Assessing suicide risk is the priority in depression due to high mortality from suicide. Depression symptoms: depressed mood, anhedonia, weight/appetite changes, sleep disturbance, psychomotor changes, fatigue, worthlessness/guilt, concentration problems, suicidal thoughts. Suicide assessment: direct questions about thoughts, plan, means, intent; risk factors (previous attempts, substance use, hopelessness, agitation); and protective factors. Nurses use tools like SAD PERSONS scale. Other assessments: safety (self-neglect, vulnerability); functional impairment; physical health; and support system. Interventions: safety planning; therapeutic communication; activity scheduling; medication adherence; and psychotherapy referral. Antidepressants (SSRIs first-line) require monitoring for activation/suicidal ideation early in treatment. Electroconvulsive therapy for severe cases. Nurses provide hope, reduce isolation, and encourage gradual activity. Documentation should include specific suicidal ideation and safety measures. Depression treatment is effective but requires ongoing management.

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Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies