Psychosocial: Suicide

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Presented By: Abigail Krywy Chris Mach Diana Rivera Gwen Sollestre Ivette Sanchez

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Psychosocial Nursing: Suicide

Transcript of Psychosocial: Suicide

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Presented By: Abigail KrywyChris MachDiana RiveraGwen SollestreIvette Sanchez

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Self Enhancement

Growth-promoting Risk Taking Behavior

Adaptive Behavior

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Suicidal Activity

Ideation

Attempts

Completed Suicides

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Any activity detrimental to the person’s physical well-being that potentially may result in death.

Ex: Alcohol & Drug Abuse, Sexual Promiscuity, Socially Deviant Behavior

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Worldwide, at least 1000 suicides occur each day

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COMPLETED SUICIDES SUICIDE ATTEMPTS Males – Highest Death Rate Females – Twice as likely to

Attempt

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12,000 children a year are hospitalized for suicide attempts.

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The highest suicide rate for any group in the US is among people over the age of 65, especially white men over 85.

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Non-CompliancePeople who do not comply with recommended health care activities are generally aware that they have chosen not to care for themselves.Prominent related behavior: DenialGuilt Control

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ACCEPTABLE NOT ACCEPTABLE

Definition: the act of deliberate harm to one’s own body.

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People with Mental Retardation Psychotic Patients

Prison Population

Character disorders, particularly borderline personality disorder

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All suicidal behavior is serious, whatever the intent, and thus suicidal ideation deserves the nurse’s priority of care.

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Psychiatric diagnosis

Personality traits and disorders

Psychosocial factors and physical illness

Genetic and familial variables

Biochemical factors

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Mood disorders

Substance abuse

Schizophrenia

Anxiety disorders

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Hostility

Impulsivity

Depression

Hopelessness

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Loss

Lack of social supports

Negative life events

Chronic physical illnesses

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GENETIC & FAMILIAL VARIABLES BIOCHEMICAL FACTORS

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Stressors are individualized, as is the person’s ability to tolerate stress. Precipitation stressors vary widely. Suicide implies a loss of the ability to value the self at all.

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It is essential for the nurse to assess each patient for suicidal risk factors.

The BEST predictor is a previous suicide attempt.

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In Depressed Adolescents Comorbid substance abuse Prior suicide attempt Family history of major depression Previous antidepressant treatment Loss of a significant relationship History of legal problems Handgun available in the house

In Hospitalized Depressed Patients• High levels of anxiety• First week of admission• First month after dischargeIn Older Patients• Death of a loved oneIn Patients with Alcoholism• Loss of a close relationship in the previous 6 weeks• Concurrent use of other drugs• Late in the course of illness

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Resources available can be a protective factor against suicidal behavior

Ex. Using friends, family and community show that the risk may be

decreased

living circumstances. (Alone, with someone)

People that live alone are at higher risk

Who supports him/her emotionally? Who do you feel you can talk to?

Know the clients available resources

Important questions to ask

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If you have thoughts about suicidal, don’t keep them secret, tell your family or friends right away. (About one third of people who attempt suicide will repeat the attempt within a year)

Talk to a health or mental health professional. Choose a treatment professional and a

treatment approach with which you feel comfortable

participating in support groups can be very helpful

There are many local resources and mental health care providers in each city, make sure you teach the patient how to use those resources

Self destructive thinking

Seek for help

Resources

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Risk for Injury

Hopelessness

Chronic low self esteem

Ineffective coping

common Nursing Diagnosis that can be used when treating patients who are at risk of committing suicide

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Depression Schizophrenia Borderline or antisocial personality

disorder Other non psychiatric medical diagnosis

may lead to suicidal behavior, such as terminal illnesses

Suicidal behaviors usually result from the interaction of

several factors

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Suicide Self-Restraint

Social Interaction Skills

Depression Self-Control

Distorted Thought Self-Control

Will to Live

The most important priority is maintaining the client's safety

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Focus on protecting the patient from harm

Address factors that contributed to patients dangerous behaviors

Setting is based on the assessment of risk

Anything that impairs a patients judgment and rational decision making increases risk of suicide attempts

Availability of a family member or close friend to stay with the patient from beginning to end

Safety is the main priority

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Must consider own responses to self-destructive patient’s

All efforts must be made to protect patients and to motivate them to choose life

Understand that some patients will choose death despite their best efforts to intervene

Must develop a realistic understanding of the patients responsibility for his or her own life

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Must protect patience from inflicting further harm on themselves

Verbal and nonverbal message of protection Patients are informed of the

nurses intention not to allow harm to come to them

Removing dangerous objects away from the room

Must be sensitive Remain alert Patient should never be left alone Must monitor any medications

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Help patients be aware of feelings, label them and express appropriately

Assist patient with self destructive responses

During stress: increase involvement with others, initiate a physical activity, engage in relaxation and tension reducing activities, process feelings by talking with someone or writing in a journal

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Positive attributes

Use patient strengths to provide the patient with positive experiences

Reinforce reasons for living and promote patients realistic expectations

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Family members need to be aware of behavioral clues that indicate suicidal thoughts and the use community resources

Suicide affects 6 other people

Need someone who can listen to them

Family members should be encouraged to support one another and seek help for their own feelings and responses

Community resources, self help groups, family therapy, public health nurses, clergy and other community based help can provide the patient and family with day to day support

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The Nurse should assess the patients knowledge and initiate appropriate teaching.

-Many patients are willing to participate in self-care if it makes sense to them.

-Information about how to handle any future crisis should be provided to the patient

-Helping a patient work through self-destructive behavior can be an extremly rewarding aspect of psychiatric nursing.

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Call to action to prevent suicide

-Five basic steps to change the basic attitudes about suicide

-Aims of the National Strategy for Suicide Prevention

- Suicide Prevention Strategies

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-Modifications of the care plan are often necessary as patients reveal more of themselves and their needs to the nurse.

-The impact of a completed suicide of the clinical staff

-Sometime throught a psychiatric nurses career they will inevitably experience a patient suicide. These following activities can help the grieving process

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Do you believe suicide is a fundamental human right and should be allowed by society?

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Protective Responses & Suicidal Behavior