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suicide
intentional kill sb
with inner pain,hopelessness,guilt,behef
cuase of premature and preventable death
suidial idelation
fleeing idea does not include plan and final act
NSSI
no intent to die
self punish,alleviate emotional pain,pierce psychic numbness
cut,burn scratch
epidemology suidic
mental illness
substance use
high in indigenous
verbal cue
i cant take it anymore
not worth lving
risk factor
suicidla ideation with lethal plan
access to firarm
previous attempy
mental illness,chronic illness
truamatic life,abuse event
lack of socialsupport
recent strssful event
substance use
bully victim
eldery,adolescent,indigenous,lgbtw
warning sign
ideation-evidence plan
substance use
purpolessness
anxiety agitation
trapped
hopelessness
withdral from familu
anger
reckless,give persoal belonging,engage risk behavior
mood change
protective factor
sense of resposnibility
pregancy
religious belief
life satificationm
efective coping,problem solving
connection to other
hope for future
sad person assessment
sex-male
age <19 45
depression
previous attemp
ethanol use-substance
rational thinking loss
social support ;acking
organized plan
no spouse
sickness
0-2 home f/u
3-4closely f/u hospitallization maybe
5-6 hospitalization plz
7-10 h or commit
primary intervention
procide duupor,info,eudcation,referal
seocnadary intervntion
acutal suicidal crisi tx,hospital
teritary ubervention
survior compleyd suicide, reduce traumatic aferteffect
suicidal prevention
-sitter
check 15-30min
near nursing station
search belonging,remove harmful
ensure meal tray no glass,metal
chart,mood behbior
confidetial but have to share wih team
refrain from acting on plam
rx intervention
antidepresssant,antipsychtic,lithium
check mouth
close monitor 2-3 wk after initate tx
ECT
NSSI intevention
therpetuic relationship,coping skill