suicide and death

priority factors to assess

most important thing is their ability to actually commit suicide

SAD

PERSONS

risk for suicide

• S: sex - male

• A: age - >19 or <45

• D: Depression or suicidal thoughts

• P: past attempts or psychological history

• E: excessive alcohol or drug use

• R: rational thinking loss

• S: Separated

• O: organized plan

• N: no social support

Drugs given for suicidal persons

• antidepressants

• benzodiazepines

• mood stabilizers - lithium carbonate

• second gen antipsychotics

suicide precautions

1-1 supervision

document location mood and behavior

no private rooms

hands must be visible

search belongings

types of grief

anticipatory - before the loss

complicated - loss of self esteem and worthlessness up to a year after the loss

delayed

distorted - anger or depression may occur, it is not felt in the common way

disenfranchised

persistent complex grief disorder

bereavement vs greif

grief is the inner emotional response to loss

bereavement is the outward expression of grief and mourning

what is persistent complex grief disorder

grief that is crippling and felt long after the loss has happened

disenfranchised grief

grief that ix not socially acceptable or understood because the reason for the grief is not accepted