Psychosocial: Suicide


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Psychosocial Nursing: Suicide

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Psychosocial: Suicide

  1. 1. <ul><li>Presented By: </li></ul><ul><li>Abigail Krywy </li></ul><ul><li>Chris Mach </li></ul><ul><li>Diana Rivera </li></ul><ul><li>Gwen Sollestre </li></ul><ul><li>Ivette Sanchez </li></ul>
  2. 2. <ul><li>Self Enhancement </li></ul><ul><li>Growth-promoting Risk Taking Behavior </li></ul><ul><li>Adaptive Behavior </li></ul>
  3. 3. <ul><li>Suicidal Activity </li></ul><ul><li>Ideation </li></ul><ul><li>Attempts </li></ul><ul><li>Completed Suicides </li></ul>
  4. 4. <ul><li>Any activity detrimental to the person’s physical well-being that potentially may result in death. </li></ul><ul><li>Ex: Alcohol & Drug Abuse, Sexual Promiscuity, Socially Deviant Behavior </li></ul>
  5. 5. <ul><li>Worldwide, at least 1000 suicides occur each day </li></ul>
  6. 6. <ul><li>COMPLETED SUICIDES </li></ul><ul><li>SUICIDE ATTEMPTS </li></ul>Males – Highest Death Rate Females – Twice as likely to Attempt
  7. 7. 12,000 children a year are hospitalized for suicide attempts.
  8. 8. <ul><li>The highest suicide rate for any group in the US is among people over the age of 65, especially white men over 85 . </li></ul>
  9. 9. <ul><li>Non-Compliance </li></ul><ul><li>People who do not comply with recommended health care activities are generally aware that they have chosen not to care for themselves. </li></ul><ul><li>Prominent related behavior: </li></ul><ul><li>Denial </li></ul><ul><li>Guilt </li></ul><ul><li>Control </li></ul>
  10. 10. <ul><li>ACCEPTABLE </li></ul><ul><li>NOT ACCEPTABLE </li></ul>Definition: the act of deliberate harm to one’s own body.
  11. 11. <ul><li>People with Mental Retardation </li></ul><ul><li>Psychotic Patients </li></ul><ul><li>Prison Population </li></ul><ul><li>Character disorders, particularly borderline personality disorder </li></ul>
  12. 12. <ul><li>All suicidal behavior is serious, whatever the intent, and thus suicidal ideation deserves the nurse’s priority of care. </li></ul>
  13. 13. <ul><ul><ul><li>Psychiatric diagnosis </li></ul></ul></ul><ul><ul><ul><li>Personality traits and disorders </li></ul></ul></ul><ul><ul><ul><li>Psychosocial factors and physical illness </li></ul></ul></ul><ul><ul><ul><li>Genetic and familial variables </li></ul></ul></ul><ul><ul><ul><li>Biochemical factors </li></ul></ul></ul>
  14. 14. <ul><ul><ul><li>Mood disorders </li></ul></ul></ul><ul><ul><ul><li>Substance abuse </li></ul></ul></ul><ul><ul><ul><li>Schizophrenia </li></ul></ul></ul><ul><ul><ul><li>Anxiety disorders </li></ul></ul></ul>
  15. 15. <ul><li>Hostility </li></ul><ul><li>Impulsivity </li></ul><ul><li>Depression </li></ul><ul><li>Hopelessness </li></ul>
  16. 16. <ul><li>Loss </li></ul><ul><li>Lack of social supports </li></ul><ul><li>Negative life events </li></ul><ul><li>Chronic physical illnesses </li></ul>
  17. 17. <ul><li>GENETIC & FAMILIAL VARIABLES </li></ul><ul><li>BIOCHEMICAL FACTORS </li></ul>
  18. 18. <ul><li>Stressors are individualized, as is the person’s ability to tolerate stress. </li></ul><ul><li>Precipitation stressors vary widely. </li></ul><ul><li>Suicide implies a loss of the ability to value the self at all. </li></ul>
  19. 19. <ul><li>It is essential for the nurse to assess each patient for suicidal risk factors. </li></ul><ul><li>The BEST predictor is a previous suicide attempt. </li></ul>
  20. 20. <ul><li>In Depressed Adolescents </li></ul><ul><li>Comorbid substance abuse </li></ul><ul><li>Prior suicide attempt </li></ul><ul><li>Family history of major depression </li></ul><ul><li>Previous antidepressant treatment </li></ul><ul><li>Loss of a significant relationship </li></ul><ul><li>History of legal problems </li></ul><ul><li>Handgun available in the house </li></ul><ul><li>In Hospitalized Depressed Patients </li></ul><ul><li>High levels of anxiety </li></ul><ul><li>First week of admission </li></ul><ul><li>First month after discharge </li></ul><ul><li>In Older Patients </li></ul><ul><li>Death of a loved one </li></ul><ul><li>In Patients with Alcoholism </li></ul><ul><li>Loss of a close relationship in the previous 6 weeks </li></ul><ul><li>Concurrent use of other drugs </li></ul><ul><li>Late in the course of illness </li></ul>
  21. 21. <ul><li>Resources available can be a protective factor against suicidal behavior </li></ul><ul><li>Ex. Using friends, family and community show that the risk may be decreased </li></ul><ul><li>living circumstances. (Alone, with someone) </li></ul><ul><li>People that live alone are at higher risk </li></ul><ul><li>Who supports him/her emotionally? </li></ul><ul><li>Who do you feel you can talk to? </li></ul><ul><li>Know the clients available resources </li></ul><ul><li>Important questions to ask </li></ul>
  22. 22. <ul><li>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) </li></ul><ul><li>Talk to a health or mental health professional . </li></ul><ul><li>Choose a treatment professional and a treatment approach with which you feel comfortable </li></ul><ul><li>participating in support groups can be very helpful </li></ul><ul><li>There are many local resources and mental health care providers in each city, make sure you teach the patient how to use those resources </li></ul><ul><li>Self destructive thinking </li></ul><ul><li>Seek for help </li></ul><ul><li>Resources </li></ul>
  23. 23. <ul><li>Risk for Injury </li></ul><ul><li>Hopelessness </li></ul><ul><li>Chronic low self esteem </li></ul><ul><li>Ineffective coping </li></ul><ul><li>common Nursing Diagnosis that can be used when treating patients who are at risk of committing suicide </li></ul>
  24. 24. <ul><li>Depression </li></ul><ul><li>Schizophrenia </li></ul><ul><li>Borderline or antisocial personality disorder </li></ul><ul><li>Other non psychiatric medical diagnosis may lead to suicidal behavior, such as terminal illnesses </li></ul><ul><li>Suicidal behaviors usually result from the interaction of several factors </li></ul>
  25. 25. <ul><li>Suicide Self-Restraint </li></ul><ul><li>Social Interaction Skills </li></ul><ul><li>Depression Self-Control </li></ul><ul><li>Distorted Thought </li></ul><ul><li>Self-Control </li></ul><ul><li>Will to Live </li></ul><ul><li>The most important priority is maintaining the client's safety </li></ul>
  26. 26. <ul><li>Focus on protecting the patient from harm </li></ul><ul><li>Address factors that contributed to patients dangerous behaviors </li></ul><ul><li>Setting is based on the assessment of risk </li></ul><ul><li>Anything that impairs a patients judgment and rational decision making increases risk of suicide attempts </li></ul><ul><li>Availability of a family member or close friend to stay with the patient from beginning to end </li></ul><ul><li>Safety is the main priority </li></ul>
  27. 27. <ul><li>Must consider own responses to self-destructive patient’s </li></ul><ul><li>All efforts must be made to protect patients and to motivate them to choose life </li></ul><ul><li>Understand that some patients will choose death despite their best efforts to intervene </li></ul><ul><li>Must develop a realistic understanding of the patients responsibility for his or her own life </li></ul>
  28. 28. <ul><li>Must protect patience from inflicting further harm on themselves </li></ul><ul><li>Verbal and nonverbal message of protection </li></ul><ul><ul><li>Patients are informed of the nurses intention not to allow harm to come to them </li></ul></ul><ul><ul><li>Removing dangerous objects away from the room </li></ul></ul><ul><li>Must be sensitive </li></ul><ul><li>Remain alert </li></ul><ul><li>Patient should never be left alone </li></ul><ul><li>Must monitor any medications </li></ul>
  29. 29. <ul><li>Help patients be aware of feelings, label them and express appropriately </li></ul><ul><li>Assist patient with self destructive responses </li></ul><ul><li>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 </li></ul>
  30. 30. <ul><li>Positive attributes </li></ul><ul><li>Use patient strengths to provide the patient with positive experiences </li></ul><ul><li>Reinforce reasons for living and promote patients realistic expectations </li></ul>
  31. 31. <ul><li>Family members need to be aware of behavioral clues that indicate suicidal thoughts and the use community resources </li></ul><ul><li>Suicide affects 6 other people </li></ul><ul><li>Need someone who can listen to them </li></ul><ul><li>Family members should be encouraged to support one another and seek help for their own feelings and responses </li></ul><ul><li>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 </li></ul>
  32. 32. <ul><li>The Nurse should assess the patients knowledge and initiate appropriate teaching. </li></ul><ul><li>-Many patients are willing to participate in self-care if it makes sense to them. </li></ul><ul><li>-Information about how to handle any future crisis should be provided to the patient </li></ul><ul><li>-Helping a patient work through self-destructive behavior can be an extremly rewarding aspect of psychiatric nursing. </li></ul>
  33. 33. <ul><li>Call to action to prevent suicide </li></ul><ul><li>-Five basic steps to change the basic attitudes about suicide </li></ul><ul><li>-Aims of the National Strategy for Suicide Prevention </li></ul><ul><li>- Suicide Prevention Strategies </li></ul>
  34. 34. <ul><li>-Modifications of the care plan are often necessary as patients reveal more of themselves and their needs to the nurse. </li></ul><ul><li>-The impact of a completed suicide of the clinical staff </li></ul><ul><li>-Sometime throught a psychiatric nurses career they will inevitably experience a patient suicide. These following activities can help the grieving process </li></ul>
  35. 35. <ul><li>Do you believe suicide is a fundamental human right and should be allowed by society? </li></ul>
  36. 36. Protective Responses & Suicidal Behavior