00140 Risk for self-directed violence

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00140 Risk for self-directed violence

Definition of the NANDA label

Situation in which there is a danger that the individual will adopt behaviors that may be physically, emotionally or sexually harmful to himself.

Susceptible to behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to self.

Risk factors

• Suicidal ideation (frequent, intense and prolonged).
• Suicidal plan (clear and specific lethality; method and availability of destructive means).
• Verbal cues (talking about death, expressions like “everything would be better without me”, questions about lethal doses of drugs).
• Behavioral clues (writing notes about desperate love affairs, directing angry messages to significant others who have rejected you, separating from personal belongings, terminating a life insurance policy).
• Age between 15 and 19 years.
• Over 45 years of age.
• Marital status (single, widowed, divorce).
• Employment (unemployment, recent job loss or failure).
• Occupation (executive, manager of your own business, professional, semi-skilled worker).
• Conflicting interpersonal relationships.
• Family history (chaotic or conflictive, history of suicide).
• Sexual orientation (bisexual [active], homosexual [inactive]).
• Physical health (hypochondria, chronic or terminal illness).
• Mental health (severe depression, psychosis, severe personality disorder, alcoholism or drug abuse).
• Emotional state (hopelessness, despair, increasing anxiety, panic, anger, hostility).
• History of multiple attempts at self-harm.
• Personal resources (low achievements, bad introspection, low and poorly controlled affections).
• Social resources (scarce, social isolation, lack of family response).
• People who perform autoerotic sexual acts.

At risk population

• Age ≥ 45 years
• Age 15-19 years
• History of multiple suicide attempts
• Marital status
• Occupation
• Pattern of difficulties in family background

Associated condition

• Mental health issue
• Physical health issue
• Psychological disorder

NOC

• Self-control of the suicidal impulse.

NIC

• Environmental management: prevention of violence.
• Behavior management: self-harm.
• Promote family involvement.
• Behavior management.
• Enhancement of security.
• Help to control anger.
• Set limits.
• Physical restraint.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.

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