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Suicide rates are remarkably high worldwide and nationally, making suicide one of the leading causes of death (Schwartz-Lifshitz, Zalsman, Giner et al, 2012; Tillman, 2014). Although most suicides do not occur in the hospital setting, psychiatric disorders—especially mood disorders and psychotic disorders—are risk factors that increase the likelihood of a suicidal event (Appleby, 1992; Sarzetto, Delmonte, Seghi, et al, 2017). Suicide not only affects the patient, but reverberates throughout the patient’s family and social circle, also causing distress and potential performance issues among clinical staff (Tillman, 2014).Therefore, it is important that psychiatric nurses understand how to recognize risk factors, and establish a clinical practice environment that prevents suicide. Minimizing suicidal tendencies requires different types of treatment interventions individually tailored for at-risk patients, as well as implementing best practices for creating a clinical environment that reduces risk. Best practices may also include preparing, teaching, and training nursing staff, especially when working with at risk populations.
Both psychiatric patients and psychiatric nursing staff can be considered target populations for an intervention designed to prevent suicide in the clinical setting. Preliminary research questions using the PICO (patient/population, intervention/issue,...
Among psychiatric patients (P), do mandatory intake assessments specifically for suicide risk (I) reduce rates of suicide (O) versus institutions without such policies (C)? This is a reasonable PICO question, but one that would require a large-scale assessment of different psychiatric institutions. Therefore, it might be too difficult to find sufficient evidence to make an informed decision for evidence-based practice.
2. Among psychiatric patients with mood disorders and other high-risk populations (P), do pharmacological interventions (I) reduce rates of suicide (O) versus patients who only receive talk or group therapies (C)? This is a commonly posed question related to suicide in the population group. The problem with this PICO question is there are too many different pharmacological interventions and individual differences among patients to come up with a clear, definitive guide for evidence-based practice.
3. Among psychiatric patients with suicidal ideations or a history of suicidal behavior (P), does family and group therapy (I) reduce risk (O) versus patients who do not receive any family or group therapy (C)? This is one of the most feasible PICO questions to use because family and group therapy options might offer some sound solutions for preventing suicide and reducing long-term risks.
4. Do community…
After the first four months, the intervention group rates of suicide ideation declined 12.9%, the article reports, compared with a 3% decline in the control group. At eight months, the intervention group reflected a 70.7 decline in suicide ideation, compared with just 43.9% in the control group. This clearly shows that when the health care industry takes a special interest and provides helpful intervention techniques, elderly people begin to
Cyberbullying New advents in technology and the increased use of social networks such as Facebook have led to the recent phenomenon of cyberbullying. News reports over the past five years have been filled with stories of young people committing suicide as a result of cyberbullying. For many years mental health professionals have warned of the consequences of bullying including suicidal ideation and suicidal behaviors. These recent suicides and suicide attempts have
The finding should alert those who attend to older persons to take extra care and caution that there will be no further attempts. Researchers surveyed the records of 1,206 patients suffering from depression with melancholia or psychosis. The patients were followed up after 50 years. In that span of time, 116 of the 1,206 patients committed suicide. Of the 116, 16 were excluded as their depression was alcohol-related. Of
Suicide Risk Management at Veterans Affairs Suicide Risk Management Issue U.S. Department Veterans Affairs Hospital Suicide prevention is a major national management issue in Veterans Affairs centers with a system wide suicide prevention program in place. These suicide-risk management programs include suicide crisis line, suicide monitoring and risk assessment, full-time suicide-prevention coordination efforts and medical record flags that notify on suicide risks (Desai, Rosenheck, & Desai, 2008). Suicide risk management is an important
The survivors might even be annoyed with a society which disgraces them. Anger is an important segment of the interrogation procedure, a procedure which is extremely important to the survivors. (Rubel, 1999) The psychological effect of death by suicide might persist for years. Family members would also start the mutual blame game and be alienated due to persistent disagreement which appears to have no outcome. When a dear person is
Suicide and How it Impacts Military Families Description of the Case or Problem As the number of suicides amidst the U.S. Armed Service members have constantly increased in the past decade, so has the rate of survivors affected by military suicide, leading to loss of life. Whenever a loved one loses their life as an outcome of suicide, the resulting trauma and shock might compromise the survivors' physical and mental health. This