Suicide

Close to 800,000 people die due to suicide every year, which is one person every 40 seconds. Suicide is a global phenomenon and occurs throughout the lifespan. Effective and evidence-based interventions can be implemented at population, sub-population and individual levels to prevent suicide and suicide attempts. There are indications that for each adult who died by suicide there may have been more than 20 others attempting suicide.

Suicide Prevention

Many methods have been developed in an effort to prevent suicide. The general methods include: direct talks, screening for risks, lethal means reduction and social intervention. Medication may be useful in certain situations to reduce the risk of suicide. Talk therapies including phone delivery of services may also help.

Suicide prevention strategies focus on reducing the risk factors and intervening strategically to reduce the level of risk. Risk and protective factors, unique to the individual can be assessed by a qualified mental health professional.

Some of the specific strategies used to address are:

  • Crisis intervention.
  • Structured counseling and psychotherapy.
  • Hospitalization for those with low adherence to collaboration for help and those who require monitoring & secondary symptom treatment.
  • Supportive therapy like substance abuse treatment, Psychotropic medication, Family psychoeducation and Access to emergency phone call care with emergency rooms, suicide prevention hotlines…etc.
  • Restricting access to lethality of suicide means through policies and laws.
  • Creating & using crisis cards, an uncluttered card formatted readably that describes a list of activities one should follow in crisis until the positive behavior responses settles in the personality.
  • Person-centered life skills training. e.g., Problem solving.
  • Registering with support groups like Alcoholics Anonymous, Suicide Bereavement Support Group, a religious group with flow rituals, etc.
  • Therapeutic recreational therapy that improves mood.
  • Motivating self-care activities like physical exercise’s and meditative relaxation.

Psychotherapies that have shown most successful or evidence based are Dialectical behavior therapy (DBT), it has shown to be helpful in reducing suicide attempts and reducing hospitalizations for suicidal ideation and Cognitive therapy (CBT), it has shown to improve problem-solving and coping abilities.

 

Suicide Prevention – Stop the Stigma

 

Being aware of the warning signs of suicide can allow individuals to direct people who may be considering suicide to get help.

Warning signs include:

  1. Suicidal ideation: thinking, talking, or writing about suicide, planning for suicide
  2. Substance abuse
  3. Purposelessness
  4. Anxiety, agitation and unable to sleep or not sleeping all the time
  5. Trapped
  6. Hopelessness
  7. Social withdrawal from friends, family, or society
  8. Anger, rage or seeking revenge
  9. Recklessness or impulsiveness
  10. Mood changes including depression
  11. Uselessness

Postvention

Postvention is for people affected by an individual’s suicide, this intervention facilitates grieving, guides to reduce guilt, anxiety, and depression and to decrease the effects of trauma. Bereavement is ruled out and promoted for catharsis and supporting their adaptive capacities before intervening depression and any psychiatric disorders. Postvention is also provided to intervene to minimize the risk of imitative or copycat suicides, but there is a lack of evidence based standard protocol. But the general goal of the mental health practitioner is to decrease the likelihood of others identifying with the suicidal behavior of the deceased as a coping strategy in dealing with adversity.