Scholarly Paper on Suicide Case Analysis Assignment Discussion

In this assignment you are required to perform a suicide/risk assessment utilizing the suicide risk assessment form. Download the form, fill it out, and submit it as a pdf file.

Refer to this site about Suicide Prevention and this Suicide Check List: Ways to Assess Suicidality. Additional help: Here is a 25 min video that not only goes over the protocol, but provides simulated examples of working/speaking with clients. Review the reading assignments on APA ethics regarding suicidal intent in Chapter 8. Scholarly Paper on Suicide Case Analysis Assignment Discussion

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Using the above Prevention, Checklist/Assessment resources, please evaluate the following vignette for risk and suicidality. Please consider culture in your assessment. You are required to reference your work in APA format. After you fill out the form, write a paper discussing your assessment, possible interventions, and prevention strategies that you might use in this vignette. Justify your decisions and actions by using and referencing the course text and ethics code. All work must be written in graduate level English in APA format. Your paper should be 4 pages plus a title page and a reference page. Scholarly Paper on Suicide Case Analysis Assignment Discussion

Naomi, a 16-year old female adolescent, is brought to your office by her parents after they found scratches on Naomi’s wrist and a note saying, “I just wish I wouldn’t wake up in the morning”. Triggering event is reportedly seeing her boyfriend with another girl at school. The parents report that Naomi is an excellent student and always has been a happy child. During her adolescence, she reportedly became moody and irritable, with fits of rage when she doesn’t get her way. When she was 15, Naomi apparently told her best friend that she planned on overdosing on her father’s pain pills, but the best friend told Naomi’s parents and this was intercepted. The incident at that time was also over rejection by a boy at school. Currently, Naomi is an excellent student, has no physical ailments, denies substance use and shows no signs of psychosis or mania. Mother tells you that Naomi sleeps a lot, sometimes 12 hours on the weekends, eats very little at dinner, and has gotten quite thin. Father is worried about his daughter as she is not the same little girl that adored him. Both parents are fearful that Naomi will harm herself. In session Naomi appears annoyed and denies intent to harm herself. She tells you, “I’m fine. Everyone is over-reacting. My parents just need to chill. They’re smothering me with their ridiculous worry.”

Family history reveals suicide attempts by Naomi’s mother when she herself was an adolescent due to chronic abuse by her alcoholic father. Mother denies suicidal ideation at present, and is on antidepressant and antianxiety medications. She does reveal that her paternal grandfather was an alcoholic who “killed himself’ when his wife left him. Naomi’s father is a police officer, currently on disability. He suffers from chronic back pain, and is prescribed narcotics for pain management. Both parents are adamant that their medications are safely kept and that Naomi has no access them. Scholarly Paper on Suicide Case Analysis Assignment Discussion

https://www.zurinstitute.com/suicide-checklist/

We Can All Prevent Suicide

Risk assessment is a crucial practice in healthcare since it helps the nurses and other healthcare providers recognize potential hazards and assess the damage a disaster may cause. Therefore, risk assessment helps identify health hazards, their consequences, and the tolerance level toward such events. In that case, the paper will evaluate a risk assessment for Naomi, who is a 16-year-old patient accompanied by her parents due to the scratches on her hand and the note projecting a possible suicide. The main areas to assess are the assessment, interventions, and prevention strategies.

Assessment

Naomi, a 16-year-old female client, is accompanied by her parents to the clinic. The parents report that Naomi has scratches on her wrist, and there is a possible suicide note that states that she wishes that she never wakes up in the morning. The possible event that has triggered the current problem is associated with Naomi witnessing her boyfriend in school together with another female, where she becomes depressed and suicidal. From the parents’ perspective, Naomi has always been jovial and good and showcases a happy personality. The parents also report that when she was young, Naomi started to be moodier than they initially perceived her to be, and in other instances, she would present small tantrums once things did not meet her expectations. Scholarly Paper on Suicide Case Analysis Assignment Discussion

The issue of becoming suicidal started when the patient was 15 after she confined it to her friend. The plan was to use her father’s pain pills, but the friend took the initiative to inform the parents, thus preventing the situation from occurring. However, after assessing why the patient thought of suicide, it is because a boy in her school rejected her. At the point of visiting the clinic, Naomi does not exhibit any physical ailments and is still a good student, showing no mania or psychosis signs and no substance use abuse. However, Naomi’s mother reports that she has noted that the patient sleeps a lot, to the extent of sleeping 12 hours, and has a reduced appetite, leading her to become very thin. Also, the father states that he is concerned about the changes in Naomi since he cannot identify her with the Naomi he knew during her childhood. At this point, Naomi’s parents express their worry and fear of Naomi harming herself, which she highly denies. Naomi believes that the parents are worried, that the issue is not a big deal, and that the parents should stop being worried. However, the issue cannot just be overlooked since there is a history of suicide attempts in Naomi’s family, particularly from her mother after her alcoholic father abused her during adolescence. Scholarly Paper on Suicide Case Analysis Assignment Discussion

At the time of the visit, the mother assures the clinician that she is okay and that she has been taking anxiety and antidepressant medication to ease the suicidal thoughts. The mother also reports that her grandfather committed suicide after the wife left and was an alcoholic. Such factors may have been attributed to most societies not perceiving depression and anxiety as health issues, thus making most individuals not aware of the implications of these mental conditions. However, Naomi’s father is disabled and has been dealing with a back pain issue and has been taking narcotics to manage the pain. Naomi’s parents affirm that they safely keep the medication out of Naomi’s reach.

Interventions

Nursing interventions should be based on evidence-based practice to enhance patient safety and the quality of conditions, treatments, and management. Hence, the first intervention for Naomi will be to continue with about five more therapy sessions(Nuij et al., 2021)Scholarly Paper on Suicide Case Analysis Assignment Discussion. However, if, even after getting Naomi to therapy sessions, she continues to show suicidal thoughts, it will be necessary to refer her to a mental health facility for immediate care. However, if Naomi shows a chance to improve her current condition through medication, it will be necessary to administer immediate medications depending on the severity of her condition.

Another crucial intervention that has a higher probability of working for Naomi is engaging her in group therapy like dialectical behavior therapy, where she will have to meet with other teenagers with similar problems to make it easier for her to identify better ways to deal with her situation, such as her peers (Asarnow et al., 2021). Also, home-based family care will be necessary to ensure that Naomi and her parents collaborate towards her wellness without any issues (Frey et al., 2021). In such a case, patient education will play a bigger role in ensuring that the parents, for instance, use a lock box to store their medication to limit Naomi’s access to the parents’ medications.

Family therapy would also be necessary since it will enlighten Naomi and her parents about her current condition and better ways to solve the issue. Considering there are instances that a healthcare provider may have limited knowledge on better ways to deal with suicide, it is necessary to seek help from either colleagues or refer the patient to a more qualified mental health specialist for better and reliable care (Frey et al., 2021)Scholarly Paper on Suicide Case Analysis Assignment Discussion. Also, clinicians should avoid using interventions that they are not aware of to avoid escalating the patient’s overall health condition, particularly for suicide patients.

Prevention Strategies

The most effective strategy that would be appropriate for Naomi is enlightening her on coping mechanisms for anxiety and depression. In that case, she requires training on applying strategies like meditation and breathing techniques to help her reflect and think rationally and logically about better ways to solve issues (Vargas-Medrano et al., 2020). It would also be necessary to educate the patient and her parents on the need to adhere to medication since failure to do so results in a relapse. In such a case, strategies like teach-back or show-me would help ensure the patient and her family understand what is expected of them during the collaborative care plan (Vargas-Medrano et al., 2020). Also, a follow-up would be necessary since it will help assess Naomi’s improvement and determine if the current interventions are helping to manage her condition. That way, it will be easier to stop or adjust treatment, whether pharmacological or non-pharmacological.

Conclusion

The issue of Naomi revolves around suicidal ideation that occurs due to rejection, resulting in anxiety and depression. In that case, the risk assessment plan assesses the issue at hand to identify the root cause of the issue and describes the most effective interventions and preventative strategies. For the interventions, they include group and family therapy. Also, prevention strategies like effective coping mechanisms and follow-up will help enhance patient overall health outcomes. Scholarly Paper on Suicide Case Analysis Assignment Discussion

References

Asarnow, J. R., Berk, M., Bedics, J., Adrian, M., Gallop, R., Cohen, J., Korslund, K., Hughes, J., Avina, C., Linehan, M., & McCauley, E. (2021). Dialectical Behavior Therapy for Suicidal Self-Harming Youths: Emotion Regulation, Mechanisms, and Mediators. Journal of the American Academy of Child & Adolescent Psychiatry, 60(9). https://doi.org/10.1016/j.jaac.2021.01.016

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Frey, L. M., Hunt, Q. A., Russon, J. M., & Diamond, G. (2021). Review of family‐based treatments from 2010 to 2019 for suicidal ideation and behavior. Journal of Marital and Family Therapy. https://doi.org/10.1111/jmft.12568

Nuij, C., van Ballegooijen, W., de Beurs, D., Juniar, D., Erlangsen, A., Portzky, G., O’Connor, R. C., Smit, J. H., Kerkhof, A., & Riper, H. (2021). Safety planning-type interventions for suicide prevention: meta-analysis. The British Journal of Psychiatry, 219(2), 419–426. https://doi.org/10.1192/bjp.2021.50

Vargas-Medrano, J., Diaz-Pacheco, V., Castaneda, C., Miranda-Arango, M., Longhurst, M. O., Martin, S. L., Ghumman, U., Mangadu, T., Chheda, S., Thompson, P. M., & Gadad, B. S. (2020). Psychological and neurobiological aspects of suicide in adolescents: Current outlooks. Brain, Behavior, & Immunity – Health, 7, 100124. https://doi.org/10.1016/j.bbih.2020.100124 Scholarly Paper on Suicide Case Analysis Assignment Discussion