Inpatient treatment of an adolescent after a suicide attempt

Izhodišča: Hospitalna obravnava mladostnika po poskusu samomora je kompleksen javno-zdravstveni problem. Namen zaključnega dela je predstavitvi vlogo medicinske sestre pri sprejemu mladostnika v bolnišnico, raziskati katera področja se povezujejo v multidiscplinarni obravnavi in na podlagi katerih orodij lahko medicinska sestra oceni samomorilno ogroženost otroka. Metode: Zaključno delo je teoretično in temelji na filozofiji interpretativizma. Opravili smo sistematični pregled znanstvene in strokovne literature v podatkovnih bazah: PUBMED, SAGE Journals in Google Schoolar. Pri raziskovanju smo upoštevali omejitve kot so polna dostopnost člankov ter besedila v dveh izbranih jezikih: slovenščina in angleščina. Iskanje smo omejili na časovno obdobje med 2000 – 2018. V analizo in sintezo smo vključili 9 člankov, ki smo jih opisno predstavili.. Rezultati: Vloga medicinske sestre pri sprejemu mladostnika na oddelek mladostniške in otroške psihiatrije je velika, saj sooblikuje mladostnikov odnos do zdravljenja in mu pomaga v stiski. Multidisciplinarna obravnava vključuje delo pedopsihiatrov, pediatrov, kliničnih psihologov, specialnih pedagogov, defektologov, dietetikov, socialnih delavcev in medicinskih sester. Izpostaviti moremo, da orodja za oceno samomorilne ogroženosti uporabljamo v sklopu celostne klinične obravnave. Diskusija in zaključek: Obravnava mladostnika po poskusu samomora je kompleksna in zahteva individualni, multidisplinarni in holistični pristop. Zdravstvena nega spremlja mladostnika od samega sprejema čez celotno hospitalizacijo in bistveno vpliva na mladostnika. Orodja za oceno samomorilne ogroženosti naj bi bila zastavljena tako, da res dodobra pokrijejo vsa področja, kjer bi se lahko kazala samomorilna ogroženost mladostnika.Introduction: Inpatient treatment of an adolescent after a suicide attempt is an important public-health issue. The purpose of the thesis is to present exactly what is the role of a nurse during the process of admission, research which fields collaborate in a multidisciplinary approach and what tools are used to do a complete suicide risk assessment. Methods: The research methodology we used was a systematic review of scientific literature combined in three search engines: PUBMED, SAGE Journals in Google Schoolar. Our research was based on a predetermined inclusion and exclusion criteria such as full text availability, articles issued between the years 2000 – 2019 and our inclusion languages were English and Slovene. Results: In the admission of an adolescent to an inpatient psychiatric unit nurses play a big role because they contribute to adolescents attitude and help them during crisis. Multidisciplinary approach includes the cooperation of child psychiatrists, pediatricians, clinical psychologists, special educators, social workers, dialectologists, nurses and dieticians. We need to emphasize that tools of suicide assessment are best used with broad diagnostics. Discussion and conclusion: Inpatient treatment of an adolescent after a suicide attempt is complex and requires and individual, multidisciplinary and holistic approach. Nursing health care is present during the whole process of hospitalization and has major inpact on an adolescent in an inpatient unit. Suicide assessment tools should be structured to cover all the areas where suicide risk may indicate a slight risk