Nursing Unit 1 Assignment - Clinical Preparation Tool- Instructions- 800w-4 references- due 11-4-23

4

Assessment Instruments

Old assignment-paper This is the assignment that was completed previous semester. I am retaking this class. The assignments are the same but I cannot submit the same work, the instructor runs all papers through the plagiarism checker. Please redo this assignment so I can resubmit it the content will be the same. Thanks

Anxiety and Related Disorders

Week X

DSM: The assessment tool, C-SSRS, is used for the evaluation of behaviors of suicide on a rating scale concerning suicidal ideation. In DSM-V, suicidal ideation is a major psychological issue, and the device assists healthcare professionals to administer and create the right or best interventions.

Instrument: Suicidal Assessment C-SSRS.

Article: The Columbia Lighthouse Project.

Appropriateness for Dx: This tool was developed for suicide ideation assessment. Various institutions were involved in the development of the tool, such as the University of Columbia, and the development entailed a questionnaire in multiple questions forms. This tool can be considered as a suicide risks evaluation rating scale as well. Based on the Columbia Lighthouse Project (n.d), this instrument functions by using the particular scale on which it rates the suicidal scale. The scale used ranges from specific activities indicating active ideation of suicide to aspects such as wishing to be dead. The C-SSRS instrument is not dispensable in suicide ideation assessment among many individuals.

Response to Therapy/Treatment: In assessing suicide ideation, the C-SSRS tool has indicated effectiveness by showing behaviors intended for suicide completion. The likelihood of completing the suicide behavior is shown by the behavior rating on a scale of 8 to 10. This tool is reliable and valid in the circumstances of suicide ideation. This tool tracks the treatment response for at-risk people and resolves suicidal behavior and ideation. The design of this tool is for quantifying suicidal behavior and ideation severity. In a research conducted by Omolewa & Tribble (2018), a review was done of 2,116 medical records of admissions from 2017 to 2018. Out of these, a sample of 106 participants was obtained through a randomized sampling, and an exclusion of 6 was done for missing C-SSRS screening. The sample reviewed for levels of suicidal risks was records of 100 patients. The study shows a ratio of 1:1 based on suicide prevention based on the levels of suicidal risk, ethnicity, age, and gender. The C-SSRS use facilitates meeting the needs of the patients beyond expectation to preserve life since professionals differentiate non-suicidal self-injurious behavior and suicidal behavior. To ensure evidence-based tool adoption for the identification of suicide risk, the tool was implemented. The professionals can perceive suicidal attempts as a cry for assistance (Omolewa & Tribble, 2018). The high or medium yield of the C-SSRS results indicates a need for specific interventions for cataclysmic consequences prevention.

Psychometrics: The Columbia protocol's psychometric characteristics are backed up by numerous research studies. The research studies attest to the protocol's prediction, divergence, incremental validity, and convergence and its inter-rater reliability, multi-lingual application, sensitivity to change, cross-cultural application, internal consistency, and other properties. The effectiveness of the Columbia protocol is supported by evidence as a treatment response measurement tool and as an intervention instrument for preventing suicide (Núñez et al., 2019). There are various questions asked to respondents in administering the C-SSRS tool, including if they have had different suicidal thoughts and non-specific thoughts in ending life. Further, they are asked about the timelines, extent, and frequency of the suicidal thoughts. This is asked after responding to whether they have experienced active thoughts of killing themselves or committing suicide. The associated reasons for thinking about suicide and the deterrent factors are also asked. Also, to allow the healthcare professional to have historical or current significant information about an individual, the suicide attempts are asked (The Columbia Lighthouse Project, n.d). There are six 'no' and 'yes' in the tool's screener where an individual indicates suicidal thoughts. The thoughts about committing suicide and the suicidal behaviors, including those of a lifetime, are considered from between one and three months. While the second question is different from non-specific suicidal ideas, the first question is wishing to be dead. The scale considers specific intentions and thoughts of suicide to act from questions four to five. The response to the sixth question involves certain attempts of suicidal acts done within the last three months. If the answer to question two is no, the respondents skip to the sixth question, and if the answer is yes, they have to answer the questions from three to five. If the respondent answers yes to questions four, five, and six, then a high risk emerges.

Limitations: Among the tool's limitations is the failure to complete or address all the spectrum involved in suicidal ideation and behaviors. In such cases, the tool may miss essential suicide ideation combinations of causes. Another limitation of this tool in the ideation of suicide is determining the possibility of individuals who have a plan to commit suicide at some point in the future or had a suicidal plan in the past but currently do not have active or passive suicidal ideation. The patient has no passive or active suicidal ideation but has a plan with intent. Although such an individual has a high probability of being at risk compared to an individual without a plan or intent, the C-SSRS tool can in no way recognize this risk because there's no category that fits the individual's experience. Further, the C-SSRS tool is get limited to individuals with no intent but with passive ideation, intent, and method. It is also limited in determining or assessing an individual who may have decided to commit suicide in the past year but not killing himself or herself sooner. In the past month or week, he has not thought about suicide, but the intent gets back, and during the investigation, the frame may not overtly think. Additionally, the suicidality thoughts related to the study treatment may be missed by the assessment tool. Considering an individual with suicidal ideation at the outset and who has enrolled in a study and reports a strong desire to sooner rather than later act on the thoughts of suicide in the fourth week, such a treatment-emergent change will be missed easily by the C-SSRS tool.

References

Núñez, D., Arias, V., Méndez-Bustos, P., & Fresno, A. (2019). Is a brief self-report version of the Columbia severity scale useful for screening suicidal ideation in Chilean adolescents? Comprehensive Psychiatry, 88, 39-48. https://doi.org/10.1016/j.comppsych.2018.11.002

Omolewa, P., & Tribble, K. L. (2018). The Impact of C-SSRS (Columbia-Suicidal et al.) Usage on Quality of Care in John George Psychiatric Hospital (San et al.): a Medical Care Evaluation Study.

The Columbia Lighthouse Project. (2016). Identify risk. Prevent suicideLinks to an external site.. https://cssrs.columbia.edu/

4

Assessment Instruments

Old assignment-paper This is the assignment that was completed previous semester. I am retaking this class. The assignments are the same but I cannot submit the same work, the instructor runs all papers through the plagiarism checker. Please redo this assignment so I can resubmit it the content will be the same. Thanks

Anxiety and Related Disorders

Week X

DSM: The assessment tool, C-SSRS, is used for the evaluation of behaviors of suicide on a rating scale concerning suicidal ideation. In DSM-V, suicidal ideation is a major psychological issue, and the device assists healthcare professionals to administer and create the right or best interventions.

Instrument: Suicidal Assessment C-SSRS.

Article: The Columbia Lighthouse Project.

Appropriateness for Dx: This tool was developed for suicide ideation assessment. Various institutions were involved in the development of the tool, such as the University of Columbia, and the development entailed a questionnaire in multiple questions forms. This tool can be considered as a suicide risks evaluation rating scale as well. Based on the Columbia Lighthouse Project (n.d), this instrument functions by using the particular scale on which it rates the suicidal scale. The scale used ranges from specific activities indicating active ideation of suicide to aspects such as wishing to be dead. The C-SSRS instrument is not dispensable in suicide ideation assessment among many individuals.

Response to Therapy/Treatment: In assessing suicide ideation, the C-SSRS tool has indicated effectiveness by showing behaviors intended for suicide completion. The likelihood of completing the suicide behavior is shown by the behavior rating on a scale of 8 to 10. This tool is reliable and valid in the circumstances of suicide ideation. This tool tracks the treatment response for at-risk people and resolves suicidal behavior and ideation. The design of this tool is for quantifying suicidal behavior and ideation severity. In a research conducted by Omolewa & Tribble (2018), a review was done of 2,116 medical records of admissions from 2017 to 2018. Out of these, a sample of 106 participants was obtained through a randomized sampling, and an exclusion of 6 was done for missing C-SSRS screening. The sample reviewed for levels of suicidal risks was records of 100 patients. The study shows a ratio of 1:1 based on suicide prevention based on the levels of suicidal risk, ethnicity, age, and gender. The C-SSRS use facilitates meeting the needs of the patients beyond expectation to preserve life since professionals differentiate non-suicidal self-injurious behavior and suicidal behavior. To ensure evidence-based tool adoption for the identification of suicide risk, the tool was implemented. The professionals can perceive suicidal attempts as a cry for assistance (Omolewa & Tribble, 2018). The high or medium yield of the C-SSRS results indicates a need for specific interventions for cataclysmic consequences prevention.

Psychometrics: The Columbia protocol's psychometric characteristics are backed up by numerous research studies. The research studies attest to the protocol's prediction, divergence, incremental validity, and convergence and its inter-rater reliability, multi-lingual application, sensitivity to change, cross-cultural application, internal consistency, and other properties. The effectiveness of the Columbia protocol is supported by evidence as a treatment response measurement tool and as an intervention instrument for preventing suicide (Núñez et al., 2019). There are various questions asked to respondents in administering the C-SSRS tool, including if they have had different suicidal thoughts and non-specific thoughts in ending life. Further, they are asked about the timelines, extent, and frequency of the suicidal thoughts. This is asked after responding to whether they have experienced active thoughts of killing themselves or committing suicide. The associated reasons for thinking about suicide and the deterrent factors are also asked. Also, to allow the healthcare professional to have historical or current significant information about an individual, the suicide attempts are asked (The Columbia Lighthouse Project, n.d). There are six 'no' and 'yes' in the tool's screener where an individual indicates suicidal thoughts. The thoughts about committing suicide and the suicidal behaviors, including those of a lifetime, are considered from between one and three months. While the second question is different from non-specific suicidal ideas, the first question is wishing to be dead. The scale considers specific intentions and thoughts of suicide to act from questions four to five. The response to the sixth question involves certain attempts of suicidal acts done within the last three months. If the answer to question two is no, the respondents skip to the sixth question, and if the answer is yes, they have to answer the questions from three to five. If the respondent answers yes to questions four, five, and six, then a high risk emerges.

Limitations: Among the tool's limitations is the failure to complete or address all the spectrum involved in suicidal ideation and behaviors. In such cases, the tool may miss essential suicide ideation combinations of causes. Another limitation of this tool in the ideation of suicide is determining the possibility of individuals who have a plan to commit suicide at some point in the future or had a suicidal plan in the past but currently do not have active or passive suicidal ideation. The patient has no passive or active suicidal ideation but has a plan with intent. Although such an individual has a high probability of being at risk compared to an individual without a plan or intent, the C-SSRS tool can in no way recognize this risk because there's no category that fits the individual's experience. Further, the C-SSRS tool is get limited to individuals with no intent but with passive ideation, intent, and method. It is also limited in determining or assessing an individual who may have decided to commit suicide in the past year but not killing himself or herself sooner. In the past month or week, he has not thought about suicide, but the intent gets back, and during the investigation, the frame may not overtly think. Additionally, the suicidality thoughts related to the study treatment may be missed by the assessment tool. Considering an individual with suicidal ideation at the outset and who has enrolled in a study and reports a strong desire to sooner rather than later act on the thoughts of suicide in the fourth week, such a treatment-emergent change will be missed easily by the C-SSRS tool.

References

Núñez, D., Arias, V., Méndez-Bustos, P., & Fresno, A. (2019). Is a brief self-report version of the Columbia severity scale useful for screening suicidal ideation in Chilean adolescents? Comprehensive Psychiatry, 88, 39-48. https://doi.org/10.1016/j.comppsych.2018.11.002

Omolewa, P., & Tribble, K. L. (2018). The Impact of C-SSRS (Columbia-Suicidal et al.) Usage on Quality of Care in John George Psychiatric Hospital (San et al.): a Medical Care Evaluation Study.

The Columbia Lighthouse Project. (2016). Identify risk. Prevent suicideLinks to an external site.. https://cssrs.columbia.edu/