Suicidal Ideation

In the United States, suicide is the third-leading cause of death for 10 to 14-year-olds (CDC, 2015) and for 15 to 19-year-olds (Friedman, 2008). In 2013, 17.0% of students grades 9 to 12 in the United States seriously thought about committing suicide; 13.6% made a suicide plan; 8.0% attempted suicide; and 2.7% attempted suicide in which required medical attention (CDC, 2015). These alarming statistics show that there is something wrong with the way suicide is handled in today’s society. In order to alleviate the devastating consequences of teenage suicide, it is important to get at the root of what causes it all: mental illness. According to the Centers for Disease Control and Protection (2013), mental illness is the imbalance of thinking, state of mind, and mood. Approximately 90% of all suicides are committed by people with mental illnesses (NAMI, n.d.). This shows that there is a correlation between mental illness and suicide. If mental illnesses are not treated, deadly consequences could occur. It would make sense that if there is a correlation between mental illness and suicide across all ages, the same should be thought for adolescents. Approximately 21% of all teenagers have a treatable mental illness (Friedman, 2008), although 60% do not receive the help that they need (Horowitz, Ballard, & Pao, 2009). If mental illnesses are not found and treated in teenagers, some of them may pay the ultimate price.

I finally started my first year of college at Miami Dade College in January 2014. During my adaptation to the new educational system, my Abnormal Psychology class professor mentioned how important it would be to participate in an Applied Suicide Intervention Skills Training. I consider this to be very useful in today’s society where many individuals suffer from depression.

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.

I was able to focus in on the strengths of the client along with providing the client the right to self-determination as to what she would like to do. I attempted to summarize what the client was saying to ensure the client felt understood and to clarify that I understood the situation and needs of the client along with her overall goal of being reunited with her children. There were areas for improvement which include expressing more empathy for the client’s overall situation. I failed to ask how certain things made the client feel. I could have expanded on how the client felt about the death of her grandmother, living in a half-way house, and being separated from her children. I also did not use lead-in responses as much as I could have. As the social worker, I should have expanded on the client’s willingness to be honest about her past and should have thanked her for doing so. This can be extremely difficult for clients to do and honesty is a key part of the working relationship that is being established during the

Nurses who are practicing in public health, psychiatric units, schools, clinics, and hospitals can bring differences by creating awareness about the magnitude of the suicide problem, its risk factors, and preventive strategies. They can act as a bridge or liaisons between the community and available resources. The nursing profession always gives priority to prevention and promotion of health. Instead of watching and waiting for the signs and symptoms to exhibit themselves, nurses can take part in equipping teens and their parents with preventive skills to reduce the risk of suicide attempts (King & Vidourek, 2012). The nurses’ involvement in this issue increases the patient outcome. Early intervention of suicide is successful in lowering the risk factors among teens. It helps to promote and maintain their health from youth to adulthood without complications. Nursing profession can be at the forefront by promoting awareness, preventing risk factors, equipping teens with coping skills, and encouraging them to seek professional help. Increasing protective factors for teens can result in effective patient outcomes by reducing suicide ideations and

There are strong correlations between various factors affecting the youth of today and the suicide ideation and attempt rates among ethnic minority youth. The article “Latina Adolescent Suicide Ideations and Attempt: Association with Connectedness to Parents, Peers, and Teacher” uses various sources to collected data by organizations like the Center for Disease Control and Prevention which provide ample information about suicide ideation and attempt in Latinas compared to other non-Hispanic groups. Statistical data yields information about adolescents at a rate of 21% for suicide ideation and 14% for suicide attempts. These numbers reflect data for adolescent Latinas between 10 to 24 years of age in the United States. Among these statistics,

The patient returned to the clinic after his admission to Johnson Memorial Hospital twice. The first admission was from 10/31-11/3/2017 to address his major depressive disorder and substance abuse. It was recommended for the patient to seek a high level of care-outpatient psychiatric services, PHP/IOP. Then the patient was readmitted on 11/4/2017-11/06/2017 due to a bicycle accident and alcohol consumption on 15 shots. Its also documented that part of his admission was for suicidal ideation of which the patient denied having suicidal ideation during the second admission, but admits to having sucidial ideation during the 1st admission. The patient is scheduled to attend an appoinment through CHR tomorrow at 8:30am to complete an assessment

Day to day, teens suffer from peer pressure, problem from home, and stress from academics. Despise their status in the environment, majority of high school students refrain from acknowledging the presence of their reality. The problem in most situations in that students feel shut in, trapped in a never ending misery. How do they cope? What are their ways of dealing? Most students live in denial. Others have friends to confide in. For the devastating part, most students are not as open to these ideas and it leaves them with this alternative: suicide. Suicide is the third leading cause in teens the ages 14 to 19 within rural underserved areas. Suicidal ideation (SI), suicidal thoughts, were surveyed in over 12 high schools and it was found that in the past year, thoughts of (SI) were not shared with peers or even adults in the pursuit of receiving help or support (Pisani, 2012). Because a student spends most of their day at school, it is ideal for schools to provide realistic opportunities and school-based programs to assist with the suicide among the youth. The Surviving the Teens Suicide Prevention and Depression Awareness Program designed four 50 minute session or each high school student. This presented information in regards to factual information about depression, suicidal warning signs, suicidal risk factors and myths associated with suicide (King, 2010). The program provide coping strategies for everyday life, referral sources if feeling suicidal, and how to recognize

Presenting Problem: He has an hx of suicidal ideation, he has engaged in verbal and physical aggression towards authority figures in home and at school often making homicidal threats as well. Hx of destruction of property, inabitlity to manage anger appropriately, impulsive poor judgement, lack of remorse, lack of insight into his behaviors, inability to manage moods effectively and poor relationships with peers and family members. He has an hx of self harm by cutting himself. Its reported that he displays aggression and anger against anyone in position of authority. Reported suicidal ideations with no previous attempts. He reported having a sexual addiction which began at the age of 14. He states his addictions are watching porn, gambling,

Mrs. Bailey is a 55 year old female who presented to the ED with suicidal ideation with a plan to cut her wrist. Dr. Keith requested an mental health evaluation. At the time of the assessment Mrs. Bailey endorse suicidal ideation with several plans. She appears to present with circumstantial speech. She makes several comments about past experiences of domestic violence by a past boyfriend. She states during the assessment I just want to get it over with, I don't want to talk about it, It's the only solution." She makes several gestures with her hand as if she was shooting herself in the head with a gun. Mrs. Bailey expressed yesterday to this clinician thoughts of taking all her medications. Mrs. Bailey has access to her medications and has

The applicant reports of depression, but never been diagnosed and/or seek mental health services. The applicant then says, " My doctor is referring me for mental health services." When asked about past or present suicidal/homocidal ideation, the applicant reports of having suicidal ideation 16 years ago due to the decease of his significant other as the applicant refers as his husband. This writer completed the personal safety plan as the applicant coping skills is talking to his mother and current husband. In the event coping mechanism fail, the patient will call 911, seek mental health services, and/or call the crisis line.

Ms. Kamara is a twenty-nine year old African American female who was referred herself for Mental Health Skills Building services. Ms. Kamara reported within the last thirty days she has exhibited the following psychiatric problems: depressed mood (daily); auditory hallucinations (daily); diminished emotional expression (daily); anxiety (3-5x daily); isolation (daily); feelings of worthlessness (3-5x weekly); intrusive thoughts (3-5x weekly); sleep disturbance (1-2x weekly); suicidal thoughts (1-2x weekly but no active plan), suspects others deceiving her (Daily); preoccupied with unjustified doubt (daily); and reluctant to confide in others (daily). The above-mentioned symptoms have impacted Ms. Kamara’s level of functioning at as evidenced by her not being able to hold employment because of paranoid thinking and her interpersonal relations

Mr. Thomas is a 23 year old male who presented with a MCM for suicidal ideation with a plan to jump off a bridge. Per documentation as reporte to MCMC, Mr. Thomas states he is tried to harm himself 5x in the past 3 days due to worsening depression. At the time of the assessment Mr. Thomas appears calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Thomas informs me yesterday after leaving Randolph Hospital for reported suicidal ideation, his girlfriend and he got into an argument, which she kicked him out the car. He reports threatening to jump off a bridge as a manipulative way of having his girlfriend take him back. He states when asking about history of issues in their relationship, "I'm use to it, I don't get effected by what she say, I just didn't want to be in the cold." Mr. Thomas states, "I just came in here tonight to talk to someone and get some meds." He informs me 10 years ago he went to MCBH for an overdose. Mr. Thomas reports since then heh as not been on any medications or seeing outpatient services for mental health. He does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli.

Mrs. Owens is a 61 years old female who presented to the ED from Randolph Cancer Center with suicidal ideation with a possible plan to overdose. Mrs. Owens denies suicidal ideation, homicidal ideation, and symptoms of psychosis to ED staff. At the time of the assessment Mrs. Owens reports recently finding out her throat cancer is in "remission". She reports medical issues and conflict with her daughter Nancy substance abuse issues as stressors contributing to her distress. Mrs. Owens currently denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She is able to contract for safety. Mrs. Owens states she is too afraid to actually harm herself and has no history of harm herself. She has been seen hospitalized at Novant Health