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Suicide
Suicide
Suicide
Suicide
Suicide
Suicide
Suicide
Suicide
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Suicide
Suicide
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Suicide
Suicide
Suicide
Suicide
Suicide
Suicide
Suicide
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Suicide

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The ppt covers suicide,etiology,predisposing factors,Assessment of risk factors and reventio of suicide in inpatient care

The ppt covers suicide,etiology,predisposing factors,Assessment of risk factors and reventio of suicide in inpatient care

Published in: Health & Medicine, Spiritual
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  • 1. PRESENTATION ON: PRESENTED BY :RAKHI S NAIR
  • 2. WORLD STATISTICS OF SUICIDE
  • 3. Definition Suicide is a type of deliberate self harm and is defined as a human act of self-intentioned and self inflicted cessation (death).
  • 4. COMMON THEMES IN SUICIDE It is a crisis that causes intense suffering and feelings of hopelessness and helplessness. There is a conflict between survival and unbearable stress
  • 5. Continued…  There is a narrowing of person’s perceived options  There is a wish to escape  There is often a wish to punish self or punish significant others with guilt
  • 6. METHODS OF SUICIDE
  • 7. Ingestion of poison
  • 8. Hanging
  • 9. Drowning
  • 10. Burning
  • 11. METHODS OF SUICIDE  Ingestion of poison (35%)  Hanging (23%)  Drowning (9%)  Jumping in front of train (4%)  Burning (12%)
  • 12. ASESSING RISK FOR SUICIDE BEHAVIOUR LOW MODERATE HIGH ANXIETY MILD MODERATE HIGH OR PANIC DEPRESSION MILD MODERATE SEVERE ISOLATION SOME FEELING SOME HOPELESS,HEL OF ISOLATION FEELINGS OF PLESS,WITHDR HELPLESSNESS AWN AND SELF DEPRICIATING DAILY FUNCTIONING FAIRLY GOOD IN MOST ACTIVITIES MODERAELY GOOD IN SOME ACTIVITIES NOT GOOD IN ANY ACTIVITIES RESOURCES SEVERAL SOME FEW OR NONE COPING STRATEGIES GENERALLY CONSTRUCTIV E SOME THAT ARE PREDOMINANT CONSTRUCTIVE LY DESTRUCTIVE
  • 13. RISK ASSESSMENT BEHAVIOUR LOW MODERATE HIGH SIGNIFICAN T OTHERS FEW OR ONLY ONE AVAILABLE ONLY ONE OR NONE AVAILABLE PSYCHIATRI NONE OR C HELP IN POSITIVE PAST ATTITUDE TOWARD YES AND MODERAEL Y SATISFIED WITH RESULTS NEGATIVE VIEW OF HELP RECEIVED LIFESTYLE STABLE MODERATE LY STABLE UNSTABLE ALCOHOL OR DRUG USE INFREQUEN FREQUENTL CONTINUAL TLY TO Y TO ABUSE EXCESS EXCESS PREVIOUS SUICIDE SEVERAL WHO ARE AVAILABLE ONE OR MORE OF MULTIPLE ATTEMPTS
  • 14. Risk assessment for suicide BEHAVIOUR LOW MODERATE HIGH HOSTILITY SUICIDAL PLAN LITTLE/NONE VAGUE FLEETING THOUGHTS BUT NO PLAN SOME FREQUENT THOUGHTS,OC CASIONAL IDEAS ABOUT A PLAN MARKED FREQUENT OR CONSTANT THOUGHT WITH A SPECIFIC PLAN
  • 15. Predisposing factors-Theories of suicide PSYCHOLOGICAL THEORY  Anger turned inward  Hopelessness  Desperation and guilt  History of aggression and violence  Shame and humiliation  Developmental stressors
  • 16. SOCIOLOGICAL THEORY  EGOISTIC SUICIDE  ALTRUISTIC SUICIDE  ANOMIC SUICIDE
  • 17. BIOLOGICAL THEORIES  GENETICS  NEUROCHEMICAL FACTORS-
  • 18. Risk assessment of suicide  Age>40 years  Male sex  Staying single  Previous suicidal attempts  Depression (risk about 25 times more than normal)
  • 19. Risk assessment cntd…  Suicidal preoccupation (eg: a suicidal note)  Alcohol or drug dependence  Severe ,disabling ,painful or untreatable physical illness  Recent serious loss or major stressful life event)  Social isolation
  • 20. PREVENTION OF SUICIDE
  • 21. Prevention of suicide  Take all suicidal threats, gestures or attempts seriously and notify a psychiatrist  Psychiatrist should quantify the seriousness of situation and take remedial precautionary measures  Inspect physical surroundings and remove all means of committing suicide like sharp objects, ropes, firearm sets etc  Surveillance depending on severity of
  • 22. Cntd…  Acute psychiatric emergency interview  Counseling and guidance To deal with the desire to attempt suicide To deal with ongoing life stressors and teaching coping skills and interpersonal skills  Treatment of psychiatric illness with medication, psychotherapy and ECT
  • 23. IN-PATIENT SUICIDE PREVENTION •More stringent monitoring of patients’ risk •Better monitoring of behavioral signs and symptoms Improve staff communication of signs and risk •Wait for significant, stable, reliable change before relaxing precautions
  • 24. Cntd.. •Improve suboptimal staff-patient relationships •Gather collateral information •Do not rely solely on patient self-report of no suicidal ideation •Do not rely on “no suicide” contracts
  • 25. CNTD…  •Ensure a safe physical environment that is devoid of means to commit suicide, access to hidden areas. Units should be periodically checked to ensure suicide-proof architecture. •Avoid overconfidence in or overreliance on 15-minute checks •Avoid premature discharge.
  • 26. Cntd.. Smooth, tight transition to outpatient care •Base suicide precautions on an adequate risk assessment and clinical rationale •Document risk assessment and clinical rationale •Form a suicide prevention committee  •
  • 27. Nursing management Risk for suicide R/T feeling of hopelessness and desperation  Ask client directly-have you thought about harming yourself in anyway?if so what do you plan to do it?Do you have the means to carry out this plan?  Remove all potentially harmful objects from clients access
  • 28.  Formulate a short term verbal or written contract that client will not harm self.Secure a promise that client will seek out staff when feeling suicidal.  Maintain close observation of client depending on level of suicide precaution,provide one to one contact,every 15 min checks.place room close to nurses station.
  • 29.  Maintain special care in adminstration of medications  Make rounds at frequent irregular interval especially at night ,toward early morning at change of shift or other predictably busy times for staff  Encourage client to express honest feelings including anger.Provide hostility release if needed.
  • 30. Hopelessness related to absence of support systems and perception of worthlessnes  Identify stressors in life that precipitated current crisis  Determine coping behavior previously used and clients perception of effectiveness then and now
  • 31.  Provide expressions of hope to client in positive ,low-key manner.  I know you feel that you cannot go on ,but I believe that things can get better for you.what you are feeling is temporary .it is okay if you don’t see it just now.you are very important to the people who care about you.
  • 32. Information to family and friends of an individual who is suicidal -Take any hint of suicide seriously do not keep secrets -Be a good listener -Emphasize in specific terms the ways in which the person s suicide would be devastating to you and others
  • 33. Cntd..  Show love and encouragement.hold them hug them,touch them ,allow them to cry and express anger.
  • 34. DO NOT---- JUDGE SUICIDAL PEOPLE  SHOW ANGER TOWARDS THEM  PROVOKE GUILT IN THEM  DISCOUNT THEIR FEELINGS
  • 35. THANK YOU!!!

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