing and rehabilitative process -Providing support -Assisting survivors of violence to achieve their optimal level of safety, health, and well-being

Risk factors for suicide

-Psychiatric disorders -Alcohol or substance use disorders -Male gender -Increasing age -Race (85% to 90% Caucasians) -Religion (Roman Catholics at much less risk) -Marriage/Divorce -Profession -Physical health

Aggression

Action or behavior that results in verbal or physical attack

Which patient behavior is a criterion for mechanical restraint? A. Screaming profanities B. Assaulting a staff person C. Refusing a medication dose D. Throwing a pillow at another patient

B. Assaulting a staff person

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

B. Major depression

Child abuse perpetrators are most often A. extended family members. B. child care workers. C. the child's parents. D. strangers.

C. the child's parents.

nonsuicidal self-injury

Deliberate and direct attempt to cause bodily harm that does not result in death

Which method of suicide has the highest lethality? A. Ingesting pills B. Cutting one's wrists C. Inhaling natural gas D. Self-inflicted gunshot wound

D. Self-inflicted gunshot wound

Nonsuicidal self-injury

Self-injury directed to the surface of the body to induce relief from a negative feeling/cognitive state or to achieve a positive mood state

Cycle of violence

Tension-building stage, Acute battering stage, honeymoon stage

Prevention

activities that provide support, information, and education to prevent suicide

Postvention

interventions with a circle of survivors left by individuals who completed suicide to reduce the traumatic aftereffects