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- QUESTION
In this “In Treatment” video-clip (Sophie_whole world silent), has Paul conducted an adequate suicide assessment yet? Should he be concerned? Why/why not? If Paul called you to find a referral for Sophie in your geographic area, what kind of competence/credentialing should you be considering in your referral candidates? What concerns do you have personally about conducting a suicide assessment? How might you become more comfortable and competent to address the scenario should it ever arise?
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Answer
Adequate Suicide Assessment
In cases where there is history of aborted attempts, suicide attempts, or other self-harming behaviors, it is significant to get as much detail as conceivable about the intent, timing, method, and significances of such behaviors (Chiles & Roberts, 2018). It is also suitable to define the life context in which such activities happened and whether or not they happened in connotation with chronic use of alcohol, intoxication other substances.
In this clip, it can be concluded that Paul has not conducted adequate suicide assessment. When interacting with a suicide patient, it is significant to note that just asking about suicidal ideation does not ensure that complete or accurate information will be obtained. Paul would have gone further to ask about religious and cultural beliefs about death. It is also significant for the psychiatrists to concentrate on issues such as timing, nature, frequency, and persistence of suicide ideation. Paul should be very concerned since he has no critical information about the suicide attempt. On the same note, the patient is too emotional which suggests that she can think of committing suicide any time she is alone.
When asked for a referral by Paul, one credentialing aspect or competence that I will consider is experience. According to the study conducted by Baldessarini and Tondo (2017), suicide ideation comes in different ways, hence it requires a psychiatrist with vast experience to assess and manage it. One of my greatest concern during assessment is emotion of the patient. This is one factors that drives people to pre-determined decision leading to suicide (Bolster, Holliday, Oneal, & Shaw, 2015). In that regard, I would ensure that the client is in a stable emotion by conducting thorough counselling. Once emotions are stable, the patient can make accurate decisions which are far away from suicide.
References
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Baldessarini, R. J., & Tondo, L. (2017). International suicide rates versus adequate treatments. The British Journal of Psychiatry, 210(4), 298-299.
Bolster, C., Holliday, C., Oneal, G., & Shaw, M. (2015). Suicide assessment and nurses: what does the evidence show. Online journal of issues in nursing, 20(2).
Chiles, J. A., & Roberts, L. W. (2018). Clinical manual for assessment and treatment of suicidal patients. American Psychiatric Pub.
Appendix
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Appendix A:
Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year
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