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You'll notice the last question in the Mood section asks about thoughts of

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being better off dead or of self-harm. The overwhelming majority of residents

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will not have these feelings. And, don't worry. You won't make anyone have these

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thoughts or feelings by asking this question in a calm, matter-of-fact way. On a

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rare occasion a resident may indicate that he or she wishes they were dead.

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Although this is rare, it is important for you to know that someone feels this

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way. We will show you how to appropriately handle this situation should it

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arise.

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"Mr. Royce, over the last two weeks have you been bothered by thoughts that you

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would be better off dead or of hurting yourself in some way?"

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"I feel my family would be better off if I weren't here. I think they'd all be

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better off if I were dead."

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"I know this is hard for you."

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"I mean I always used to take care of myself. I used to take care of my family.

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And now I have to rely on other people. I feel so helpless."

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"I hear how you're feeling, and I want to thank you for sharing this important

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but difficult information with me. It's important that I understand how often

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you're feeling this way. Would it be 0 to 1 days or 2 to 6"

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"Well, there, at least 2 to 6 days."

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"2 to 6 days, ok. And I need to ask you if you've been bothered by thoughts of

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hurting yourself in some way."

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"Hurting myself…no, not hurting myself. I…I just don't want to bother other

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people, that's all."

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"Well, we need to work together to help you to feel better. So I'm going to talk

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to the charge nurse and let her know how you're feeling, and it's also important

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that we talk to the doctor to develop a plan to help you feel better."

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"OK."

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"In order for that plan to be as helpful as it can be, there are some other

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questions that I'd like to ask you about things that are important to you and

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about whether you're in physical pain. Would that be ok with you?"

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"UH, yeah, yeah that would be alright. Actually it's kind of it's kind of a

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relief to be able to, to talk these things out, you know?"

