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Suicidal Behavior
Abstract at the end of the article
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ABSTRACT
Suicidal Behaviour and Primary Health Care Services
Agoritsa Koulouri
Sc Primary Health Care, RN, RMN, Health Care Centre of Salamina, Laboratory Collaborator, Nursing Department ,
Technological Educational Institute of Athens, Greece
Self-destructive behaviour is a most complex phenomenon in humans, with psychiatric, psychological, philosophical and social
dimensions. In the 15 - 44 years age group, suicide is among the three most common causes of death. This does not include
cases of attempted suicide, which are 20 times greater than the incidence of successful suicide. Suicide is rare in childhood and
early adolescence but its incidence increases gradually between 12 and 14 years of age, and dramatically between 15 and 19
years, particularly in girls. Risk factors for suicidal behaviour include demographic factors (sex, family status), psychiatric factors (physical and mental health status, previous suicide attempts), biological factors, stressful life events, cultural features and
religious beliefs. Nurses and the other health care professionals of the multi-disciplinary Primary Health Care (PHC) services are
299
often the first who deal with suicidal behaviour. They may be called upon to prevent a patient from committing suicide or they
may be required to treat a patient who has already made a suicidal attempt. Preventing suicide is one of the most challenging
tasks for society. Community nurses in collaboration with other health care professionals should be skilled in the prevention
of suicidal behaviour, taking initiative and developing a strategic plan in order to indentify those individuals who are at risk. In
addition, the PHC services should implement a crisis intervention plan which ensures appropriate and timely care for patients
who are having a suicidal crisis. These services should help these people to establish their own personal perspectives in life with
the aim of permanently overcoming the problem of self-destructive behaviour. NOSILEFTIKI 2009, 48 (3): 292-299.
Key-words: community nurses, health care professionals, prevention and management, primary health care, suicidal behaviour
* Corresponding Author: Agoritsa Koulouri, 3 M. Zervou street, GR-189 00 Salamina, tel.: +30 210 46 40 583, +30 694 85
79 784, e-mail: ritsa_koulouri@yahoo.gr
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