ABSTRACT

Suicide is a major problem in the UK and its prevention is a priority worldwide. While there is no single or, in fact, simple way of preventing suicide, a wealth of progress has been made. The introduction of a more integrated approach, with the reduction of access to suicidal methods combined with a particular attention to high-risk groups, has helped to reduce the number of suicides. This chapter focuses on the patient experience; the mindfulness, insight and intuition of the mental health nurse in practice. The concept of being caringly vigilant and inquisitive captures some key principles of good mental health nursing. These principles include having a sound knowledge of the patient as a person, and how they normally behave and constant attentiveness to their state of mind and whereabouts on the ward. Good risk assessment, effective communication and a high level of therapeutic intervention and engagement in person-centred delivery of care are essential components of suicide prevention.