JS110_4Crisis

JS110_4Crisis - Financial catastrophe & job...

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    Suicide Threats and Attempts Crisis Intervention
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    Definition Suicide is a fatal act that is self-inflicted,  consciously intended, and carried out  with the knowledge that death is  irreversible.
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    Why do people choose to kill  themselves? For honor To avoid ‘fate worse than death’ Restitution for wrongs committed Religious martyrs Mental illness
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    Indicators of Suicide Potential means) Despondency, social withdrawal Giving away possessions, making wills,  hints at being gone Lack of ambivalence about living/dying
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    Activating Conditions Recent loss  (death, divorce, status, money) Social isolation Physical illness Impulsive or borderline personality
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    Vulnerable Times Anniversaries (of deaths/marriages) Holidays
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Unformatted text preview: Financial catastrophe & job loss Highly symbolic occasions (final divorce, or remarriage of partner) Suicide of peers & media reports During recovery from severe depression Common Etiology of Suicide Mental illness (DSM Axis 1 disorder) Intermittent severe depression Bipolar affective disorder Displaced murderous wish Displaced onto self Strategically placed to hurt another (e.g. murder/homicide) Crisis Intervention Strategies Take threats seriously Ask direct questions re suicide intentions Remove means of dying Check for drug/alcohol use Check history of depression / medication Find out who is intended victim Maintain caring concerned attitude & respectful distance Keep the person talking Express & diffuse anger Arrange suicide watch Get a non-suicide commitment Referral for treatment or hospitalization...
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JS110_4Crisis - Financial catastrophe & job...

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