Assessment Nursing Diagnosis Nursing Goal Nursing Intervention Rationale Outcome Criteria

Subjective: Risk for suicidal After 4-8 hours of Determine history of If present, suicide risk is Client denies any
“gusto na ko tendency related to nursing intervention, suicide attempts. increased. ideas of self-
mamatay kay wa nay History or threats of patient will be destruction.
nagmahal nako” as violence toward self involved in planning Observe for suicidal Clients who are
verbalized by the course of action to behaviors: verbal contemplating suicide Client
patient. correct existing statements, such as often give clues demonstrates use
problems and "I'm going to kill regarding their potential of adaptive
Objective: verbalize control of myself'" and "Very behavior. coping strategies
-verbal dictation of Scientific basis: impulses. soon my mother won't when feelings of
taking one’s own life Behaviors in which an have to worry herself hostility or
-history of suicide individual about me any longer," suicide occur.
attempt demonstrates that he and nonverbal
-hopelessness or she can be behaviors, such as
-impulsiveness physically, mood swings and
-disrupted family life emotionally, and/or giving away cherished
sexually harmful to items. 
self .
Develop therapeutic Promotes sense of trust
nurse-patient allowing patient to
relationship. discuss feelings openly.

Encourage expression Helps individual sort out

of feelings and make thinking and begin to
time to listen for develop understanding
concerns. of situation.

Determine suicidal The risk of suicide is

intent and available greatly increased if the
means. Ask direct client has developed a
questions, such as "Do plan and particularly if
you plan to kill the client has means to
yourself?" and "How execute the plan.
do you plan to do it?" 
 Obtain verbal or  A contract gets the
written contract from subject out in the open
client agreeing not to and places some of the
harm self and to seek responsibility for his or
out staff if suicidal her safety with the
ideation occurs. client.

Discuss losses client Unresolved issues may

has experienced and be contributing to
meaning of those thoughts of
losses. hopelessness.

Monitor environment To increase client

for potential safety safety/reduce risk of
hazards. impulsive behavior.

Engage in physical Promote feelings of self-

activity programs. worth and improves
sense of well being.

Involve family/SO in To improve

planning/patient care. understanding and
support.

Administer To manage mood

medications as changes and prevent
prescribed. aggressive behavior.