Nursing Care of Suicide Risk in Psychiatric Patient: 2 Case Study

Abstract

Objectives : To study the results of using the nursing process for patients at risk of suicide. who were admitted to the psychiatric ward.

Methods : Comparative study of 2 patients by selecting specific patients. Gather information from patient medical records interviewing patients and relatives. Observation and use of the Suicide Risk Assessment (M.I.N.I. Suicide) Suicide risk assessment form for patients admitted to psychiatric hospitals (PISRA-12) and the Brief Psychiatric Symptom Rating Scale (BPRS) Before-After Using the nursing process Between the 9^th to 23^rd of September 2023 data were analyzed by comparing results according to the nursing process.

Result : Both case studies Received treatment for the 1st time Case study 1 Came with auditory hallucination and ordered him to commit suicide paranoid and attempted suicide 1 time by hanging himself. Case study 2 Came with symptoms of delusional thoughts Suspicious and afraid of people coming to kill crying unreasonably and attempted suicide 2 times. By running to get hit by a car and lie down for cars to step on. Evaluated and analyzed mental health problems and physical health problems. Determine nursing diagnosis and nursing action according to the stage of disease (staging). In the acute phase of case study 1 are (1) Risk of repeat suicidal behavior because he heard a voice telling him to commit suicide/attempted murder. (2) Risk of aggressive behavior due to having severe mental symptoms. (3) Risk of severe alcohol withdrawal Due to stopping drinking alcohol. In the Acute phase of Case Study 2 are (1) Risk of repeat suicidal behavior due to a history of attempting suicide. (2) Risk of aggressive behavior towards others and the environment because he has delusional mental symptoms, thinking that people are trying to do harm. (4) has low potassium in the blood. For the Recovery phase of both case studies. There are 2 items that are similar (1) Risk of repeat treatment due to insufficient knowledge about the dangers of drugs/Arrangement of side effects of antipsychotic drugs/Warning signs of recurrent psychotic symptoms/Warning signs of suicide. (2) The problem solving plan is not appropriate. This is because they use impulsive/careless methods of problem solving and avoidance. Both cases were treated and discharged safely. Total length of stay for treatment is 14 days.

Conclusion : Nursing care of patients at risk of suicide Professional nurses who provide care need to have knowledge. have a good attitude and have nursing skills that meet the problem in every stage of disease (staging) In order to ensure safety and not repeat suicidal behavior.