Question

You use the SAD PERSONS scale to assess J.B.'s potential for suicide and find that he is at a 4 on the 10-point scale. J.B. tells you that he has just had general thoughts of suicide, but has not really thought about how he would do it. You recall that there are two types of suicide methods based on lethality: higher- risk or hard methods, and lower-risk or soft methods.

7. Which of these would be considered soft methods of suicide? Select all that apply. a. Using a gun b. Slashing one's wrist c. Hanging d. Poisoning with carbon monoxide e. Ingesting pills f. Inhaling natural gas

8. What immediate interventions would you carry out for J.B.? Case Study Progress You decide to notify J.B.'s physician about your findings. The attending physician calls in a psychiatrist to evaluate J.B.

9. Identify two treatments that are available for depression.

10. Would J.B. be a candidate for electroconvulsive therapy (ECT)? Why or why not?

Answer 1

1. The soft methods of suicide are;

• slashing one's wrist
• ingesting pills
• inhaling natural gas

2.Since the patient has a tendency to suicide the first thing we have to do is create a safe environment by removing all the harmful objects. Place the person near to the nursing station so that the nurse can easily observe the patient. careful monitoring of the patient is very necessary. Don't allow the patient to be alone. always make sure that we are with them and is there at any time for any help. always try to comfort the patient. try to distract te thoughts of the patient from thinking about suicide.

3. The 2 treaments available for depression includes;

• administering antideppressants mainly SSRI (selective serotonin uptake inhibitors)
• cognitive behavioural therapy, psychodymanic therapyand interpersnal therapy.

4.ECT depends on may factors. For this patient if the person is old age then he is not fit for ECT. and also if he has any previous history of medical conditions then he is not able to give ECT. Before administering ECT the physician check all those factors.

Here, if the patient has aove any fators, then he is not fit for ECT.