Implementing and sustaining evidence-based practices in long-term care.

Suicidal Ideation and Behaviour

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  • RNAO BPG - Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour
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    Increase your comfort, confidence and competence in this practice area, in order to enhance safety for your clients and to lower the impact of suicide to society. The goal of this best practice guideline is to provide nurses with recommendations, based on the best available evidence, related to the assessment and care of adults at risk for suicidal ideation and behaviour.

    Registered Nurses’ Association of Ontario. (2009). Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/assessment-and-care-adults-risk-suicidal-ideation-and-behaviour

  • RNAO BPG Gap Analysis- Assessment and Care of Adults at Risk for Suicidal Ideation and
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    A tool to assist with comparing your organization’s current practice with evidence-based RNAO best practice recommendations.

    Registered Nurses Association of Ontario (2022) Gap Analysis-Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour. Toronto. ON

  • Canadian Association of Suicide prevention (CASP) - Website
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    Website that deals with suicide survivors, suicide grief, support for those living with suicide loss along with providing education materials and access to various support and crisis centers . it also addresses suicide risk in the aging population. Its main purpose is to reduce suicide rate in Canada and minimize the consequences of suicide behaviour.

    Reference: Canadian Association of Suicide prevention (CASP), https://suicideprevention.ca/ 

  • Centre for Suicide Prevention - Resources
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    Numerous resources available with a simple search engine within this website

    Reference: Centre for Suicide Prevention [Online] Available: https://www.suicideinfo.ca/resources/ 

    Copyright: The Centre for Suicide Prevention Web Site is offered to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of the Centre for Suicide Prevention Web Site constitutes your agreement to all such terms, conditions, and notices.

  • Centre for Suicide Prevention - Website
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    Centre for Suicide Prevention site contains a large collection of suicide prevention, intervention, and postvention resources, including Plus 65- a resource toolkit specific to seniors.

    Reference: Centre for Suicide Prevention Website: http://www.suicideinfo.ca/

  • Clinical Practice Guideline for the Management of Deliberate Self-harm
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    Numerous resources available with a simple search engine. Updates noted for 2017.

    Reference: Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for Deliberate Self-harm. 2016, Australian and New Zealand Journal of Psychiatry 2016, Vol 50(10) 939-1000. https://www.ranzcp.org/Files/Resources/Publications/CPG/Deliberate-self-harm-CPG.aspx  

    The Centre for Suicide Prevention Web Site is offered to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of the Centre for Suicide Prevention Web Site constitutes your agreement to all such terms, conditions, and notices.

  • Decision-Making Framework - Centre for Clinical Ethics
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    The Decision Making Framework provides an ethical approach for choosing care strategies following the observation of a deliberate act.

    Retrieved from http://ccethics.com/ethics-service/decision-making-framework/ 

  • Detecting and Treating Suicide Ideation in all Settings
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    This is a “Sentinel Event Action Alert” , a complimentary publication of The Joint Commission Issue 56, February 24, 2016 “Detecting and treating suicide ideation in all settings” Through this alert, The Joint Commission aims to assist all health care organizations providing both inpatient and outpatient care to better identify and treat individuals with suicide ideation

    Reference: Joint Commission on Accreditation of Healthcare Organizations (JCAHO). (2016). Detecting and treating suicide ideation in all settings. [Online]. Available: https://www.jointcommission.org/assets/1/18/SEA_56_Suicide.pdf  

    Copyright © 2017 The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, IL 60181

    All materials posted on this site are subject to copyrights owned by The Joint Commission. The Joint Commission hereby provides limited permission to the user (you) of this site to reproduce, retransmit, or reprint for such user's own personal use part or all of any document on this site as long as the copyright notice and permission notice contained in such document or portion thereof is included in such reproduction, retransmission, or reprinting. All other reproduction, retransmission, or reprinting of all or part of any document found on this site is expressly prohibited, unless The Joint Commission has expressly granted its prior written consent. All other rights reserved. See Permissions/Reprints Policy.

  • Educational Resources – RNAO Appendix O
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    A List of educational resources compiled by the development panel as a resource for nurses and their clients in learning more about suicidal ideation and behaviour. This is not intended to be an inclusive listing.

    Registered Nurses’ Association of Ontario. (2009). Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/assessment-and-care-adults-risk-suicidal-ideation-and-behaviour 

  • Late Life Suicide Prevention Toolkit – Facilitator’s Guide
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    A complete toolkit for educational purposes. Composed in 2008 and content uploaded in 2016. Key elements of the CCSMH Late Life Suicide Prevention Toolkit include: • DVD - Suicide Assessment & Prevention for Older Adults: Life Saving Tools for Health Care Providers • CCSMH National Guidelines for Seniors’ Mental Health: The Assessment of Suicide Risk and Prevention of Suicide • Clinician pocket-card • PowerPoint presentation • Facilitator’s Guide with tips for using the Toolkit in a variety of ways

    Reference: Canadian Coalition for Seniors’ Mental Health (2008) Late Life Suicide Prevention Toolkit, Facilitators Guide. Available at http://ccsmh.ca/wp-content/uploads/2016/03/FacilitatorsGuide.pdf 

    © Canadian Coalition for Seniors’ Mental Health, 2008 In order to meet the educational needs of your learners, some materials in the toolkit may be modified. Please acknowledge that the information was provided by the Canadian Coalition for Seniors’ Mental Health Late Life Suicide Prevention Toolkit.

  • Personality Disorder in Older Adults Capacity Building Package
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    The Personality Disorder in Older Adults Capacity Building Package provides evidenced informed educational resources to support capacity building for clinical teams who care for individuals living with personality disorder, and to avoid/reduce compassion fatigue. The educational resources are geared toward point-of-care teams from various sectors. The resources are intended to stimulate critical thinking and enhance practical application strategies.

    It meets a growing need in LTC related to the management and provision of care to adults experiencing severe mental illness.

    https://brainxchange.ca/BSOPDCBPackage?mc_cid=81807f2d61&mc_eid=13d8e63762

     The BSO website is hosted by brainXchange™.

  • Personality Disorders in Major Depressive Episodes: The Relationship Between Hostility and
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    This article published for US library of Medicine article compares depressed in patients with and without CCPD in terms of suicidal behaviour and associated psychopathology.

    Reference: Dervic, Kanita et al. “Cluster C Personality Disorders in Major Depressive Episodes: The Relationship Between Hostility and Suicidal Behavior.” Archives of suicide research : official journal of the International Academy for Suicide Research 11.1 (2007): 83–90. PMC. Web. 22 Dec. 2017. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3779124/ 

  • Postvention Intervention – RNAO Appendix M
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    RNAO resource page 105, Appendix M. Listed interventions as potentially beneficial to providing supportive care in postvention. Registered Nurses’ Association of Ontario. (2009). Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/assessment-and-care-adults-risk-suicidal-ideation-and-behaviour 

  • Risk of Suicide
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    This document from Mood Disorders Society of Canada provides helpful information on suicide risk and support strategies.

    Reference: Mood Disorders Society of Canada (n.d.) Risk of Suicide. Retrieved from http://mdsc.ca/documents/Consumer%20and%20Family%20Support/Risk%20of%20suicide.pdf

    © Copyright 2016 Mood Disorders Society of Canada | All Rights Reserved | Powered by Dreamconcepts 

  • RNAO BPG - Crisis Intervention
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    While the primary focus of this guideline is on mental health crises, its application has relevance to all settings and populations who experience developmental, situational, community or environmental crises. It is intended that this guideline will enhance the understanding of crisis intervention and standardize its practice, as well as enhance professional nursing practice. Supplement: 2006

    .

    Registered Nurses’ Association of Ontario. (2013). RNAO Crisis Intervention. Toronto, ON: Author. Retrieved from https://rnao.ca/sites/rnao-ca/files/bpg/Crisis_Intervention_FINAL_WEB_0.pdf

     This work is funded by the Ontario Ministry of Health and Long-Term Care
     

  • Staff Debriefing Strategies – RNAO Appendix N
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    RNAO resource page 106, Appendix N. Listed potential strategies that offers debriefing for staff involved in the care of a client who has completed suicide.

    Registered Nurses’ Association of Ontario. (2009). Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/assessment-and-care-adults-risk-suicidal-ideation-and-behaviour 

  • Suicide Assessment and Prevention for Older Adults
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    This clinician pocket-card provides suicide information and is based on the Canadian Coalition for Seniors Mental Health national guideline: The Assessment of Suicide Risk and Prevention of Suicide

    Reference: Canadian Coalition for Seniors Mental Health (2000). National Guidelines for Seniors Mental Health- The Assessment of Suicide Risk and Prevention of Suicide Brochure. Retrieved from http://ccsmh.ca/wp-content/uploads/2016/03/CCSMH_suicideBrochure.pdf  

  • Suicide Assessment and Prevention for Older Adults - CCSMH
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    This clinician pocket card supports assessment resources for the assessment and prevention of suicide in older adults. The Geriatric Suicide Ideation Scale and the Harmful Behaviours Scale mentioned on the clinician pocket-card can be used by health care providers with appropriate training.

    Reference: Canadian Association of Mental Health (CAMH) Clinician Pocket Care Suicide Assessment and Prevention for Older Adults (2015). Retrieved from http://ccsmh.ca/wp-content/uploads/2016/03/CCSMH_suicideBrochure.pdf 

  • Suicide Prevention and Assessment Handbook - CAMH
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    The CAMH Suicide Prevention and Assessment Handbook is a quick, comprehensive and interactive starting point for staff across all clinical programs on the subject of suicide assessment and management. It provides key clinical information, current CAMH tools and resources, and further population-specific resources.

    Reference: Canadian Association of Mental Health (CAMH). (2015). Retrieved from https://www.camh.ca/en/hospital/health_information/a_z_mental_health_and_addiction_information/suicide/Documents/sp_handbook_final_feb_2011.pdf 

  • Suicide Prevention – Centres for Disease Control (CDC)
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    Website full of resources with a great search engine pertaining to suicide and the elderly.

    Reference: Centers for Disease Control and Prevention (CDC) [Online] Available: https://www.cdc.gov/ViolencePrevention/suicide/ 

    Copyright: Information that is created by or for the US government on this site is within the public domain. Public domain information on CDC Stacks may be freely distributed and copied. However, it is requested that in any subsequent use of this work, CDC be given appropriate acknowledgment.

  • Suicide Prevention – Government of Canada
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    A website from Government of Canada about suicide, prevention, risk factors, how to get help. It reviews potential risks, prevention, factors that may increase risk and resources along with overview of federal initiative in suicide prevention.

    Reference: https://www.canada.ca/en/public-health/services/suicide-prevention.html 

    https://www.canada.ca/en/public-health/services/publications/healthy-living/overview-federal-initiatives-suicide-prevention.html 

  • Suicide Risk and Prevention of Suicide - Resources and Tools
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    Canadian Coalition for Seniors’ Mental Health, Suicide Assessment & Prevention for Older Adults, Life Saving Tools for Health Care Providers.

    Web Address or Source: http://ccsmh.ca/projects/suicide/  

    © Canadian Coalition for Seniors’ Mental Health, 2008 In order to meet the educational needs of your learners, some materials in the toolkit may be modified. Please acknowledge that the information was provided by the Canadian Coalition for Seniors’ Mental Health Late Life Suicide Prevention Toolkit.

  • The Workplace and Suicide Prevention Toolkit
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    Reviews how to support workplace and colleagues as a result of suicide, along with workplace bullying and strategies to minimize suicide rates.

    Reference: The workplace suicide prevention toolkit: Center for Suicide Prevention, Canadian Mental Health Association; https://www.suicideinfo.ca/wp-content/uploads/2017/05/Workplace-Toolkit.pdf 

    © Center for suicide prevention, All contents of the Centre for Suicide Prevention Web Site are: © Centre for Suicide Prevention and/or its suppliers. All rights reserved.

  • Toolkit for Survivors of Suicide Loss and Postvention Professionals
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    A toolkit from Mental Health Commission of Canada information and access to resources on suicide grief, immediate aftermath, advocacy, information for first nations and capacity building tools.

    Reference: Available online: Toolkit for survivors of suicide loss and Postvention professionals; https://www.mentalhealthcommission.ca/English/initiatives/11889/tool-kit-survivors-suicide-loss-and-postvention-professionals 

    © (2013) Mental Health Commission of Canada. All rights reserved. All materials (including the organization and presentation of such material) on this Web site (the "Materials") are the property of MHCC and its licensors and may be protected by intellectual property laws including laws relating to copyrights, trade-marks, trade-names, internet domain names and other similar rights. Access and use of this Web site is provided by MHCC to accept identified and agree to the listed Terms of Use; such as the information must only be used for lawful purposes, no interference to the website, visit the terms of use periodically as it is updated regularly.

  • World Health Organization Suicide Prevention - Website
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    This WHO site consists of suicide data, prevention videos and the mhGAP Intervention Guide with a module on self-harm/suicide.

    Reference: Retrieved from http://www.who.int/mental_health/suicide-prevention/en/  

    © Copyright World Health Organization (WHO), 2017. All Rights Reserved.