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SuicidePsychiatric Nursing: Contemporary Practice

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What age does the peak suicide rate occur?
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Among individuals older than 75, with the highest rate being in men older than 85.
What ethnicity has the highest suicide rates in the US?
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Native Americans
What is a major factor in suicide in the 55-64 year old age group?
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Alcohol
What is considered the most powerful predictor of suicide?
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The presence of a depressive disorder
What is the most common method utilized for suicide?
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Use of a firearm
What is the biologic theory of suicide?
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Low levels of serotonin, 5-HIAA, dopamine and omega-3 proportions of lipids creates a vulnerability when coupled with genetics and severe childhood trauma results in sucidal tendencies.
How does child abuse impact the hypothalmic-pituitary-adrenal axis, ultimately impacting suicidal tendencies?
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It results in altered serotonin and dopamine metabolism which contribute to depression and suicide.
Which is more predictive of suicide, lack of positive thoughts regarding the future or negative thoughts in general?
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Lack of positive thoughts regarding the future
How do psychoanalysts/Freud followers view the act of suicide?
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As a hostility turned against the self.
How do Jungian followers view the act of suicide?
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As a representation of a desire for rebirth.
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How do cognitive-behaviorists view the act of suicide?
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It develops from learned maladaptive efforts to cope with low distress tolderance and limited coping resources.
How does social policy impact suicide rates?
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A strong association between diminished state spending for welfare and suicide has been determined.
A phenomenon among adolescents where individuals contemplate/commit suicide that are roughly the same age, gender, and background as someone who has already completed suicide is called?
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Suicide contagion/cluster suicides
What is the first priority for an acutely suicidal patient?
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Provide for the patient's safety with the least restrictive care possible
What is the most important way to reduce stress in an acutely suicidal person during their early hospitalization?
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Help the patient feel more secure and hopeful by ensuring patient safety with as little intrusion as possible on the person's exercise of free will.
What activities are required to maintain a safe environment for a suicidal patient?
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Observing the patient, removing dangerous objects, providing outlets for expression, re-establishing personal control by including them in decisions about their care and restricting their behavior only when necessary.
________ is the process of identifying people who are at risk for suicide to initiate proper treatment.
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Case finding
What characteristics does a nurse look for when case finding for suicidal tendencies?
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They look for people experiencing extreme stress, anxiety, agitation, who have little social support of insufficient coping skills.
What does the mneumonic IS PATH WARM stand for?
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I-ideation, S-Subtance Abuse, P-Purposelessness, A-Anxiety, T-Trapped, H-Hopelessness, W-Withdrawal, A-Anger, R-Recklessness, M-Mood Change
What is a key question to ask adolescents when determining their individual risk for suicide?
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Whether any family member has attempted or completed suicide.
What behaviors are clues someone may be contemplating suicide?
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Giving possessions away, getting legal affairs in order, and/or any apparently normal act that says good-bye to family and friends.
  
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