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what suggestions are made for family and friends of an individual who is suicidal?
•Take any hint of suicide seriously.
•Do not keep secrets.
•Be a good listener.
•Express feelings of personal worth to the client. (it is important to stress that the person’s life is important to you and to others) Emphasize in specific terms the ways in which the person’s suicide would be devastating to you and to others.
•Know about suicide intervention resources.
•Restrict access to firearms or other means
of self-harm (kitchen knives, rope, tools).
what is some additional Information for family and friends of the actively suicidal client?
•Acknowledge and accept the person’s feelings.
• Provide a feeling of hopefulness.
• Do not leave them alone.
• Show love and encouragement.
• Seek professional help.
• Remove children from the home if needed.
• Do not judge or show anger toward the person or provoke guilt in them.
what should family and friends of a suicidal client NOT do?
judge suicidal people, show anger toward them, provoke guilt in them, discount their feelings, or tell them to “snap out of it.”
how can you as a nurse support family and friends of suicide victims (especially completed)?
•Encourage them to talk about the suicide.
•Discourage blaming and scapegoating.
•Listen to feelings of guilt and self-persecution.
•Talk about personal relationships with the victim.
•Recognize differences in styles of grieving.
•Assist with development of adaptive coping strategies.
•Acknowledge strain on relationships/affects family coping.
•Identify resources that provide support (therapy, groups).
what are the long-term goals of individual or group psychotherapy for the suicidal client?
•Client remains safe
•Develop and maintain a more positive self-concept.
•Learn more effective ways to express feelings to others.
•Achieve successful interpersonal relationships.
•Feel accepted by others and achieve a sense of belonging.
•Instill sense of self-worth and meaning for living
what does the following exemplify:
•Client remains safe
•Develop and maintain a more positive self-concept.
•Learn more effective ways to express feelings to others.
•Achieve successful interpersonal relationships.
•Feel accepted by others and achieve a sense of belonging.
•Instill sense of self-worth and meaning for living
the long-term goals of individual or group psychotherapy for the suicidal client
what is the END goal of individual or group psychotherapy for the suicidal client would be for them to?
SAFETY and serve to instill a sense of self-worth, while offering a measure of hope and a meaning for living.
what are the de-escalation tips for mental health emergencies?
•Use a non-threatening stance – open, but not vulnerable. Say “Let’s sit down and talk about this…”
•Eye contact – non constant, brief to show concern.
•Commands – brief, slow, with simple vocabulary, only as loud as needed, repeat as needed.
•Movement – not sudden, announce actions, and when possible, keep hands where they can be seen.
•Attitude – calm, interested, firm, patient, reassuring, respectful, truthful.
•Acknowledge legitimacy of feelings, delusions, hallucinations as being real to the client “I understand you are seeing or feeling this, but I am not.”
•Remove distractions, upsetting influences.
•Keep the client talking/focused on the here and now.
•Ignore rather than argue with provocative statements.
•Allow verbal venting within reason.
•Be sensitive to personal space/comfort zone.
•Remove client to a safe quiet space/comfort zone.
•Give some choices or options; if possible.
•Set limits if necessary.
•Limit interaction to just one professional and let that person do the talking.
•Avoid rushing – slow things down.
Give yourself an out; do not put the client between yourself and the door.