NURS2039 Mental Health and Wellbeing Week Six PDF

NURS2039- Mental Health and Wellbeing Week Six WELCOME ACKNOWLEDGEMENT OF COUNTRY The University of Notre Dame Australia is proud to acknowledge the traditional owners and custodians of this land upon which our University sits. The University acknowledges that the Fremantle Campus is...

NURS2039- Mental Health and Wellbeing Week Six WELCOME ACKNOWLEDGEMENT OF COUNTRY The University of Notre Dame Australia is proud to acknowledge the traditional owners and custodians of this land upon which our University sits. The University acknowledges that the Fremantle Campus is located on Wadjuk Country, the Broome Campus on Yawuru Country and the Sydney Campus on Cadigal Country.  Learning Objectives Become aware of the prevalence of suicide and self-harm in Australia Explore and reflect on your attitudes towards suicide and self-harm. Become confident in engaging, collaborating, and assessing people who are suicidal or self-harm.  Trigger warning We are mindful that some students may find the content of this subject distressing. If you become distressed you are encouraged to speak to a trusted friend, family member, health professional or contact: Notre Dame Counselling phone: 9433 0580, Email: [email protected] Lifeline Australia: 13 11 14  Deliberate Self Harm (DSH) vs Suicidal Ideation (SI) Deliberate Self Harm: intentional, direct injuring of a body tissue without suicidal intent. It outlines a wide range of self injurious behaviours which can include: Cutting Scratching Hitting Head Banging Burning or Scalding Hair Pulling Excessive use of substances Whilst someone who engages in self harming activities may not have suicidal thoughts, there is a chance they may die through misadventure  Deliberate Self Harm vs Suicidal Ideation Suicidal Ideation describes the thoughts, ideas or plans a person has about causing their own death. A suicide attempt is when someone acts on their suicidal ideation. Suicide is when a suicide attempt is successful.  Deliberate Self Harm vs Suicidal Ideation A person who self harms may not wish to die; the act of harm may be to: Manage their anxiety Ground themselves To feel physical pain (which is easier to deal with than their emotion pain) A form of self punishment A sense of relief A sense of control Deliberate self harm is described as a ‘maladaptive coping strategy’  Suicide and Self Harm Statistics In 2018, 3046 people completed suicide (in Australia alone) More than 8 people a day Accounts for 1.9% of all deaths nationwide Males 3 times more likely to end their life than females Average age of 44 years In 2018, Self-Harm accounted for 10% of all admissions to ICU DSH accounts for 10% of injury related admissions for 15–19-year-olds Females are admitted at double the rate of males Intentional self-poisoning accounts for 83% of all DSH admissions  Risk factors related to DSH and Suicide Predisposing factors: causes that render the person more prone to a particular behaviour Precipitating factors: catalysts for behaviour, not the underlying cause but may trigger the behaviour in the current time Perpetuating factors: factors that promote or support a continuation of the behaviour. These are factors that the person can manage/control or change  Risk factors related to DSH and Suicide Predisposing Precipitating Perpetuating Social Family history of self-harm and Entering care Being bullied suicide Parents divorcing Unresolved housing, Childhood abuse Bereavement employment and financial Homelessness Unplanned pregnancy problems Physical Illness Significant financial stress Ready availability of potentially Sexual Assault lethal means of self-harm Psychological Family history of mental illness Mental illness Intoxication with alcohol/illicit Reduced ability to regulate emotions Excessive alcohol use substances Poor impulse control Illicit drug use Cognitive problems Low self-esteem Believing that their distress or problems are not being taken seriously by others Interpersonal Conflict between parents Perceived stressful situations Unresolved conflict with Lack of supportive relationships involving others parents Poor interpersonal problem solving Relationship breakdown Continuing negative Argument or conflict with experiences of care significant other Ongoing difficulty in communicating feelings  What can we do as nurses? Actively complete risk assessments (risk is fluid) Build a therapeutic relationship before the person reaches crisis Learn how to mitigate risk (proactively) Support the people we work with, be present with them  Tutorials Self directed learning