Suicide is a major health concern worldwide. Nurse practitioners must possess suicide assessment skills and treatment knowledge to ensure appropriate identification of persons with suicidal ideation. The purpose of this project was to assess psychiatric nurse practitioners' knowledge of suicide prevention in rural Kentucky. The conceptual framework was Orlando's nursing process theory, which emphasizes the importance of nurse-patient interaction. A 13-item survey of suicide-related knowledge and skills was administered to 10 psychiatric nurse practitioners in rural Kentucky. Only 3 participants responded correctly to a question related to suicidality in persons with borderline personality disorder. Regarding competency and support for assessing suicide, 100% of participants reported that they were comfortable asking direct and open-ended questions regarding suicide. Nine of the 10 respondents assessed their knowledge and skills as sufficient to engage effectively with patients contemplating suicide, which indicates that psychiatric nurse practitioners may overestimate their ability to identify and treat persons with suicidal ideation. Healthcare providers in all specialties can benefit from this project by improving competencies and guiding continuing education to bridge any gaps in knowledge for adequately assessing suicide. Further education is needed for psychiatric nurse practitioners to promote positive social change for suicidal persons, their families, and their communities.

No description available.

Suicide is the second leading cause of death in the 14-24 year age group in the United States. However, awareness and discussions regarding suicides for this age group are not widely heard or found. In addition, many practitioners are not adequately trained to assess suicide risk. School counselors are often on the front lines of identifying students at risk for emotional issues and possible suicidal ideation (ASCA, 2010). The following research questions guided this study: a) Does a school counselor's knowledge in identifying students at risk for suicide affect their willingness to conduct suicide risk assessments? b) Does a school counselor's self-efficacy in conducting a suicide risk assessment affect their willingness to carry out the assessment with a student? c) Do school counselors who graduated from CACREP institutions after 2009 report increased knowledge in identifying suicidal students than those who graduated from non-CACREP institutions or from those who graduated before 2009? d) Do school counselors who graduated from CACREP institutions after 2009 report higher self-efficacy in counseling suicidal students than those who graduated from non-CACREP institutions or those who graduated before 2009? e) In which ways, if any, do the following counselor characteristic variables: type of graduate training and institution, years of experience, number of suicide assessments conducted, and participation in crisis response team, contribute to suicide risk knowledge and self-efficacy in conducting suicide risk assessments? This study examined the relationship between three variables (knowledge of suicide risk, self-efficacy in conducting suicide risk assessments, and willingness to carry out suicide risk assessments with students) for practicing school counselors through the use of a demographic questionnaire, the Suicide Intervention Response Inventory-II, and the Crisis Leader Efficacy in Assessing and Deciding Scale. A total of 200 high school counselors from across the United States participated in the study. All participants were anonymous. The statistical analyses were completed using the Software Program for Statistical Analysis (SPSS) using correlational matrices, hierarchical regressions, and one-way ANOVA analyses. Results revealed 71% of school counselors from the sample were performing suicide risk assessment every month however only 50% believed their graduate training adequately prepared them to assess for suicide. Results also showed self-efficacy was directly related to the number of suicide assessments school counselors conducted each month. In addition, the school counselor's willingness to conduct assessments, membership on a crisis team, and comfort identifying and assessing suicidal students related to their self-efficacy as well. Recommendations for school counselors include: continuing professional development related to suicide, securing administrative support to perform suicide assessment, and improving crisis response teams. Recommendations for counselor educators include: providing appropriate feedback, using evidence-based teaching methods, and increasing suicide related issues into coursework. Areas for future research are also discussed.

No description available.

Bakgrund: Sjuksköterskor inom psykiatrisk vård kommer dagligen i kontakt med suicidnära patienter och är delaktiga i det suicidpreventiva arbetet. Studier beskriver att sjuksköterskor kan använda sig av sin kunskap, erfarenhet och intuition för att upptäcka att en patient är suicidal. Suicidavsikt kan kommuniceras icke verbalt genom subtila tecken, som kan uppfattas av sjuksköterskan. Syfte: Syftet med studien är att beskriva sjuksköterskors erfarenheter av den icke verbala kommunikationen inför ett suicid, för att öka medvetenheten om och förståelsen av detta fenomen vid suicidprevention. Metod: Kvalitativ metod med fenomenologisk hermeneutisk ansats har använts. Sju sjuksköterskor verksamma inom psykiatrisk vård intervjuades om sina erfarenheter av det studerade fenomenet, där intervjumetoden var narrativ och ostrukturerad till sin form. Resultat: Sjuksköterskornas erfarenheter av fenomenet presenteras i sex teman: Att se en förändring hos patienten, Att uppleva patienten som svårtolkad, Att känna patientens existentiella ångest, Att förstå patienten utifrån en helhetssyn, Att se patienten få insikt samt Att uppfatta att patienten gör ett avslut. I den tolkade helhetsförståelsen ger teorier om suicid en djupare förståelse för fenomenet som beskrivs i temana. Konklusion: Sjuksköterskor inom psykiatrisk vård kan uppfatta och tolka icke verbala budskap från patienter som är suicidnära och de kan använda denna kunskap som ett komplement till en suicidbedömning.

No description available.