gms | German Medical Science

Objectives: Suicide is a very serious public health problem. Patient is the center, and quality and safety are the core of hospital management. Pay attention to patient suicide is the responsibility and task of hospital, especially to prevent patient with wrist cutting or other means of suicide to suicide again in hospital.

Method: During 2010–2016, we received 25 suicide patients. To prevent suicide patient re-suicide in hospital, we assessed the psychological state of the patients with SDS (self rating depression scale); set up the records of SDS of the patients; according to the scores of the patient, make plans of psychological care and arrangement of psychological consultant; strictly observe every patient at their bedside during every shift; enforce the environment management and eliminate every safety flaws, including facilities overhaul, prohibit of hazardous material, enforce ward clean; enforce training of nursing staff about emergency plan of prevent and deal with patient suicide.

Results: 25 suicide patients with no self-injury or re-suicide acts during hospital stay.

Conclusion: In-time and precise in-hospital assessment to assess the past psychological disease or injury reasons can screen out patient with high risk of suicide, which can help nursing staff to pay more attention to the emotion changes of these patients and take prevention measures in advance. Strictly observing every patient at bedside during every shift can help nursing staff to find out abnormal emotion state in time and deal with it in time. Enforce patient psychological assessment and nursing can find out suicide aura, make plan in advance to ensure patient safety. Enforce training of nursing staff about caring of patient with high risk of suicide can elevate the capacity for emergency management.