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Mental Health Exam 2 UAMS
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Mental Health Exam 2 UAMS
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MentalHealth
Exam
2
UAMS
What
are
the
common
myths
about
suicide?
People
who
talk
about
suicide
DO
NOT
attempt
suicide
People
who
talk
about
suicide
are
only
trying
to
get
attention
Telling
someone
to
cheer
up
is
helpful-
If
you
mention
the
word
suicide,
you
might
plant
the
idea
into
someone's
mind
If
someone
survives
a
suicide
attempt-they
weren't
serious
about
ending
their
life
Levels
of
Lethality
Definition-
those
who
have
a
definite
plan
for
time
and
a
place
and
have
the
means
are
the
MOST
at
RISK!
Plan
of
suicide
how
detailed
can
they
describe
it
exactly?
Lethal
of
suicide
how
quickly
would
a
person
die
by
the
method
elected
to
attempt
suicide**
Hard
Methods
of
Lethality
of
suicide
gun,
jumping
from
the
bridge,
hanging,
CARBON
dioxide,
staging
car
crash!
Soft
methods
of
suicide
Slashing
wrists,
ingesting
pills
,
inhaling
natural
gas
Access?
Is
there
access
to
the
suicide?
Do
they
have
access
to
the
proposed
items? Practice
Question:
Four
different
patient's
responses
"what
is
your
suicide
plan?"
Prioritize
HIGHEST
to
LOWEST?
I
would
get
my
dad's
gun
and
go
out
into
the
woods
behind
my
house-MOST
Lethal
I
looked
at
the
bridge
on
I30
this
morning.
I
know
the
jump
is
high
enough
to
get
the
job
done-NEXT
I
would
take
a
bunch
of
pills-NEXT
I
don't
know-I
guess
I
would
cut
my
wrists
or
something.LEAST
Completed
suicide
attempt
at
suicide
that
results
in
DEATH
Copycat
suicide
suicide
attempt
that
follows
a
highly
publicized
suicide
of
a
public
figure,
an
idol/peer
in
the
community
Parasuicide
attempt
at
suicide
that
is
considered
more
of
a
gesture
such
as
non-lethal
dose
of
medication
is
ingested.-this
is
considered
a
risk
factor
of
suicide
Suicidal
ideation
thinking
about
suicide,
usually
with
some
serious
emotional
and
intellectual
or
cognitive
overtones;
considering
methods
of
accomplishing
death,
and
formulating
plans
to
carry
the
act
out
Suicide
the
10th
leading
cause
of
death!
Risk
factors
of
suicide Gender,
age,
race
marital
status,
profession,
physical
illness,
trauma
hx,
family
hx,
previous
attempt
Mental
illness
linked
to
suicide
mood
disorders,
schizophrenia,
borderline
personality
disorder,
substance
abuse
disorder
Risk
Factors
continued
for
suicide-NOTES
section
•Gender-males
take
their
own
lives
at
nearly
four
times
that
rate
of
females
and
represent
almost
78%
of
all
US
suicides.
Women
attempt
suicide
2-3
times
more
often
than
men
•Age-In
2013-17%
of
high
school
students
reported
that
they
had
seriously
considered
attempting
suicide
during
the
12
months
preceding
the
survey-~
8%
of
students
reports
that
they
had
actually
attempted
suicide
on
or
more
times
during
the
same
period.
•Suicide
is
the
3rd
leading
cause
of
death
among
10-14
year
olds
and
second-leading
cause
of
death
among
15-34
year
olds
•Suicide
rates
among
American
Indian/Alaskan
Native
adolescents
are
1.5
times
than
the
national
average
for
the
same
age
group
•Hispanic
students
in
grade
9-12
had
significantly
more
suicide
attempts
than
black
or
white
students
•85-90%
of
completed
suicides
are
by
Caucasians
•Religion
is
associated
with
decreased
rates
of
suicide-Protestants
and
Jews
have
higher
rates
of
suicide
than
Roman
Catholics
•Divorced
men
are
more
likely
to
commit
suicide
than
divorced
women
•Professionals
are
generally
considered
at
higher
risk
for
suicide-particularly
with
loss
of
status-physicians,
dentists,
vets,
and
chiropractors-also
included
law
enforcement,
sales,
mechanics,
insurance
agents
and
lawyers
•This
with
a
physical
illness
are
at
increased
risk-loss
of
mobility,
disfigurement
and
chronic
pain
are
especially
at
risk
What
is
the
feeling
most
associated
with
suicidal
ideations?
Suicidal
ideation
occurs
when
a
client
is
having
thoughts
about
committing
suicide.
Clients
have
feelings
of
Hopelessness,
helplessness,
and
inner
pain Warning
factors
of
suicide
talking
or
writing
about
death,
dying,
or
suicide
Making
comments
about
being
hopeless,
helpless,
or
worthless,
Expressions
of
having
no
reason
for
living
or
no
sense
of
purpose
INCREASED
ETOH
or
drug
misuse
Reckless
behavior
Dramatic
mood
changes
Talking
about
feeling
trapped
or
being
a
burden
to
others
Protective
factors-less
likely
to
commit
suicide
access
to
healthcare
satisfaction
with
life
strong
connections
to
individuals-marriage,
kids,
friends
Pregnant-
Religion
and
beliefs
effective
coping
and
problem
solving
skills
Nursing
Process
for
Suicide-
ASSESSMENT!
Assess
for
verbal
AND
nonverbal
clues:
Overt-
I
can't
take
it
anymore;
I
wish
I
were
dead
COVERT-
I
won't
be
a
problem
much
longer;
It's
okay
now.
Soon
everything
will
be
fine
*NOTES*
•People
who
contemplate
suicide,
attempt
suicide,
and
even
those
who
regret
the
failure
of
their
attempt,
are
often
extremely
receptive
to
talking
about
their
suicide
crisis
•"Have
you
ever
felt
that
life
was
not
worth
living"?
•"Have
you
been
thinking
about
death
recently"?
•"Did
you
ever
think
about
suicide"?
Don't
be
afraid
to
ASK-
leads
to
DECREASED
isolation
Always
remember-
Nurse
Self-Assessment
is
important!
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