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[Nursing experience using cognitive behavior therapy on a multiple suicide adolescent patient].
Fei-Mien Cheng1, Chen-Chuan Hsu, Yen-Ru Lin
1Department of Nursing, Tri-Service General Hospital, ROC.
Hu Li Za Zhi the Journal of Nursing
|July 28, 2009
Summary
This case report highlights cognitive behavior therapy (CBT) for adolescents with repeated suicide attempts. CBT effectively reduced suicidal ideation and improved social interaction and sleep patterns, leading to a stable mood and normal daily life post-discharge.
Area of Science:
- Psychiatry
- Nursing
- Psychology
Background:
- Adolescent suicide is a significant public health concern requiring effective therapeutic interventions.
- Repeated suicide attempts in adolescents indicate complex underlying psychological distress and risk factors.
- Comprehensive nursing care is essential for managing adolescent patients with suicidal behaviors.
Observation:
- A case report details the nursing process for an adolescent with repeated suicide attempts.
- Data collection involved observations, interviews with the patient and family, and holistic evaluation (physical, emotional, intellectual, social, spiritual).
- Key nursing diagnoses included potential suicide risk, social interaction disturbance, and sleep pattern disturbance.
Findings:
- Cognitive Behavior Therapy (CBT) was implemented to address cognitive distortions, reduce suicidal ideation, and improve sleep quality.
- Social skills training through role-playing enhanced the patient's interpersonal interaction abilities.
- The patient demonstrated improved coping skills, reduced negative automatic thinking, and active participation in group therapy before discharge.
Implications:
- CBT and social skills training are effective interventions for adolescents with repeated suicide attempts.
- Nursing care focusing on cognitive and behavioral strategies can lead to significant improvements in mental health and social functioning.
- Successful management can enable adolescents to reintegrate into normal daily life and campus activities with stable mood and reduced suicide risk.
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