suicide and non suicidal self injury

suicidal ideation

thinking about killing oneself

suicide attempt

engaging in potentially self injurious behavior with the intention of death

suicide

intentional act of killing oneself by any means

non suicidal injury

intentional damage to one’s own body, without conscious suicidal intent

comorbidity with

• depressive disorder

• substance use

• psychosis

risks with

• anxiety disorders

• personality disorders

• eating disorders

• trauma related disorders

biological factors

• family tendency

• low serotonin levels

cognitive factors

• freud aggression turned inward

• menninger’s

  • wish to kill

  • wish to be killed

  • wish to die

environmental factors

• family conflict

• low parental monitoring

• clusters of suicide

cultural factors

• sexual orientation

• gender identity

• bullying behavior

• family values

social factors

• relationship problems

• recent/imminent crises

• substance use

• health problems

• financial problems

• legal problems

• loss of housing

when you assessed patient and know they are at risk

go to patients room and make sure the room is safe

assessment

• verbal/nonverbal cues

• lethality of suicide plans

• hx of attempts

• family hx

• sudden with from sad to happy mood

• social supports

• giving things aways

environmental safety guidelines

• use and count plastic utensils

• locks doors to non pt areas

• no private room

• monitor/remove potentially harmful gifts

• jump proof/hang proof bathrooms

• assess belongings