Michael Wichterman
STUDENT NAME _____________________________________
Assessment of Clients who self-harm
SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Skill
Be able to assess clients who have verbal and non-verbal clues of suicide, self harm and
understand the prevalence of there of. Identify components of suicide risk/self harm assessments
Indications CONSIDERATIONS
Client statements of feeling helpless, Nursing Interventions (pre, intra, post)
hopeless, worthless
Behavioral and emotional instability, Provide a safe environment for client that
uses therapeutic communication
impulsiveness or unpredictability
Untreated depression, family hx of Medication when warranted to control stability
Present opportunities for the patient to
depression of suicide
express thoughts and feelings in a
Any change in functional abilities
nonjudgemental way and environment
Outcomes/Evaluation
Client Education
Client will no longer self harm
Client will not have suicidal thoughts Help client make a support system
Client will adhere to any medications Educate the client on possible counseling,
prescribed community resources and group therapy
Patient will notify provider of any updates options available to them for help
Patient will have a support system
Potential Complications Nursing Interventions
Suicidal or self harm thoughts increase Monitor the side effects of current medications
Client kills them-self prescribed for adverse reactions
Client does not adhere to medications Provide a safe and welcoming environment for
Client does not notify PCP of any client
disturbances with their symptoms or situation Do not leave client alone
Help the patient in making decisions during
severe stress
Create a verbal or written contract that the
patient will not act on impulses to do self harm
ACTIVE LEARNING TEMPLATES