Management of clients with suicidal attempt: Children, Adolescents, Adults and Elders – This book covers the entire syllabus of “Psychiatric Nursing” prescribed by the Universities of Bangladesh- for Basic and diploma nursing students. We tried to accommodate the latest information and topics. This book is an examination-friendly setup according to the teachers’ lectures and examination questions.
At the end of the book previous university questions are given. We hope in touch with the book students’ knowledge will be upgraded and flourish. The unique way of presentation may make your reading of the book a pleasurable experience.
Management of clients with suicidal attempt: Children, Adolescents, Adults and Elders
Arrangeinent requires –
1. Adequate staffing
2. Vigilance
3. Special nursing arrangements to avoid keeping alone, e.g., client room has to be located near the nurses station to maximize observation by the nursing staff
4. Formulate and state clearly the policies protocol and it has to be agreed by client and the staff, e.g., only family members will be allowed
5. In case of adolescents limit the friend circle.
6. Conduct suicide assessment, lethality plan
7. Engage the client in purposeful activities by diverting the mind
8. Careful observation of the client is needed in vulnerable time
9. Provide symptomatic psychotherapeutic treatment.
10. Treat the underlying cause, before the exact treatment started
11. Administer the drugs, if any prescribed
12. Report to the team members if any clues related to suicide are identified
13. Encourage the client to develop optimistic ideas or sense of hope and self-control
14. Motivate the client to express his repressed feelings
15. Involve the family members in provision of care and guide them to provide situational support
16. Refer high risk cases for psychotherapeutic interventions.
17. Positive relationships such as with family, teachers, coaches, foster parents, peers
18. Positive self-esteem and self-worth
19. A hopeful view of the future
20. Effective problem solving and coping skills
21. Safe and secure home environment
22. Positive school experience
23. Ability to communicate their needs, feelings, and thoughts to others
24. Positive life experiences
25. Success at school, sports, or arts activities
26. Involvement in faith/religious communities
27. Assessment of client, relatives, review the suicidal risk tendency
28. Organization of adequate social support, regular review
29. Involve family members in provision of care with adequate situational support
30. Arrange immediate access to extra help for client and relatives.
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