Concerning SuicideIs someone you know contemplating suicide?
High Risk:
Is the person suffering from a mental health disorder e.g. depression?
Is the person male?
Is the person Maori?
Is the person in the 25-29 years age group?
Other Risk Factors:
Previous suicide attempt/self harm behaviours
Exposure to trauma in childhood e.g. family violence, child abuse, bullying
A stressful/negative life event e.g. loss of a loved one, job, status, relationship
Social isolation, living alone, lack of support
Low income, poor education, accommodation difficulties
Cultural breakdown, loss of cultural identity, language, land
Says things like:
“It’s hopeless. Nothing will ever change.”
“Everyone would be better off without me”.
“I just can’t go on anymore”.
“I wish I were dead”.
Some Further indicators:
Expresses hopelessness/helplessness
Expresses rage, anger
Engaging in risky behaviour
Increasing alcohol and/or drug use
Saying “goodbye” or withdrawing from those around them
Showing signs of anxiety /and or sleep disorders
Loss of appetite
Uncaring about appearance or self care- especially in the elderly
Giving away prized possessions/”putting things in order”
Had a sudden change in behaviour? Some suicidal people will appear to be “happier” because they have decided to “get rid” of all their problems at one time.
ARE ANY OF THESE RELEVANT?
ARE YOU YOURSELF THINKING OF SUICIDE?
Suicide is extremely complex; if you have any concerns– check it out. Ask them “Are you thinking of suicide/killing yourself?”
If the answer is “yes” check out how far they have gone with their thoughts.
Have you decided how you would do it?
Have you got what you need to do it?
When have you decided to do it?
You now know how lethal the risk is and how quickly you need to act. Don’t leave them alone. Keep them safe by removing any means of suicide available including weapons, medications, alcohol, drugs and even access to a car.
Help is available. LifeLine New Zealand counsellors are trained in crisis intervention and suicide prevention. LifeLine New Zealand counsellors are available 24 hours a day phone 0800 543 354
Talking things through with someone else can be an important first step even though it may seem difficult.
IF THE RISK IS LETHAL PHONE 111
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SOME FACTS ABOUT SUICIDE:
Mental health disorders e.g. Mood disorders (including depression), substance use disorders, psychotic disorders and antisocial disorders make up 70% of suicides and suicide attempts.
More than 75% of completed or attempted suicides give some ‘warning” of their intent prior to their death/attempt. Suicidal threats and/or attempts should be taken seriously
The suicidal person is usually ambivalent – a part wants to live and a part wants the “pain” to end – and death is seen as the only way to end the suffering.
There is a danger period of about 72 hours after a suicide attempt, when the risk of a second attempt is highest. If they receive proper help and support a person may never be suicidal again
Asking about or mentioning suicide will not encourage a person to “do it”. With the extensive coverage given to suicide by the media the idea is probably already there. If you ask a direct question like “Are you thinking/talking about killing yourself?” (in a caring, non accusing manner) you are more likely to lower the anxiety level and show the person that you care and are willing to take it seriously. They can then feel able to ventilate pent up emotions. |
