Question 6 Is Used To Evaluate Past Three Months

The questionnaire was also given at the beginning of the study and at the end of the study. Collecting both of these at the beginning and the end of the study helped us see changes in the participant's health and well-being. This helped us determine if the study had been helpful to the population with whom we worked. The questionnaire covered current drug use, all suicidal ideations, suicide attempts, and current feelings on several subjects, such as the participants relationship with his or her family. Some sample questions from the questionnaire include: “On a scale of 1 to 5, with 1 being the lowest score possible and 5 being the

Teen’s behavior is a major warning sign of suicide or suicidal thoughts. Many factors play into an adolescent's behavior and attitude determining the way they

According to Fowler, Crosby, Parks, and Ivey (2013), suicide and nonfatal suicidal ideations are significant public health concerns for adolescents and young adults. While the onset of suicidal behaviors is observed as young as six years of age, rates of death and nonfatal injury resulting from suicidal behavior are moderately low until 15 years of age (Fowler et al., 2013). According to Fowler et al (2013), the most current available statistics in the United States (U. S.) reported suicide as the third leading cause of death among youth aged 10-14 and 15-19 years, and it was the second leading cause of death among persons aged 20-24 years.

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.

This week clinical I felt better prepared than I did with my first week. I was able to focus a lot more on interpersonal skills and develop therapeutic relationship with my patients. In terms of Mental Status Examination (MSE), this assessment provided me with a helpful base of information from which to observe changes, progress, and monitor risks. Especially, suicide risk assessment is a gateway to patient treatment and management. The purpose of suicide risk assessment is to identify treatable and modifiable risks and protective factors that inform the patient’s treatment and safety management requirements. I got insight into how important it is to document suicide risk assessments with sufficient information. Documentation of suicide risk assessments facilitates continuity of care and promotes communication between staff members across changing shifts. It is easy for suicidal patients to “fall through the cracks” of a busy psychiatric unit that has rapid patient turnover of admissions and discharges, and mostly during shift change. Asking question such as “What is your view of the future?” or “Do you think things will get better or worse?” helped me to elicit important information regarding patients suicidal ideation. Additionally, how my patients expressed their hope about the future assisted me to identify, prioritize, and integrate risk and protective factors into an overall assessment of the patient’s suicide risk and include in MSE.

The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s

The suicide lethality assessment has some strengths in that it identifies important suicide risk factors. The risk factors includes age, sex, stress, suicidal plan, feelings, behavioral changes, network, future outlook, perceived reactions

I chose to review Beck Scale for Suicide Ideation (BSS; Beck & Steer, 1993). The BSS was developed from Beck and Steer’s (1993) clinical rating version The SSI which is a 19-item measurement that is used to assess an individual’s traits as it relates to suicidal thoughts. The BSS is the self-report version is based on 21-items but only 19 of the items are used in scoring the test results. The test kit consists of an Administration and Scoring Manual and a Record form. The Beck Scale for Suicide Ideation is a widely used instrument to assess suicidality. Suicidal behaviors consist of but not limited to the planning for suicide, suicidal ideation (thoughts of harming or killing oneself) and/or gestures.

The RFL-YA is composed of 32 items that are constructed to assess reasons young adults give for not engaging in suicide-related behaviors (i.e., reasons for living). Each item is rated on a six-point scale ranging from 1 (not at all important) to 6 (extremely important). Responses on the items are averaged to obtain a total scale score; higher scores are indicative of stronger reasons for living. Estimates of internal consistency and concurrent validity of the total RFL-YA and the five subscales are satisfactory. The scale had good reliability and predictive validity, distinguishing between suicidal ideators from suicide attempters.

One of the biggest risks that this program plans to prevent is the risk of the participants attempting suicide or having suicidal thoughts. To prevent this event

With men the group found that on a scale from 1 to 10, 1 being no stress and 10 being completely stressed, men’s stress level falls very evenly in the 3 to 5 range. Out of 30 men 9 of them think of suicide once a week, 2 think if suicide three times a week, 2 think of suicide four or more times a week, while the remaining 17 never think of suicide. The group also found that 17 of the 30 men don’t believe thinking about suicide is normal behavior. 15 out of the 30 males have never attempted suicide, while 6 had attempted once, 4 had attempted twice, and 1 male claimed to have attempted suicide three times. According to the groups’ survey 11 of the 30 men had attempted suicide. The reasons for attempting suicide (from post popular to least) are

As an admitting clinician, I will assess Daphne’s risk of suicide using the suicide risk assessment form. Risk assessment will form a basis of development of safety intervention plans hence promoting positive health outcomes for the patient. Daphne is at high risk of suicide due to her history of major depression, suicide attempt, alcohol misuse, feelings of hopelessness and the loss of her husband. These determinants form part of the risk assessment tool and their presence indicate a high suicide risk level. Supporting this notion, studies (Stein & Ursano 2013; O'Hare, Shen & Sherrer, 2014) found that depression, alcohol use problems ,family history of suicide, having suffered from severe depression and hopelessness, experienced family

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

In this week’s application we are to discuss the suicidality in a correctional setting. We are asked to describe how we would assess an inmate for suicide and discuss the difference of assessing suicide with those in the community and those who are in prison. I will also discuss what I would recommend to prison staff regarding an inmate who may be suicidal and discuss potential reasoning for the inmate to commit suicide.

Schizophrenia (SCZ) is a chronic and disabling mental disorder, involving a complex set of disturbances, associated with abnormalities of brain structure and function, disorganised speech and behaviour, delusions, and hallucinations1. The initial stage in treatment involves assessing the patient’s risk. A comprehensive biopsychosocial model of assessment should be embedded in all suicide risk assessment2. Due to the complex interplay of factors in each case, NICE has advised that standardised questionnaires and tools are of limited use and ‘can be harmful2. Tailoring the risk assessment to the diagnosis, stage of illness, and individual risk/protective factors is the gold standard for assessment2. Therefore, this process is a multistage continuum, examining ideation, intent and plan as initial indicators of risk, and suicide attempt as a long term measure of risk3. This is particularly complex in SCZ because suicide attempts often occur without warning or any verbal expression of intent, therefore predictive factors are limited4. In Mrs X’s case, it was an impulsive act, resulting in greater difficulty