[Disorganized or chaotic environments][Neurological alteration related to premature birth, fetal Goals/ObjectivesSuicidal ideation, plan [available means][History of ] cruelty to animals●Impulsivity[History or threats of violence toward self or others or of Body language (e.g., rigid posture, clenching of fiDefi[Birth temperament][Child abuse or neglect]strates that he or she can be physically, emotionally, and/or sexu-ally harmful [either to self or to others] Related/Risk Factors (“related to”)[Unsatisfactory parent–child relationship]^30 [Dysfunctional family system]Short-term Goals^ destruction to the property of others]^ hyperactivity, pacing, breathlessness, threatening stances) distress, precipitated or prolonged labor]OTHER-DIRECTED VIOLENCERISK FOR SELF-DIRECTED OR nition:●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION At risk for behaviors in which an individual demon- sts and jaw,
2506_Ch02_014-053.indd Sec1:30 2506 Ch 02 014 - 053 .ind 1. Client will seek out staff at any time if thoughts of harming Long-term GoalClient will not harm self or others. 3. Determine suicidal intent and available means. Ask, “Do Interventions with 1. Observe client’s behavior frequently. Do this through rou- 2. Client will not harm self or others. 2. Observe for suicidal behaviors: verbal statements, such as d Sclose observation to prevent harm to self or others.self or others should occur.you plan to kill yourself?” and “How do you plan to do it?” and suspicious. tine activities and interactions to avoid appearing watchful haviors, such as giving away cherished items or mood swings. Most clients who attempt suicide have communicated their have to worry herself about me any longer,” or nonverbal be-“I’m going to kill myself” or “Very soon my mother won’t intent, either verbally or nonverbally.ec 1 : 30 Clients at high risk for violence require Selected Rationales 1 10/1/10 9:33:20 AM 0 / 1 / 10 9 : 33 : 20 AM
