SUICIDE_handout - Crisis Interventions for Suicidal...

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Crisis Interventions for Suicidal Ideation: A Family and Consumer Guide Phyllis M. Connolly PhD, RN, CS 8/9/95, Revised 1/97 Suicidal ideation and gestures are frequently outcomes of mental disorders. Various factors which are involved in mental disorders increase the risk (potential) of suicidal ideation (thoughts) and gestures (acts). Hallucinations, delusions, recent stressors, increased feelings of hopelessness, and severe depression increase the likelihood that a person will have suicidal thoughts and often act on those thoughts. The use of alcohol and/or illegal drugs are found in the majority of completed suicides. At least 70% of persons who commit suicide give some clue before making an attempt. Having a positive supportive and helpful relationship with a mental health provider may reduce the risk of suicide. Case finding, seeing clients more often, and relationship maintenance may decrease the incidence of completed suicides. Educating families and consumers regarding the potential for suicide and having a plan to intervene may prevent successful suicides. Positive outcomes (i.e. prevention of suicide) has been the result of the author’s professional experience in educating families and consumers in the area of suicide prevention. The following guidelines provide families with the “how to” during a suspected suicidal ideation episode. YOU SHOULD HAVE AN EMERGENCY PLAN FOR HANDLING A SUICIDE GESTURE OR IDEATION, JUST AS YOU HAVE FOR HANDLING A HEART ATTACK VICTIM OR ANY OTHER MEDICAL EMERGENCY (e.g. INSULIN REACTION OR SEIZURE). STEP 1: Check out your concerns regarding the persons suicidal thought. THOUGHTS (Ideation) Validate your concerns regarding the person’s suicidal thoughts. It's OK to ask someone if they are thinking about suicide. Example: "Are you thinking about hurting yourself?" If the person responds "yes," stay CALM You may need to take a deep breath . You need to say to yourself, this person is probably very frightened . They need someone to tell them that they will be safe and that they are not alone. If possible, ask the person what their thoughts are like (you want to know if they are hearing voices which may be giving them commands to kill themselves).
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Crisis Intervention: Family and Consumer Guidelines: Suicidal Ideation Phyllis M. Connolly PhD, RN, CS If "yes," get the person to the suicide crisis center or emergency psychiatric services immediately . STEP 2 : If there are no voices , ask for details about how they expect to kill (hurt) themselves. This helps establish if there is a plan . What exactly do they intend to do? For example, do they intend to use a gun (firearms account for 60% of all suicides
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This note was uploaded on 09/08/2010 for the course NURS 147A at San Jose State University .

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SUICIDE_handout - Crisis Interventions for Suicidal...

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