Audio Transcript Auto-generated
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Hi,
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my name is keith Brasileiras and these are my slide deck presentation
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or to start off with a warning signs within risk factors.
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Risk factors indicate that over a lifetime
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the person is more at risk
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than one who doesn't have these factors and some
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are modifiable risk factors versus non modifiable risk factors.
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Trying to think about non modifiable risk factors.
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Those are things that don't change and may increase a person's overall
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risk or might increase a person's potential to make a suicide attempt.
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What comes to mind are those individuals with suicide in the family
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or suicide of a friend?
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If they've had
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psychiatric diagnosis,
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if they made previous suicide attempts,
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those are risk factors versus warning signs.
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The warning signs
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are things think about with alertness
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and is the individual thinking about suicide using more substances?
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Are they feeling purposeless nous in their lives? Are they anxious or agitated?
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We're feeling trapped.
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These are indicators that we realize the person is making
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and requires a more immediate response
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and we need to intervene because the person is now more acute
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just because warning sign is easily visible on the slide
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doesn't necessarily mean it is easy to spot.
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Here's a pneumonic, I want you guys to remember
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is path warm.
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Please think about that for a minute
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and look at the slide
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and if I close my eyes, I could run them off and soon you will too.
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I'm going to begin with. Is I It is ideation.
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S
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is substances and sleep? He is purposeless nous a
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anxiety agitation t
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and feeling trapped age, hopelessness. I will continue on, But
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I think you guys get the point.
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Um
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the american association of suicidology as well as junk at all
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um have expanded these warning signs.
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Ideation Excuse me.
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We're gonna go back down to did all those already
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withdraw from families? Friends, society? Are they're angry?
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They're becoming more reckless
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and also pay attention to a person's mood
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because that really makes a difference as well.
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This slide is from the Joint Commission as well as Kenny
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and others describing how patient safety is improved through routine assessment.
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In documenting that assessment,
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the Joint Commission found that several events related to suicide or
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death related to suicide have two issues contributing to them.
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One a lack of thorough assessment and to a
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lack a lack of communicating that assessment to others.
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So when we ask the patient,
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if they are thinking about suicide and the answer is yes
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and we don't ask further questions.
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Are we really helping the patient?
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We need to ask further questions to see where they are,
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probe for answers and know what they are actually thinking
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continuing on.
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We're going to look at does the person have a plan or a method.
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Are there protective factors?
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Is there ideation method and plan?
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Does the person have intent?
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And if we remember from previous slides, we have to distinguish the person's intent
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as well as
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excuse me, Was it
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suicidal?
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Self directed violence or non self directed
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violence and the difference between the two is
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correct
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intent.
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Risk factors and protective factors have to
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be documented appropriately rationale for these.
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Risk factors must be determined.
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And also the interventions and treatment plans for those individuals
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who do communicate with us.
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This is why we never go alone.
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Nurses need to make their own assessments and reported accordingly.
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If the CSS are screening tool is done in the E. D. We must ensure we do our own
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C. S. S. R. S.
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When we assess the patient,
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nurses have to make their own assessments
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because ideation is fluid and ever changing.
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We want to catch the patient
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in the process and we have to understand the
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motivation for the ideation in order to take action.
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Sometimes
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it is a way for a patient to communicate or cope with distress
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or to get their needs met.
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Patients may say
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that they are suicidal but not not actually be suicidal.
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So we really need to look into their motivation.
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If if
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if
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if a patient reports denying suicide,
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how do you report it?
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Do you use terms?
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How do you report it?
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You use terms like
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patient currently
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deny a suicide. Great. And how do you report it?
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Patient reports
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not being suicidal at this time? Excellent. Those are all very very great answers.
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How do you come back to that?
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How do you ensure your relief and other staff
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members come back to asking those very same questions,
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denial does not mean that they are not thinking about it.
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So understand the motivation behind it and really
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stay on top of your CSRS assessments.
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Thank you.