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V Many psychiatric patients Coping skills is the

have dual diagnosis and cornerstone of RPT and


mental illness is frequently teaches patients to:
associated with substance  6nderstand relapse as a process
abuse disorders. Patients need  Identify & cope effectively with
to learn coping strategies to high risk situations
prevent relapse.  Cope with urges & cravings
 Stay engaged in treatment
Relapse Prevention Therapy  Learn how to create a more
(RPT) is a behavioral self- balanced lifestyle
control program that teaches
patients with substance
addiction how to anticipate
and cope with the potential for
relapse.
V The nurse takes seriously all statements made by patient that
indicate a wish to die by suicide.
V Nurse establishes a therapeutic relationship with patients at risk
for suicidal ideation and behavior.
V Nurse helps to minimize feelings of shame, guilt, and stigma
associated with suicidality, mental illness and addictions.
V The nurse assesses and manages factors that may impact the
physical safety of both the client and the interdisciplinary team.
V Nurse ensures that observation and therapeutic engagement
reflects the client·s changing suicide risk.
V Nurse works with patient to understand his/her perspective and
to meet his/her needs.
V The nurse fosters hope with the suicidal patient.
V Nurses who work with V Nursing curricula should
patients at risk for suicide include content on mental
must have appropriate health issues, including
knowledge and skills suicide risk prevention, in a
acquired from basic nursing systematic manner to
education, ongoing promote core competencies
professional development in mental health practice.
opportunities and new
employee orientation.
V îealthcare organizations V Develops policies related to
that admit suicidal patients peer debriefing following a
must provide a safe critical incident such as
environment that minimizes death by suicide.
access to means for self- V Implement policies
injurious behavior. regarding the systematic
V Organizations ensure that documentation of suicide
critical incidents involving risk assessments.
suicide are reviewed
systematically to identify
opportunities for learning at
all levels of service delivery.
V Clinical resource nurse designated as project manager and will
design a teaching program for nursing staff to follow.
V Educational materials for patients and families, such as handouts,
workbooks and videos.
V Designation of 1 hour per day on unit for teaching to occur.
V Orientation of nursing staff to new education program and clinical
importance and significance of information in promotion of
physical and mental health of patients.
V Cost of program is minimal, estimated at $4000, and would cover
all educational materials such as videos, books and handouts.
V Barriers to implementation would be costs, staffing need, team
acceptance and value of the program & acceptance of the change.
V Santa Mina, E., Boo, S., îamer, B., et al.. (2009). International
Affairs and Best Practice Guidelines: Suicidal Ideation and
Behavior. In Registered Nurses Association of Ontario. Retrieved
December 1, 2010, from
http://www.rnao.org/Page.asp?PageID=924&ContentID=2744.
V Keltner, N., Schwecke, L., Bostrom, C. (1999). ÷ 
  
(3rd edition) St. Louis, MO. : Mosby
V Marlatt, G., Witkiewitz, K.. (December 2002). Clinical Guidelines
for Preventing Relapse Prevention Therapy. In Behavioral îealth
Recovery Project. Retrieved December 2, 2010, from
http://www.bhrm.org/guidelines/RPT%20guideline.pdf.
V 6nknown. (2007). Facts and Figures: Preventing Suicide. In
American Foundation for Suicide Prevention. Retrieved Dec. 2,
2010, from
http://www.afsp.org/index.cfm?fuseaction=home.viewpage&pa
ge_id=050FEA9F-B064-4092-B1135C3A70DE1FDA.

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