Suicide Risk Assessment Is Essential For A Supportive, Caring And Committed Environment For George Essay

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.

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.

Psychiatric and general hospitals are required to, “Conduct a risk assessment that identifies specific characteriscts of the individual served and environmental features that may increase or decrease the risk for suicide” (Joint Commission, 2010). Many psychiatric hospitals have extended their services in the last few decades to drug and alcohol rehabilitation and these admissions and their environments will now require a complete suicide risk assessment, if it has not been done so before.

The Suicide Risk Assessment Tool has been designed for use of the Registered Nurse to gather information regarding the presenting patients experience of a “suicidal state”, in order to identify the suicide risk posed on that patient due to their mental capacity at the time and what interventions would be appropriate to implement in order to minimise the risk (psychology org). The framework is divided up into three sections. The first section is based on information the health professional requires if it was a crisis risk situation. This section addresses any suicidal thoughts and if yes - how often, any plans or intent - how often and any previous attempts - on however many occasions, the presenting patient may

Healthy People 2020 is a government site that identifies health concerns based on statistics observed and collected over a ten-year period. Mental Health and Mental Disorders is one of the many health concerns or topics listed on their website and has been further subcategorized into objectives and goals (U.S. Department of Health and Human Services [HHS], 2015). The first objective listed under this topic states “reduce the suicide rate” (HHS, 2015). The goal of this objective is to “reduce the suicide rate by ten percent” (HHS, 2015). Suicide is prevalent among varying age groups, ethnicities, and genders (HHS, 2012). It is an increasing problem prompting Healthy People 2020 to label it as a Leading Health Indicator or an extremely important issue (HHS, 2015). To meet their goal, Healthy People 2020 partnered with the U. S. Surgeon General and the National Action Alliance for Suicide Prevention (NAASP) to create a plan that can be utilized throughout the nation. Their plan focuses on removing the stigma associated with mental health and mental health disorders while simultaneously building supportive communities with increased access to care, creating a standardized model promoting the collaboration of health care professionals in order to increase identification and data collection of high-risk patients and provide continuity of care, and ensuring the education and the adequacy of patient support systems.

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.

The bottom was characterize as a large black neighborhood in Ohio, that stood above the hill of Medallion was a predominately white wealthy community. Before it was call the Bottom, now they call it the suburbs. Consequently, a good slave master promised freedom and piece of land if the slave perform difficult chores, when they finish the work he was hastens about giving away valley land he hope to give away piece of the bottom. However, the slave thought the valley land was the bottom, the master told them when God look down, it's the bottom, it the bottom of heaven best land there is. And they agree to it, And it was done. Shadrack was a citizen of the bottom, he fought in WWI, return back as a damaged man that couldn't cope with reality of what was happening in the world, his mental state of mind was unstable he live around the border of the town to find harmony in his life.

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

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.

Clinical concerns: Despite no current suicidal intent the client is a high potential risk for suicidal behaviors.

Because I work in an hospital that cares for populations at great risk for substance abuse and untreated mental issues and disorders, I get to see patients that have, or at some time will try to commit suicide, I would like to take this opportunity to learn how to properly assess the community, to help those in need, and to educate their families and friends to look for, and recognize signs that can prevent suicides, toward this end, it is important that I have the necessary knowledge to assimilate the information in this study, in a manner that will provide greater benefit not only to my

Take the following actions, using assessment results to inform the level of safety measures needed: keep patients in acute suicidal crisis in a safe health care environment, under one-to-one observation, for

Using the search strategy, numerous articles were identified as relevant to the search topics. Major search topics for this study included suicide assessment and nursing students, nurses and suicide education, and nursing students and mental health simulation. The databases frequently accessed included PubMed, Proquest, EBSCOhost Medline, and Elsevier Science Direct. Search filters included the years 2000-2017. After scanning the abstracts for further applicability, seventeen studies were eligible for inclusion in the literature review. The literature review incorporated all levels of evidence with a higher appreciation for Level III or above research.

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.

When a student answers no to question 2 (suicidal ideation), question 6 is used to evaluate past suicidal behaviour and to determine the current level of risk and any actions which may be required to increase safety. The presence of ANY suicidal behaviour (suicide attempt, interrupted (by self or others) attempt, or aborted attempt, and preparatory behaviour in the past three months indicates high risk.