Kapiolani Community College

Associate Degree in Nursing Program

Nursing Care Plan
Concept: Suicide
Nursing Diagnosis: Risk for self-directed violence r/t environmental stressors (mothers verbal/physical abuse) and depressed mood
Short term Outcome
(Behavioral objective)
1. Will talk to someone
if having feelings of
harming self
Long Term
Outcome (Reflect
resolutionmeasurable, realistic,
attainable)
1. Patient is free of
acts of self harm and
suicide for one week

Interventions (activity & frequency)

(All applicable interventions including
assessment, direct nursing action,
collaborative intervention, teaching)

Rationale (includes reference for each

intervention)

Evaluation (patient response, data, for

each intervention).
Continuous action (resolved, continue
intervention, change intervention)

#1. Provide safe environment at all

times/q15min

#1. Suicide precautions are used to prevent the

patient from acting on sudden self-destructive
impulses. These measures include removing
potentially harmful objects and maintain visual
contact with patient (Gulanick & Myers,
2011)*

#1. Patient remained free of any acts of selfharm during shift. No potentially harmful
objects were present and visual checks done
q15min. Continue intervention

#2. Encourage participation in OT and

education on bullying (cognitive behavioral
psychoeducation) at daily session. Discuss
ordered medication

#2. Literature review by The Brown University

Child & Adolescent Psychopharmacology
Update (2010) suggests trauma-focused CBT as
first line intervention. Also, although the
controlled study by Hojman (2011) indicated
SSRI was indifferent to the placebo group of
effectiveness, psychotherapeutic interventions
are therapeutic with antiadrenergics, second
generation antipsychotics, and antiepileptic
agents in adolescents

#3. Spend time with the patient by participating

in OT class and recreational play at least once

# 2. Patient was active in OT and

psychoeducation session, stating understanding
of teachings. Continue to educate and
encourage for CBT. Follow up assessment on
personal effectiveness of therapy and on
knowledge/adherence to medication

# 3. Patient displayed happy affect during

recreational play of team ping-pong. Continue
intervention. Would follow up with assessment
on patients report of mood

#3. This interaction may proved a sense of

security and reinforce self-worth (Gulanick &
Myers, 2011)*. Which is meaningful to patient
who has strong feelings of hopelessness

Note: All references include author, year, page

Gulanick, M., & Myers, J.L. (2011). Nursing care plans: Nursing diagnoses, interventions and outcomes, (7th ed.). St Louis: Mosby.
[*Care Plans on suicide were only located through texts online access resource, http://evolve.elsevier.com . Therefore, inability to reference page number. ]
Hojman, H. (2011). What are the latest recommendations for the psychopharmacological treatment of PTSD in children and adolescents?. Brown University Child &
Adolescent Psychopharmacology Update, 13(11), 2.
Managing PTSD in children and adolescents: context for psychopharmacology. (2010). Brown University Child & Adolescent Psychopharmacology Update, 12(6), 1.