Suicide & Suicidal Behavior

Suicide & Suicidal Behavior

Hopeless, worthless, no other solution to life's problems - these are thoughts that lead to suicide. A suicidal person feels that there is no other answer to their problems. If anyone you know is talking about suicide, take it seriously. While fleeting thoughts are common, anyone with a suicide plan needs help. Don't ignore suicidal behavior. Encourage them to see a doctor - someone who can help them with their problems.

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  • 5 Answers
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    A , Psychology, answered

    Suicide is the voluntary and intentional act of taking of one’s life. While some suicides may occur without any warning signs, most people who are suicidal do give warnings, such as:

    • Increasing their alcohol and/or other drug use
    • Taking unnecessary risks and impulsivity
    • Threatening suicide and/or expressing a strong wish to die
    • Exhibiting rage and/or anger
    • Talking about wanting to die or to kill oneself
    • Fascinating over or preoccupying oneself with death
    • Talking about feeling hopeless or having no reason to live
    • Talking about being a burden to others
    • Acting anxious or agitated; behaving recklessly
    • Isolating or withdrawing oneself
    • Displaying mood swings
    • Telling loved ones goodbye
    • Setting one's affairs in order
    • Giving things away, such as prized possessions
    • Referring to death via poetry, writings and drawings
    • Exhibiting dramatic changes in personality or appearance
    • Changing eating or sleeping patterns
    • Declining in performance

    If you or someone you know shows warning signs for suicide, please seek help.

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  • 2 Answers
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    A , Internal Medicine, answered
    Suicide remains very common among teens and children with bipolar disorder. With treatment, the painful thoughts and emotions can be kept under wraps. The sooner they get help, the better. So keep your eye out for several warning signs. Be aware of a child or teen that stops caring about his appearance, seems to lose interest in activities or topics that previously were the coolest thing ever, and gives away cherished possessions such as electronics or a favorite shirt. A child who withdraws socially and isolates himself may also have suicidal thoughts. If a child or teen talks about hurting himself, or about death or suicide, seek help from a trained professional.
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    Too many youth are taking their lives. Did you know that suicide is the third leading cause of death for youth between the ages of 10 and 24? According to the Centers for Disease Control and Prevention, approximately 4600 youth take their life each year. How can we help these troubled youth? An important thing we can do is identify the warning signs associated with suicide and get help for those who present them.

    Did you know that 4 out of 5 teen suicide attempts occurred after clear warning signs were present?
    • Deterioration in personal hygiene
    • Frequent physical complaints: migraines, stomach aches
    • Episodes of crying
    • Sudden happiness after a long period of depression
    • Self-mutilation
    • Giving away personal possessions
    • Hopeless or vague comments: “I wish I was never born” or “I won’t be around much longer”
    • Direct statements about wanting to kill oneself
    • Themes of death or depression in conversation, writing, artwork, or music
    • Change in eating and/or sleeping habits
    • Drug and/or alcohol use
    • Fatigue
    • Withdrawal from family and friends
    • Violent actions
    • Rebellious behavior
    • Running away
    • Loss of interest in favorite activities
    If you or someone you know shows warning signs for suicide, please seek professional help immediately. 
    National Suicide Prevention Lifeline: 1-800-273-8255
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  • 2 Answers
    A
    A , Psychology, answered
    Self-injury does not involve a conscious intent to commit suicide, though many believe that people who harm themselves are suicidal. Self-injury (SI) is any deliberate, non suicidal behavior that inflicts physical harm on one's body to relieve emotional distress. There is no simple portrait of a person who intentionally self-injures. This behavior is not limited by gender, race, education, age, sexual orientation, socio-economics, or religion.
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  • 1 Answer
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    A Marriage & Family Therapy, answered on behalf of
    If your child says something that sounds suicidal, such as, "I don't want to be here" or "I'm going to kill myself," it's worth checking out. It doesn't mean that the child is suicidal. It's not worth freaking out, but it certainly is worth checking out. If your child has said it a couple of times, calmly, ask your child, "How? Have you thought about how you would do it? Have you thought about when you would do it?"

    If the child has specifics, then it's something you absolutely need to get checked out with a professional. If the child doesn't have specifics, then it's not as much of a concern, but always take it somewhat seriously if your child is talking about not wanting to be here or actively killing himself or herself.
  • 2 Answers
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    A , Social Work, answered
    The signs and symptoms that accompany suicidal feelings in bipolar disorder include the following:
    • Talking about feeling suicidal or wanting to die
    • Feeling hopeless, that nothing will ever change or get better
    • Feeling helpless, that nothing you do makes any difference
    • Abusing alcohol or drugs
    • Putting affairs in order (such as organizing finances or giving away possessions to prepare for your death)
    • Writing a suicide note
    • Putting yourself in harm's way or in situations where there's a danger of being killed
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  • 1 Answer
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    If your relative with serious mental illness (SMI) has shown suicidal tendencies in the past, it is likely that she/he may show these again in the future. For this reason you should be as prepared as possible. The family crisis plan described here is for advanced planning. Though it is not possible always to forestall suicidal action, the plan may enable quick hospitalization and treatment.
     
    • It is recommended that the whole family, including if possible, the ill person when they are having a good period, have input into the Family Crisis Plan. Write it down in simple language and put it where you can easily find it. Give each member of your support team a copy of the Plan. This work is exhausting. Do not try to work with your unwell relative by yourself. Involve your family and any mental health professionals who care for your relative.
    • Watch out for continuing symptoms that signify unrest or anxiety in your relative.
    • Note the names and telephone numbers of those willing to keep the person and the family safe in crisis situations.
    • Note down how hospital procedures work; know the names and telephone numbers of the professionals you need to call. If your relative is admitted to hospital find out the name of the doctor in charge of your relative and be prepared to talk to him in a calm and business-like manner to make sure you are kept informed.
    • If your country has mental health laws, learn about how these laws will affect you if your relative needs involuntary hospitalization or if s/he attempts suicide.
    • Learn in advance whether a doctor will be able to admit your relative for treatment as a willing or unwilling (involuntary) patient. Learn the best way to attempt to admit your relative, e.g., through his doctor or through the emergency department.
    • Some police forces have emergency task forces that have specialists in suicide available. Find out whether this is available from your police service.
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    Although two-thirds of people who die by suicide have a mental disorder, a common mistaken belief is that suicide cannot be prevented unless the mental illness is cured. The presumed association of "mental illness, therefore suicide, and nothing can be done about it" has no basis in fact. Suicide is preventable in spite of a mental illness. In fact, most individuals with mental illnesses do not contemplate or attempt suicide.
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    If messages are framed and targeted strategically, raising public awareness has the potential to reduce stigma, shame, and discrimination, and to change community attitudes about mental illness and suicide prevention. Even in countries with more accessible mental health care, emphasis on an awareness that treatment works can lead to increased help seeking behaviors. In addition, public awareness can lead to understanding the need for training of primary and mental health care practitioners in suicide prevention practices.
    Public awareness can be harnessed to achieve political ends. Champions along the political and social spectrum, at the national through the neighborhood levels, can give people permission to discuss mental disorders and suicide openly, without shame, guilt, or fear of embarrassment, and to seek help. That public message has potential to inspire behavioral change throughout the system, including among health care providers, neighbors, and family members of a person with a mental illness. Voluntary grassroots organizations have inspired, organized, and implemented many suicide prevention initiatives around the world. They have started help lines and other local initiatives. In China, for example, long before anyone in the government dared mention the word suicide, communities had funded and operated a national toll-free suicide prevention help line headquartered in Beijing.

     
  • 1 Answer
    A
    A Psychiatry, answered on behalf of
    In addition to securing firearms, treating or preventing substance abuse, helping the person to build a support group, and being especially vigilant with those who have lost a close relative to suicide, there are additional interventions available to minimize the likelihood that a person with bipolar disorder will commit suicide.

    It is so important that those with bipolar disorder seek treatment with psychiatrists who are skilled at treating this illness. Sadly, it is not safe to assume that all psychiatrists treat this illness well. In order to find a physician where you reside, it may be helpful to go to the consumer support groups or call them and ask "who is the best?" In this illness, where the mood can pivot on a dime, the psychiatrist needs to be responsive when you need to speak with him or her.

    There are also specific psychotherapy interventions that can be performed by a therapist or psychiatrist. The therapy of bipolar illness should typically include the following elements: patients, and if possible family members, should learn how to recognize depression, mania or hypomania, and mixed states. It is best if a mood chart is used to spot seasonal and other patterns. Also, charting the mood helps a person recognize that it is the illness making them feel badly, not just the events in their daily life. Once a person knows how to identify specific mood states, they can then receive cognitive behavioral therapy to learn skills to deal with the feelings and distorted thoughts in each mood state. The therapist can also work with the patient and their family to make the home safer. In addition, the family can implement strategies to lessen social isolation and help their bipolar loved one to find one's gift, and applying it so as to gain a sense of usefulness and worth. The therapist can also monitor and encourage medication compliance since noncompliance with medications is a common dilemma with people with bipolar disorder, which in turn can lead to suicidal thoughts.

    Another intervention is to have trusted friends or relatives know about the illness and become educated about it, so that they can observe and help the affected person when they experience altered mood states. Spouses should be invited to appointments with a psychiatrist or therapist.

    Additionally, having a written plan of what to do if you or one's loved one is contemplating suicide can be helpful.