suicide

suicide

voluntary act of killing oneself

fatal, self-inflicted behavior with the intent to die

suicidal ideation

thinking about and planning one’s own death

parasuicide

voluntary, apparent attempt at suicide, in which the aim is not death

suicidality

all suicide related behaviors, thoughts, or attempts

suicide attempt

nonfatal, self-inflicted act with the intent to die

lethality

the probability that a person will successfully complete suicide

risk factors

physical

psychological

social

gender

sexuality

race and ethnicity

pandemic impact

biologic theories of etiology

depression

severe childhood trauma

genetic factors

psychological theories of etiology

cognitive theories- cognitive triad, hopelessness

emotional factors, personality traits

interpersonal

cognitive triad

views of self, world, and future

social theories of etiology

social distress

suicide contagion

economic disadvantage

treatment and nursing care

priority care- psychiatric emergency. initiate the least restrictive care possible

ensure safety- help the patient feel more secure and hopeful. observe regularly for suicidal behavior, remove dangerous objects, provide outlets for expression

assessing suicide risk

identification of suicidal ideation

elicitation of a plan

determination of the severity of intent

evaluation of availability of means

interventions for imminent risk

reconnecting the patient to other people and instilling hope

restoring emotional stability and reducing suicidal behavior

ensuring safety

inpatient safety concerns

physical care

self-inflicted injury

medication mangement

electroconvulsive therapy

psychological care

challenging the suicidal mindset

developing new coping strategies

committing to treatment

social interventions

social skills training

development of support networks

stigma reduction

short term outcomes

maintaining the patient’s safety

averting suicide

mobilizing the patient’s resources

long term outcomes

continuum of care

maintaining the patient in psychiatric treatment

enabling that patient and family to identify and manage suicidal crises effectively

widening the patient’s support network