Nursing Diagnosis for Risk for Suicide

Risk for Suicide

At risk for self-inflicted, life-threatening injury

Related Factors:

Behavioral

  • History of previous suicide attempt; 
  • impulsiveness; 
  • buying a gun; 
  • stockpiling medicines; 
  • making or changing a will; 
  • giving away possessions; 
  • sudden euphoric recovery from major depression; 
  • marked changes in behavior, attitude, school performance
Verbal
  • Threats of killing oneself; 
  • states desire to die/end it all
Situational
  • Living alone; 
  • retired; 
  • relocation, institutionalization; 
  • economic instability; 
  • loss of autonomy/independence; 
  • presence of gun in home; 
  • adolescents living in nontraditional settings (e.g., juvenile detention center, prison, half-way house, group home)
Psychological
  • Family history of suicide; 
  • alcohol and substance use/abuse; 
  • psychiatric illness/disorder (e.g., depression, schizophrenia, bipolar disorder); 
  • abuse in childhood; guilt; gay or lesbian youth
Demographic
  • Age: elderly, young adult males, adolescents; 
  • race: Caucasian, Native American; 
  • gender: male divorced, widowed
Physical
  • Physical illness; 
  • terminal illness; 
  • chronic pain
Social
  • Loss of important relationship; 
  • disrupted family life; 
  • grief, bereavement; 
  • poor support systems; 
  • loneliness; 
  • hopelessness; 
  • helplessness; 
  • social isolation; 
  • legal or disciplinary problem; 
  • cluster suicides

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Cognitive Ability
  • Depression Control
  • Distorted Thought Control
  • Impulse Control
  • Self-Mutilation Restraint
  • Suicide Self-Restraint
  • Will to Live
Client Outcomes
  • Does not harm self
  • Expresses decreased anxiety and control of hallucinations
  • Talks about feelings; expresses anger appropriately
  • Obtains no access to harmful objects
  • Yields access to harmful objects
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