ANGER AGGRESSION

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ANGER / AGGRESSION
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DEFINED

• ANGER- NORMAL EMOTION, SERVES TO ALERT US TO
  POSSIBLE THREAT OR TRAUMA
• ANGER- POWERFUL EMOTION WHEN NOT RECOGNIZED IT
  CAN CAUSE PHYSICAL PROBLEMS
• AGGRESSION TO GO OUT AGAINST, TO ATTACK

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EXPRESSING ANGER

• ROLE MODELING
• OPERANT CONDITIONING
• NEUROPHYSIOLOGICAL DISORDERS
• BIOCHEMICAL FACTORS
• SOCIOECONOMIC FACTORS
• ENVIRONMENTAL FACTORS

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ASSESSMENT

• ANGER CHARACTERISTICS
• AGGRESSION MILD, MODERATE, SEVERE, EXTREME
• HISTORY OF ASSAULT
• PREASSAULTIVE TENSION STATE - ESCALATION

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OUTCOME CRITERIA

• RECOGNIZE OWN ANGER AND SEEK OUT STAFF
• TAKE RESPONSIBLITIES FOR FEELINGS
• DEMONSTRATE INTERNAL CONTROL OF ANGER FEELINGS
• USE TENSION IN A POSITIVE MANNER
• NO HARM TO SELF OR OTHERS
• US PROBLEM SOLVING RATHER THAN VIOLENCE

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NURSING INTERVENTIONS

• OBSERVE
• DEFUSE ANGER BY LEAST RESTRICTIVE MEANS
• TALKING DOWN SUFFICIENT STAFF PRESENT- REMOVE
  OTHER CLIENTS
• PHYSICAL OUTLET
• MEDICATION TAKE WILLINGLY OR SHOW OF FORCE

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INTERVENTIONS

• RESTRAINTS SECLUSION
• OBSERVATIONS AND DOCUMENTATION
• ONGOING ASSESSMENT ASSESS READINESS TO HAVE
  RESTRAINTS REMOVED
• STAFF DEBRIEFING

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SUICIDE

• SUICIDE QUIZ FACT OR MYTH
• 9TH LEADING CAUSE OF DEATH IN US
• 3RD LEADING CAUSE OF DEATH IN 15-24 YEAR OLDS
• HIGHEST RATE PERSONS OVER 65
• ESTIMATED 10 ATTEMPTS TO ONE COMPLETION
• 72 COMMITTED BY WHITE MALES
• MALE-FEMALE RATIO 41

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STATISTICS

• 80 OF FIREARM SUICIDES ARE COMMITTED BY WHITE
  MALES
• PROFESSIONAL PERSONS HAVE A HIGHEER THAN AVERAGE
  SUICIDE RATE
• SUICIDE LESS FREQUENT AMONG PRACTICING MEMBERS OF
  MOST RELIGIOUS GROUPS

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DEFINITIONS

• SUICIDE-ACT OF KILLING ONESELF VOLUNTARILY
• PARASUICIDE FAILED ATEMPT TO KILL ONESELF
• SUICIDE IDEATION-THINKING ABOUT PLANNING ONES
  OWN DEATH WITHOUT ENGAGING IN SELF HARM
• SUICIDE PREVENTION-BASED IN PART OF UNDERSTANDING
  THE NATUE OF MOOD DISORDERS ESPECIALLY MDD
• SUICIDE ATTEMPT- ALL ATTEMPTS THAT DONT LEAD TO
  DEATH

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COVERT SELF-DESTRUCTIVE BEHAVIORS

• COMPULSIVE SUE OF DRUGS AND ALCOHOL
• HYPEROBESITY
• GAMBLING
• SELF-HARMFUL SEXUAL BEHAVIORS
• MEDICAL NONCOMPLIANCE
• HIGH-RISK LIFE STYLES

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SAD PERSONS SCALE

• S SEX
• A AGE
• D DEPRESSION
• P PREVIOUS ATTEMPTS
• E ETOH
• R RATIONAL THINKING LOSS
• S SOCIAL SUPPORTS LACKING
• O ORGANIZED PLAN
• N NO SPOUSE
• S - SICKNESS

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LETHALITY ASSESSMENT

• 1 NO PREDICTABLE RISK OF IMMEDIATE SUICIDE
• 2 LOW RISK OF IMMEDIATE SUICIDE
• 3 MODERATE RISK OF IMMEDIATE SUICIDE
• 4 HIGH RISK OF IMMEDIATE SUICIDE
• 5 VERY HIGH RISK OF IMMEDIATE SUICIDE

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LEATHALITY OF METHODS

• LESS LETHAL

• HIGHLY LETHAL

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SIGNS THAT HELP PREDICT SUICIDE RISK

• SUICIDE PLAN
• HISTORY OF SUICIDE ATTEMPTS
• RESOURCES PSYCHOLOGIC, SOCIAL. COMMUNICATION
• RECENT LOSS
• PHYSICAL ILLNESS
• SUBSTANCE ABUSE
• ISOLATION
• UNEXPLAINED CHANGE IN BEHAVIOR
• DEPRESSION
• SOCIAL FACTORS OR PROBLEMS
• MENTAL ILLNESS
• AGE, SEX, RACE, MARITAL STATUS

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INTERVENTIONS

• BASIC SUICIDE PRECAUTIONS
• NO SELF-HARM CONTRACTS
• ESTABLISH THERAPEUTIC RELATIONSHIP
• PREPARE FOR CARE AT HOME

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