Suicide Prevention

Myth or fact ?

Suicide only affects individuals with mental health conditions.

Many Individuals with mental illness are not affected by suicidal thoughts, and not all people who attempt or die by suicide have mental illnesses.

Most suicides happen suddenly without warnings signs.

Warning signs, verbally or behaviorally, precede most suicides.

People who die by suicide are selfish and take the easy way out.

Typically, people do not die by suicide because they do not want to live. People die by suicide because they want to end their suffering.

When people become suicidal, they will always be suicidal.

Active suicidal ideation is often short term and situation specific. While suicidal thoughts can return, they are not permanent.

Talking about suicide will lead to and encourage suicide.

Talking about suicide not only reduces the stigma but also allows individuals to seek help, rethink their opinions, and share their story with others.

Suicide only affects individuals with mental health conditions. MYTH

Many Individuals with mental illness are not affected by suicidal thoughts, and not all people who attempt or die by suicide have mental illnesses. FACT

Most suicides happen suddenly without warnings signs. MYTH

Warning signs, verbally or behaviorally, precede most suicides. FACT

People who die by suicide are selfish and take the easy way out. MYTH

Typically, people do not die by suicide because they do not want to live. People die by suicide because they want to end their suffering. FACT

When people become suicidal, they will always be suicidal. MYTH

Active suicidal ideation is often short term and situation specific. While suicidal thoughts can return, they are not permanent. FACT

Talking about suicide will lead to and encourage suicide. MYTH

Talking about suicide not only reduces the stigma but also allows individuals to seek help, rethink their opinions, and share their story with others. FACT

Define

Suicide / Suicide complete

Suicidality

Suicidial ideations

Suicide attempt

Parasuicide (give some examples)

Lethality 

Suicide: the voluntary act of killing oneself. It is a fatal, self-inflicted destructive act with explicit or inferred intent to die. Suicide completion

Suicidality: all suicide related behaviors and thoughts of attempting or completing suicide.

Suicidal ideation: thinking/thoughts about and planning one's own death. 

Suicide attempt: a nonfatal, self-inflicted destructive act with explicit or implicit intent to die. 

Parasuicide: a voluntary, apparent attempt at suicide, commonly called a suicidal gesture, in which the aim is not death. Must always be taken seriously. 

• examples

  • Cutting wrists but in a way that’s unlikely to be fatal, intended to signal pain or seek help.

  • Taking a non-lethal amount of pills because the person wants to be admitted to hospital or force a conversation.

  • Threatening to jump to make someone stay, without a real plan to actually jump. 

Lethality: determined intent and the likelihood that the planned method of death will succeed.

What age group are more likely to have suicidal ideations?

18-25

In relation to race, what indivusal have an increase likelyhood of Suicide?

American Indian, Alsaskan Native and white ppl

True or false: ppl who have an impaired serotonergic system, have an decrease likelyhood to commit suicide.

Fasle , it a increase likelyhood

What is the congtive triad and how does that relate to suicide?

The congtive triad is a congitve affected that includes feelings of hopelessness,helplessness, and worthlessness. These feelings can brew SI(suicuidal ideations) and depression

Define:

Hopelessness

Hopelessness: pervasive belief that undesirable events are likely to occur, coupled with the belief that one's situation is unlikely to improve. 

What’s the Interpersonal Psychological theroy of Suicidal Behavior?

1. Thwated Belonginness (loneliness)

2. Percevied burdnensomeness

3. Aquired capibilty → Losing fear of death/pain 

what is the most restricited care that somone with SI can get?

Addmission to a locked unit w/ one to one staff

ASSESSMENTS

What scale do nurse use to assess someone sucide sevreity?

What are the s/sx (IS PATH WARM) + (SIGE CAPS)

The Columbia Suicide Severity Ranting Scale 

---

IS PATH WARM 

Ideations 

Substance abuse

Purposelessness

Anxiety

Trapped

Hopelessness

Withdrawal

Anger

Recklessness

Mood changes. 

---

SIGE CAPS 

Sleep disturbance

Intrest (dec)

Guilt (inc)

Energy (dec)

Concetration (dec)

Appeitie (dec)

Psychomotor retardation

SI

What is the greatest predictor when assesing the risk of suicidal persons?

Other mental disorders and hx previous attempts

What drug class has a black box warning for Suicide ?

SSRI’s

What drug treats …

SI + Bipolar disorder?

SI + Shcriozophrenia?

SI + Bipolar disorder

• Litthium

SI + Shcriozophrenia

• Colzopine

Describe the 3 interventions of the treatment plan used for Suicide?

• Evaluation and Treatment outcomes: focus on maintaining treatment, enable family and patient identify and manage crisis effectively and increase patient support. 

• Continuum of Care: planning outpatient treatment, continuation of somatic treatments, ensuring post release contact with family, access to emergency care, and arranging for a safe environment (Guns/Poisons)

• Documentation and reporting: patient's history, assessment, interventions agreed upon, presence or absence of suicidal thoughts, intent, plan, substance use, medications prescribed, and instructions given to patient in case of a crisis as well as family members who will support patient.