Suicide, Stress & Depression in Australia
As a guide, 5 to 10 (published within the last 5 years) references should be used within your work. (NOTE: it is fine to use the National Mental Health Survey, 2007, even though it is more than five years since publication as it is the latest national survey of its kind)
Revisit your tutorial guides and the notes you made in class as much of the information has been presented in the tutorial and lecture forum, particularly sessions three and four.
Review the case study you have chosen in detail.
Ensure that your answers incorporate literature but also refer back to the case study frequently. You should be using the literature to support and further develop your thinking about the person in the case study.
The total word count for assessment one is 2000 words. As a general guide:
500 words for question 1
400 words for question 2
400 words for question 3
300 words for question 4
400 words for question 5
Please take care to achieve depth and detail to your answers, while keeping within the word count.
Ensure the question number and answer is clearly identified in your work. You may wish to write the question out and provide the answer for each question in order. Please do not include the question in your word count.
No introduction or conclusion to your work is needed.
Consider referring to the Australian Bureau of Statistics, Department of Health, Mental Health Commission websites for up to date information. You may also wish to refer to the DSM V.
Think broadly about the factors which may have contributed to the person’s current presentation.
Examples may include:
distressing events involving family members,
social events or situations i.e. housing, finance, employment, social engagement or withdrawal.
It may be helpful to consider the information you have about the Stress Vulnerability Model. This may assist you to think about vulnerabilities a person may have to developing mental health concerns.
Question 3 refers to ethical or / and legal issues.
The Mental Health Act (2007) is the legal construct used predominately for clinical care in the mental health services. Some changes were made to the Mental Health Act in 2014. Please ensure if you are using the Mental Health Act, you refer to the latest NSW version. However, you may also wish to consider legal frameworks around access to health records, storage of health records or privacy. Professional nursing standards or ethics literature may also help guide your thinking.
For example you may wish to consider:
the professional boundaries around confidentiality
the use of the mental health act for when safety concerns are noted
a nurse’s role in assessment and engagement with a client knowing that they may have to activate resources to possibly schedule a person and detain them ( ie remove their freedom) due to concerns about their safety
You may also consider a person’s right to engage with mental health services when there are actual risks or potential risks to their safety or the safety of others
The ethics of a nurse taking no action if risks to self are identified or potential risks are noted
a person’s autonomy and right to choose
a nurse’s discussion with other health professionals ie. GP
a nurse’s involvement with family members when risks are noted versus a person’s right to choose no family involvement
a nurse’s professional and ethical role in child protection matters for risks or potential risks
non-maleficence; a principle to avoid harm. However assessment and interventions may cause distress to the person and their family
Again, ensure you are using the literature and keep referring back to the situation for your client in the case study.
The nursing concerns should focus on mental health, associated risks, relationships, engagement with services, coping strategies, for example. Actual or potential risks within 1 – 5 days of your meeting with the person should be considered. Make sure they are risks which are identified or indicated within the case study so relate it back to your client.
Ensure your interventions are suitable for the problem or nursing concerns you have noted. Be specific with the actual interventions you would offer.
Describe how you will actually undertake the interventions. The interventions are activities which you, as a nurse, would undertake directly with your client. When writing your interventions you will need to state: what the actual intervention is in detail; how you will achieve this; time frames and who will intervene. A good way to write your interventions is to ask yourself some simple questions and note this information for each intervention:
What is the actual intervention you will be undertaking with your client?
How you will carry out the intervention?
Who will carry out the intervention?
When will you carry out the intervention?
Where will the intervention be undertaken?
Why will you undertake this intervention and why will you do it in this way?
A note of caution: making a referral to another service or discussing with family members are consultation and not classified as nursing interventions for your assessment.
Cognitive Behavioural Therapy is not an intervention used by nurses without further training. Given this, please do not use CBT as an intervention within your work.
The following key words or phrases may be helpful for you when you are searching the literature:
depression; suicide; suicide prevention; nursing interventions; nurse client relationships; engagement; nursing care planning; goal setting; recovery based communication; problem identification in mental health; confidentiality / ethics; risk / safety; family / carers
You may wish to use the following databases to support your literature searching
Library search box (good first place to start)
CINAHL Plus with fulltext
Health collection RMIT
ProQuest Health & Medical Complete (ProQuest)
Referencing and use of literature is noted within the marking gird so please make sure you consider how you are using literature. Ensure you adhere to the APA referencing style. It is important that you are careful to paraphrase as opposed to copying the original author’s work.
It’s a good idea to consider using a mixture of text books; research papers and government documents within your work. This also helps to develop your ideas and generates more discussion, as opposed to description, in your work.