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Suicide
Intentional act of killing oneself |
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Suicidal thoughts are more common than suicide attempts
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May Develop on a continuum
1) Suicidal ideation 2) Suicide gestures 3)Suicide attempts 4) Completed suicide |
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Hopelessness
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Internalized anger
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Depression or mental illness
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Alcohol/drug use
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Primary orientation to the past - stuck on past events
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Lack of belonging
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Isolation and loneliness
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Trust in self/others
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Capacity for intimacy/love
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Sense of belonging
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Well-developed future time perspective
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Continuing of self
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Take action toward harming themselves but not lethal
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May be cry for help
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ie. taking pills, superficial cuts to wrist
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History of early loss
Parental loss in childhood Child abuse/neglect Anniversary of loss |
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Negative Life Events
Recent bereavement, separation or divorce Job loss Release from psychiatric facility Recovery from schizophrenia or depressive episode |
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Decreased social supports
Increased isolation family turbulences sudden life changes |
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Biological factors
No biological theory of suicide Connect serotonin and suicide |
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Sociological Theory
Suicide is related to social disconnections and loss of control over individual impulses Occurs when society fails to control individual impulses |
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Psychological Theory
Depression is a major factor in suicide many clients not depressed complete suicide |
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S
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Sex
males are at higher risk females >attempt; males >complete males use more lethal methods |
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A
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Age
19 and younger are at higher risk |
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D
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Depression
Increases risk |
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P
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Previous Attempts
Increases risk |
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E
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Ethanol use
Alcoholic or recently intoxicated |
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R
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Rational Thinking
Psychotic or illogical |
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S
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Social support lacking
Has no social supports |
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O
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Organized plan
Has means to execute plan |
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N
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No Spouse
Highest among divorced/separated/widowed persons |
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S
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Sickness
New onset of chronic or disfiguring illness |
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