Dealing With Suicidal Ideations

This paper will focus on client’s presenting concerns and her biopsysocial system. Reader will explore how Solution Focused Therapy and Harm Reduction Therapy are relevant to client’s problems and why they would be most effective for client. Two intervention models that are relevant to the theories chosen will be outlined and how they relate to the client. An intervention plan that includes goals for the client will be evaluated and measured. Finally, the paper will discuss how the model chosen for intervention will have an impact on the macro level of change.

Research and psychological studies show that suicidal behavior stems from at least one or more mental disorders that are treatable. Individuals with suicidal behaviors often feel hopeless which contributes to these behaviors and can lead to suicide attempts or succession. Recognizing these behaviors can save someone’s life, being compassionate, empathetic, and proactive can greatly reduce an individual’s suicide behavior. The goal is to recognize these behaviors and get help for these individuals quickly.

This report is a critical review of the evidence around the use of no-suicide contracts with mentally ill patients experiencing suicidal ideation. It will ask the question “When treating mentally ill patients, does the use of ‘No- Suicide contracts reduce suicide outcomes?”. Suicide is a global concern and given the current social and economic difficulties current society face, is imperative we continue to consider effective suicide prevention strategies. The literature suggests that no suicide contracts are widely used within this area of practice and are concerned with asking a person to promise not to harm themselves. This report suggests that there is limited evidence to support the effectiveness of no suicide contracts. However where they have been used successfully, it may be the use of the relationship between the clinician and patient which influences the positive outcome. Based on the findings the report recommends that further training around clinical risk management and suicide prevention strategies should be offered to a local team to reduce the use of no suicide contracts in isolation. Bridges transformation model was used to develop and implement an action plan to support change.

overview of their lives and feelings, the therapist will get an insight into what the client is going through and a little of what brought them to their presenting issue. It is important at an early stage to make the client feel that there is hope and light at the end of the tunnel – without making unrealistic promises that cannot be reached. The therapist needs to make the client feel they are in safe hands and that they are being listened to and really heard. A potentially suicidal client should not leave a therapy session feeling worse than when they arrived, yet at the same time, the client needs to know that they may have to go through some difficult times in order to start to heal

Suicidal ideation is a medical term for thoughts about or an unusual preoccupation with suicide. The range of suicidal ideation varies greatly from fleeting to detailed planning, role playing, and unsuccessful attempts, which may be deliberately constructed to fail or be discovered, or may be fully intended to result in death. Although most people who undergo suicidal ideation do not go on to make suicide attempts, a significant proportion do.[1] Suicidal ideation is generally associated with depression; however, it seems to have associations with many other psychiatric disorders, life events, and family events, all of which may increase the risk of suicidal ideation. Recurrent suicidal behavior and suicidal ideation is a hallmark of

In 2014, suicide was the tenth leading cause of death overall in the United States. According to the National Institute of Mental Health (NIMH, 2015), there were twice as many suicides than there were homicides. Suicidal ideation (SI), defined as an individual thinking about, considering, or planning their suicide, is established before the act of committing suicide. Research suggests that adverse childhood experiences (CDC, 2015) will put an individual at risk for developing a mental illness that could result in SI and suicide attempt (SA). It is important for the psychiatric mental health nurse practitioner (PMHNP) to recognize the signs of SI and SA while assessing their client.

J.F. is a 42-year-old, Hispanic male who was transferred to the behavioral center for suicidal ideation, in which he planned to hang himself with cable wires. He has a history of mental illness in the family. The patient’s mother has a history of bipolar disorder, and passed away when the patient was 37 years old. The patient was emotionally and abused by a family member when he was around 8-10 years old. He had attempted suicide as a teenager by trying to overdose on pills. His medical history includes diabetes, pancreatitis, and methamphetamine use.

In addition, for patients who are being treated for mental health problems or for those patients who I may suspect as being suicidal, I can work on gradually leading the patient to talk about their suicidality in order to get them to open up and gain their trust (Bryan & Rudd, 2006). For patients who have show suicidal thoughts or ideation in the past, I will work on treating the suicide as the behavior to change instead of focusing just on any comorbid mental health disorders (M. Class 4/10). I will focus on getting to know my patients better and the factors that have lead them to where they are in life. In order to help them the most, I will need to know their drivers and in order to do that, I will need to build rapport with them, so that they share with me. We will also work to build their coping skills, because I know how hard it can be to figure out coping mechanisms on your own especially when you are dealing with a crisis (M. Class

The goal of the Mental Health Crisis Hotline is “Working together to achieve hope, healing, and a meaningful life in the community.” The objective is to essentially prevent clients and or individuals from completing suicide by applying crisis intervention/prevention techniques. In addition, the hotline provides callers empathy, genuineness, and compassionate forms of verbal communication, ensuring their experience is effective and efficient at meeting their physiological needs. During the observation hours, individuals learned the importance of reflecting the callers' feelings,

Mr. Morris is a 36 year old male who presented to the ED with Suicidal ideation without a plan. Before the assessment QP received a call from the patient's mother who informed QP her primary concern with her son is his substance abuse and recent thought of self harm. She reports he has expressed suicidal ideation the past few weeks since he has returned to her home. At the time of the assessment Mr. Morris denies suicidal ideation, history of attempts, homicidal ideation, and symptoms of psychosis. He does reports a history of PTSD from seeing his uncle get killed in 1999, however no mental health hospitalizations. Mr. Morris states, "No, Not really thinking about harming myself, just situational stuff." He continues to state, "I just don't see the point of living sometimes, with all the stuff been going with me these past few months, but I have 2 daughter to live for and the people who do care about me." He reports consuming alcohol most of the day and feelings of depression for the past 3 weeks. His

The patient is a 40 year old female who presented to the ED with suicidal ideation and a attempted overdose on cocaine the day before. The patient reports increase depression and recently losing her job, house, and car. The patient denies homicidal ideations and symptoms of psychosis.

The nurse has to identify the problems and the client perception of the current problems. It is an important step to screen depressed client for suicidal risk. Although not all depressed client have suicidal thought and plan, in some situations the hopelessness/helplessness can push them to have suicidal ideation. Nurses should discuss with the client about her past coping mechanism during the crisis. If the past coping mechanism was not effective, nurses should develop new coping skill and evaluate them. Introduce the client to the support group, family therapy, or legal

With the pressure that our generation endures, we are divided amongst the mentally stable and well, the not so stable. For a large portion, almost one million people each year, it has resulted in many lives lost. “Suicide is the third leading cause of death for people age 15 to 24” with “someone committing suicide every 18 minutes in the United States” (Twenge 108). It can be challenging to understand why someone would choose to take their own their life. “Suicide is a desperate attempt to escape suffering that has become unbearable” (“Suicide Prevention” par 3). With so many unrealistic expectations, no wonder it is so hard for us. Many people who face suicidal thoughts are too scared of mentioning their feelings to others, although most do not realize that quite a few individuals around them are facing the same anxiety. Just recently, my close friend Chris began showing signs of possible suicidal actions. This was new for me and I was never able to fully comprehend how or why he felt that way. “No one will be able to understand how he feels,”

According to Rudd, Joiner, Brown, Cukrowicz, Jobes, Silverman, and Cordero it is vital to identify the suicide risk through treatment. The authors of the same article identify correct treatment theories to treat suicidal clients. This clinician would use Cognitive Behavioral Therapy to help the client

Objective D: Client will identify at least three social contacts that can offer support and distractions from suicidal ideation by