History of prior suicide attemptDefiThreats of killing selfStates desire to diePsychiatric illness or substance abuseChronic or terminal illnessCommon Nursing Diagnoses and Interventions for Depression(Interventions are applicable to various health-care settings, such as inpatient and partial hospitalization, community outpatient clinic, home health, and private practice.) ●Widowed or divorced[Has a suicide plan and means to carry it out]Goals/ObjectivesGrief; hopelessness; social isolation[Depressed mood]Related/Risk Factors (“related to”)^ RISK FOR SUICIDE nition:his or her feelings of worthlessness and penchant for isolation.pursuing a relationship with the individual, which increases At risk for self-infl icted, life-threatening injury. Mood Disorders: Depression ●^129
2506_Ch06_125-144.indd 0129 2506 Ch 06 125 - 144 .indd 0 1. Ask client directly: “Have you thought about harming your- 2. Client will make short-term verbal (or written) contract with Interventions with Short-term Goals 3. Client will not harm self.Long-term GoalClient will not harm self. 2. Create a safe environment for the client. Remove all poten- 1. Client will seek out staff when feeling urge to harm self. 129 tially harmful objects from client’s access (sharp objects, if means exist for the client to execute the plan.nurse not to harm self.and medication administration. Perform room searches as self in any way? If so, what do you plan to do? Do you have the deemed necessary. means to carry out this plan?” increased if the client has developed a plan and particularly straps, belts, ties, glass items). Supervise closely during meals Selected RationalesClient safety is a nursing priority.The risk of suicide is greatly 1 10/1/10 9:34:33 AM 0 / 1 / 10 9 : 34 : 33 AM
