Suicide Risk Assessment Tool: A Case Study

hospitals, psychiatric hospitals, and hospitals claiming “other specialty”. The criteria for the study were previous suicide attempts, drug abuse, and being admitted to a hospital for suicidality. Whether or not the hospitals conducted a mental health assessment was not a requirement for participation in the study, but this factor was considered.

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.

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.

The areas of concern from Justin’s MHA are his suicidal ideation, depressive symptoms: social withdrawal, seclusion in room, unemployment, weight loss, strong feelings of worthlessness, lack of energy and motivation, decreased appetite, difficulty sleeping and completing tasks of daily living, in addition to his unmanaged diabetes which have all been occurring simultaneously for a prolonged amount of time (beyondblue 2010; Hungerford et al. 2012, p. 185). As a national safety priority in care, his suicidal ideation, associated with feelings of hopelessness and worthlessness should be prioritised so that Justin will not act on these ideas or harm himself (National Mental Health Working Group 2005, p. 13). Ultimately, by establishing a therapeutic relationship, daily assessments of suicidal intent with active encouragement of informing a staff member when the urge to act upon suicidal thoughts are present as well as encouragement to explicitly speak about his feelings associated with such behaviours, identification of his strengths, resources and support systems and the administration of prescribed medication, with consideration of Justin’s cultural background, is of utmost importance in Justin’s care plan (Berman et al. 2014, p. 1189; The Royal Australian and New Zealand College of Psychiatrists 2009). Effectively, ensuring that a holistic and recovery-based framework which involves the care planning not exclusive to his

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

Patient is a 53-year-old female who presented to the ED after a attempt to commit suicide by cutting both her wrist. Patient stated: "I don't care about my life, I can die and it would not matter to me." Patient becomes tearful and expresses when she was cutting her wrist she didn't die. LEO brought patient into the ED from DayMark recovery services under IVC. At the time of assessment, patient endorses feeling suicidal with a plan. Patient reports health, conflict with neighbors, and financial issues as the primary factors contributing to her current distress. Patient reports having a history of suicide attempts by overdose, the last being "years ago". Patient reports no hospitalizations from incidents. Patient reports a history of domestic

Suicide is the second leading cause of death in the United States with the incidence continuing to rise. The U.S. Preventive Services Task Force, American Academy of Pediatrics, and the American Medical Association are among the top organizations that recommend routine screening of adolescents for suicidal thoughts, depression and other risk factors associated with suicide. While screening tools for suicidal ideation, have become available, they are not widely utilized. This integrative review of ten quantitative research articles, examines the value of such tools for evidence-based practice, in the identification of adolescents at risk. This review considered

For the crisis intake on Ariadne, the Triage Assessment for Crisis Intervention was utilized in order to appropriately define Ariadne’s current mental, emotional, behavioral, and physical state. Factors have been identified as an increased risk of suicidal ideation, which could be categorized as inhibiting and/or protective processes CITATION Bet13 \l 1033 (Bethel, 2013). Research has shown that there has been attempted collation of risk factors and behaviors for patient(s) that are delineated as low, moderate, or high risk. Utilizing the risk assessments allows for the treating clinician to work within the parameters of the assessment which offers them the ability to act effectively and adequately. Ariadne previously exhibited emergent crises that were not identified and acted upon as evidenced by her suicidal ideations, means, and implementation of action which places her from a high moderate to a high risk. Presently, Ariadne

A suicide assessment is essential for clients who have suicidal behavior (Ribeiro, Bodell, Hames, Hagan, & Joiner, 2013). A suicide risk assessment can be a vital step for prevention of suicidal behavior (Ribeiro, Bodell, Hames, Hagan, & Joiner, 2013). Suicide risk assessment is a crucial element in working with saddened clients and is the initial step in treating suicidal clients (Huh et al., 2012; Regehr, LeBlanc, Bogo, Paterson, & Birze, 2015). The risk of attempting or finalizing a suicide increases with the more signs or symptoms a client disclose (Kanel, 2015). Individuals usually give a sign or a warning before they commit suicide, but they may not openly say what their plan is or how they are feeling (Kanel, 2015).

Counselors and mental health professionals utilize comprehensive methods when dealing with a suicidal patient. One method is to stabilize the patient and ensure safety. A counselor also assesses the client's history for any risk factors which could indicate

The last definition given by the CDC is suicidal ideation which is referred to as thinking about committing suicide with or without a plan (CDC, 2015). Other members of this population include their family members and healthcare workers that work hard each and every day to make sure their holistic needs are met. In conjunction with these definitions mentioned above, many reasons why one would chose to commit suicide include problems with an intimate partner, financial issues, losing a job, and/or a previous diagnosis of a health problem. Once we understand who this population is and why they are vulnerable, it is important that we mention the methods that these individuals may resort to in order to end their life, so that there may be a chance to prevent them for causing harm to themselves. These methods are, but not limited to, gunshot wounds to areas on the body, predominantly the head and chest, overdosing on pain medication, suffocation, drowning, electrocution, and many other

Detecting Patients’ Risk of Suicide: Analyze patients, who were hospitalized for mental health problems, and identify the most prevalent factors that lead to suicide. Clinicians can then identify and monitor high-risk individuals [7].

In assessing suicidal risk, the following three factors can be useful towards ethical thinking: Indirect statements and behavioral change, living alone, and depression. Indirect statements and behavioral change can be useful towards ethical thinking in assessing suicide because the client who is indirectly making statements such as “This time next year I won’t be here” or “I can’t take the pain any longer” may be stating the reason he will no longer be here anymore or can no longer take the pain is because suicide may an option at that point. Behavioral change can be useful in assessing suicide risk because it allows the therapist to observe the change. An example being a client who was once known as the talkative type going 100 miles an hour

Clinicians take many factors into account when trying to predict a patient’s probability of committing suicide. These include but are not limited to substance abuse, family history of suicide, previous suicide attempts and hopelessness. In particular hopelessness has emerged as one of the strongest predictors of suicidal intent. Patients rated on the Hopelessness Scale (HS) are given a score out of 20, this score reflects the potential for committing suicide, (0-3 none) (4-8 mild) (9-14 moderate, may not be in danger but needs regular monitoring) (15-20 severe, definite risk of suicide). In the article, Hopelessness and Eventual Suicide: A 10-year prospective study of patients hospitalized with suicidal ideation, Beck et al. followed up on

Attending a nursing school is one thread that ties all nurses together. It is there when nurses’ education on mental health begins. The Quality and Safety Education for Nurses (QSEN) has set a skill standard that students will be able to demonstrate effective use of harm or risk reducing strategies in their practice (Cronenwett et al., 2008). A phenomenology study on nursing students provided multiple themes that spoke to the pitfalls in mental health nursing education. The themes included: development of fear of speaking to patients after reading their mental status and behavior in the chart, expiernce of uncomfortable feelings when discussing suicidal ideation with patients that were not forthcoming in assessment, and the obligation to meet the suicidal patient’s needs (provide an answer) instead of providing a therapeutic interaction (Scheckel & Nelson, 2014). A cross-sectional design study of nursing student’s attitudes toward suicide prevention revealed half of the students reported felt comfortable assessing suicide risk and had a positive attitude towards working with suicidal patients. At the same time, two-thirds of these students reported they do not believe suicidal patients tell anyone about their ideation and that there is little that can be done on a prevention level