Adolescent Suicide: Behaviors, Risk Factors, and Psychiatric Nursing Interventions

Ladely, Shirley J.; Puskar, Kathryn

doi:10.3109/01612849409006924

“…McLaughlin & Whittington (1996) for example, draw attention to this growing problem in young men. Suicides involving violent methods typically involve young men, who are more likely to have severe forms of mental illnesses or signs of drug dependency (Earle et al . 1994, Ladely & Puskar 1994, Fieguth et al .…”

Section: Mental Health Nurses and The Problem Of Suicidementioning

confidence: 99%

Considering the care of the suicidal client and the case for ‘engagement and inspiring hope’ or ‘observations’

Cutcliffe

¹

,

Barker

²

2002

Psychiatric Ment Health Nurs

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Psychiatric/mental health (P/MH) nursing has rightly been described as a 'broad church', and one that contains many contested matters and areas of differing opinion. One such contested matter is that of the appropriate care for the person who is at risk of suicide. Recent, albeit limited, debate of this issue has taken place, and the literature, such as it is, indicates two principal (though linked) positions. These can be summarized as the 'engagement and hope inspiration' position and the 'observations' position. Given the P/MH nurse's unique position in providing 24-hour, day-to-day care to suicidal clients and the growing problem of suicide within people who suffer from mental health problems, it is both necessary and perhaps timely to consider this debate in more detail. Accordingly, this paper considers the debate regarding care for suicidal mental health care clients. First, the paper briefly describes the historical policy context of care for the suicidal client. Next, it focuses on 'observations' and concludes that there is a range of well-established, empirically based problems or drawbacks to this approach. Following this, it focuses on 'engagement, inspiring hope' and points out the key processes of engagement: forming a relationship, a human-human connection, conveying acceptance and tolerance, and hearing and understanding. The value and importance of these most fundamental of interpersonal processes is described and alluded to throughout the limited research into care of the suicidal client. The paper then describes the range of criticisms that have been levelled at the engagement-inspiring hope approach and considers these criticisms in more detail. As a result of this detailed examination, the paper then reiterates the need to replace 'observations' with 'engagement-hope inspiration' as the principal approach to caring for suicidal mental health clients.

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“…Because it is well established through government-sponsored studies that suicide is a serious issue in society, researchers from many disciplines have addressed this topic. It has drawn the attention of professionals in the areas of medicine, nursing, psychiatry, sociology, and psychology (Ladely & Puskar, 1994;Mazza & Reynolds, 1998;Melhem et al, 2003;Mitchell, Gale, Garand, & Wesner, 2003;Resnick et al, 1997;Seguin, Lesage, & Kiely, 1995;Smyth & Maclachlan, 2004).…”

Section: Suicide and Its Impactmentioning

confidence: 99%

When a Coworker Completes Suicide

Lynn¹

2008

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The suicide death of a coworker is considered a psychiatric emergency for nurse managers and coworkers left to process the feelings associated with this type of grief. The occupational health nurse can assist nurse managers and coworkers in the grieving process. It is critical for the occupational health nurse to understand the psychological, social, and emotional implications for coworkers (suicide survivors) left to grieve the loss. Appropriate support and guidance immediately following the suicide death of a coworker will assist individuals through the normal grieving process and avoid suppressed emotions that may lead to personal and departmental dysfunction. M s. Ridenour, nurse manager for the emergency department, received a telephone call from Susan Cooper, the wife of Kevin Cooper, the day shift charge nurse. Susan told Ms. Ridenour that Kevin died the previous night. Ms. Ridenour found it difficult to comprehend this message. She had spoken with Kevin at 3:30 pm yesterday. The news caught her unprepared to respond. She expressed her sympathy and asked if there was anything Susan needed at this time. Susan thanked Ms.Ridenour for her concern and kindness ; then a long pause ensued. "There is more," Susan whispered softly.

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“…Because it is well established through government-sponsored studies that suicide is a serious issue in society, researchers from many disciplines have addressed this topic. It has drawn the attention of professionals in the areas of medicine, nursing, psychiatry, sociology, and psychology (Ladely & Puskar, 1994;Mazza & Reynolds, 1998;Melhem et al, 2003;Mitchell, Gale, Garand, & Wesner, 2003;Resnick et al, 1997;Seguin, Lesage, & Kiely, 1995;Smyth & Maclachlan, 2004).…”

Section: Suicide and Its Impactmentioning

confidence: 99%

When a Coworker Completes Suicide

Lynn¹

2008

View full text Add to dashboard Cite

The suicide death of a coworker is considered a psychiatric emergency for nurse managers and coworkers left to process the feelings associated with this type of grief. The occupational health nurse can assist nurse managers and coworkers in the grieving process. It is critical for the occupational health nurse to understand the psychological, social, and emotional implications for coworkers (suicide survivors) left to grieve the loss. Appropriate support and guidance immediately following the suicide death of a coworker will assist individuals through the normal grieving process and avoid suppressed emotions that may lead to personal and departmental dysfunction.

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Adolescent Suicide: Behaviors, Risk Factors, and Psychiatric Nursing Interventions

Cited by 6 publications

References 12 publications

Considering the care of the suicidal client and the case for ‘engagement and inspiring hope’ or ‘observations’

Considering the care of the suicidal client and the case for ‘engagement and inspiring hope’ or ‘observations’

When a Coworker Completes Suicide

When a Coworker Completes Suicide

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