Beruflich Dokumente
Kultur Dokumente
RISKS
AWARENESS
INTERVENTIONS
Dr Bernreuter
Hallmark College
Unit Objectives
Suicide
HOPELESSNESS
The Common Emotion in Suicide Is
Su
ici
de
Ra
te
s
in
th
e
US
Risk Factors
Psychosocial Factors
Biological Factors
o
o
Cultural Factors
Protective factors
African Americans; men more than women
Religion, role of the extended family
Highest rate among adolescent and young
adults
Hispanic Americans
Roman Catholic religion and importance
of extended family
However, Hispanic females grades 9-12 have
more attempts than blacks or whites of same
age
Asian Americans
Adherence to religions that tend to emphasize
interdependence between the individual and
society, seen as selfish or disrespectful to group
Societal Factors
Oregons Death with Dignity Act of 1994
terminally ill patients allowed physicianassisted suicide
Netherlands nonterminal cases of lasting
and unbearable suffering
Belgium nonterminal cases when suffering
constant and cannot be alleviated
Switzerland assisted suicide legal since
1918
Islam does not condone, but suicide
bombers may believe it is an honor to die
for their faith; that real happines lies
beyond
this
world
10
12
13
Assessment: Lethality of
Suicide Plan
Means
The further down the Ideas, Plans, Means, the higher risk
People with definite plans for time, place, and means are
at high risk.
14
Assessment Tools:
SAD PERSONS Scale
Uses 10 major risk factors to assess
suicidal potential
1. Sex (male) 6. Rational thinking loss
2. Age 25 to 44 or 7. Social supports lacking
65+ years
or recent loss
3. Depression 8. Organized plan
4. Previous attempt 9. No spouse
5. Ethanol use 10. Sickness
Patient gets 1 point for each positive: Score 0-2: send
home with follow-up, 3-4: Follow closely, consider inpatient care; 5-6: Strongly consider hospitalization; 715
10:
Hospitalize
Nursing Diagnoses
16
Levels of Intervention
17
Counseling
Case management
Pharmacological interventions
18
Survivors of Completed
Suicide: Postvention
Staff
19
20
a.
b.
c.
d.
21