You can prevent suicide

Kumarmahi

Why people commit suicide

Affective factor – fear, anger, sadness, shame/guilt poor emotional regulation

Biological factor – genetic vulnerability such as depression, substance abuse

Cognitive factor – negative view of self,

others, world, hopeless, helpless, worthless

Deficiency and disorder - lack of skills, social support, frustrated psychological

need

Escape - escape from the pain, responsibility, and situation

Family - conflict, communication, vilence

Model of suicide

Personalfactor

•Poor coping skills•Lack of support system•Low self-esteem etc…

Stressful event•Failure and loss•Academic and social pressure •Financial or work demand etc..

Triggering factors •Negative mood•Negative self-talk•Withdrawal / isolation etc..

Suicide ideation and impulsive suicidal act

Important fact about suicideSuicide is preventable, most suicidal

individuals desperately want to live, they are just unable to see the alternatives to their problems

Most suicidal individuals give definite warning of their suicidal intentions but others are either unaware of the significance of these warnings or do not know how to respond to them

Talking about suicide does not cause someone to be suicidal

Warning signs Feeling irritable, restless, angry or sad most of the

time Change in sleep pattern, self-care, sex drive withdrawal / isolation threatening to hurt or kill him/her self Looking for a way to kill him/her self Talking or writing about death or suicide Recent losses or major life changes Previous suicide attempts Family history of suicide Excessive alcohol or drugs

How they feel and what they need

Feelings Needs

Hopelessness Looking for strength

Low self-esteem Respect

Shame Acceptance

Fear Calm/acknowledge

Loneliness Human contact

Confusion Summarize

Way to be helpful to themBe aware learn the warning signsGet involved, become availableShow interest and supportBe willing to listenTalk openly about suicideDo not leave the person aloneDo not swear secrecyRemove meansGet help from othersContact your nearest helpline

Why prevention is complex Knowledgeability – familiar with suicideAvailability and accessibility of meansExposure to suicide though media –

modeling Lack of coping skills and social support isolation of family units increased pressure, demand, violence,

drugsDecreased resources, emotional support

Psychological intervention

Enhancing self-esteemCoping skills trainingInternal attachment – making meaning

External attachment - peer network

Talk therapy –emotional supportProblem solving, decision makingPerson centered approachCognitive behaviour therapy

Mass prevention strategies

Public education – awareness programmes Promote efforts to reduce access to means Identifying and educating the risk group Reducing harassment in schools, workplace and

community Media education to reduce suicide contagion Educating professionals in healthcare, education

and human service Increasing effectiveness of help lines Providing follow up service for suicide attempters

Suicide help lines

• Suicide help line world wide

http://befrienders.org/• Suicide helpline in India

http://maitreyi.org.in/index.php?option=com_wrapper&Itemid=36

• Suicide helpline in Puducherry

http://maitreyi.org.in/

Thank you for showing interest to save someone's lives

Please pass it to your friends

Together we can prevent suicide

Kumar mahihttp://4prevent-suicide.blogspot.com/