Highlights
- •The nursing diagnosis “risk for suicide” should be understood as a meaningful behaviour rather than a symptom of an illness.
- •Validation of risk factors for nursing diagnosis “risk suicide” can help nurses clinical judgment more precise manner in older adults.
Abstract
Objective
To clinically validate risk factors for the nursing diagnosis risk for suicide in
older adults.
Methods
Case-control study (105 older adults). The strength of the association between variables
was assessed using odds ratio (OR). Risk factors were grouped into hierarchical blocks
according to the Integrated Motivational–Volitional Model of Suicidal Behaviour.
Results
Anxiety; guilt; divorce; hostility; inability to express feelings; loss of important
relationship; financial problems; apathy; low self-esteem; hopelessness; dependence
and functional incapacity; unhappiness; failure; frustration; marked change in attitude
and behavior; sadness; self-neglect; stockpiling medication; depression; ideation
and suicidal plans; and mental disorders were associated with risk for suicide.
Conclusions
It is expected that this study will contribute to clinical nursing practice by the
identification of this diagnosis in a safer and more precise manner.
Descriptors: clinical judgment, nursing diagnosis, psychiatric nursing, suicide, older
adult.
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Article info
Publication history
Published online: January 22, 2020
Accepted:
January 19,
2020
Received:
December 3,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
