Mood/Suicide

N421 Exam 3

biological Risk Factors for Depression

• family history/genetic

• female

• late 20s/early 30s and 65+

• neurotransmitter deficiencies - serotonin

• presence of a mental illness

• post-partum period

• anxiety or personality disorder

Psychosocial risk factors for depression

• stressful life events

• trauma occurring early in life

• substance use disorder

• grief events

manifestation of depression

• anergia - no energy

• anhedonia - no joy/pleasure

• anxiety

• reports of sluggishness

• change in eating habits

• poor grooming/hygiene

• socially isolated

• slowed speech

interventions for depression

• assess for suicide risk

• monitor ability for self-care

• make time to talk with the client (even if they do not speak)

• supportive presence

• counseling

• medications

• light therapy

• electroconvulsive therapy (ECT)

• Transcranial magnetic stimulation (TMS)

• CBT

Risk factors for bipolar disorders

• genetics - family history

• neurobiological/endocrine disorders

• increased stressors

manifestations of mania in bipolar disorder

• labile mood with euphoria

• agitation and irritability

• restlessness

• flight of ideas

• verbal/behavioral incongruence

• demanding and manipulative behavior

• poor judgment

• grandiose view of self

• attention seeming behavior

• decreased sleep

• neglect of ADLs

interventions for mania in Bipolar

Safety is HUGE

• assess regularly

• decrease stimulation

• implement frequent rest periods

• provide outlet for physical activity

• ensure proper nutrition, sleep, and fluid intake

• use calm, matter of fact speech

treatment for bipolar

Lithium!!!

• monitor for toxicity

mood stabilizing antiepileptic medication

• carbamazepine

• lamotrigine

• valproate

Antipsychotics

• useful during acute mania

ECT

• extreme mania

• suicidal

• Rapid cycling

what to ask to assess for a suicide plan

• Do they have a plan?

• How lethal is the plan?

• Can the client have access to the intended method?

• Has the client’s mood changed

physical assessment for suicidal patient

• Lacerations

• Scratches

• scars

Primary interventions for suicide

community education and screening to identify individuals

Secondary intervention for suicide

• one-on-one constant supervision, around the clock, and at close range

• always keep the door open

• 15 min assessments by RN

• remove any possible harmful objects

• Ensure all pills are swallowed

• treat underlying health condictions

tertiary interventions for suicde

provide support and assistance to survivors of suicide and family/friends of people who have commited