Symptoms of Depression Loss of interest in normal daily activities Feeling sad or down Feeling hopeless Crying spells for no apparent reason Problems sleeping Trouble focusing or concentrating Difficulty making decisions Unintentional weight gain or loss
Symptoms of Depression Irritability Restlessness Being easily annoyed Feeling fatigued or weak Feeling worthless Loss of interest in sex Thoughts of suicide or suicidal behavior Unexplained physical problems, such as back pain or headaches
Post-Traumatic Stress DisorderPTSD Symptoms (DSM-IV-R) Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Recurrent distressing dreams of the event. Note: in children, there may be frightening dreams without recognizable content. Acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur upon awakening). Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event. Physiologic reactivity upon exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
PTSD Symptoms (DSM-IV-R) Efforts to avoid thoughts, feelings, or conversations associated with the trauma Efforts to avoid activities, places, or people that arouse recollections of the trauma Inability to recall an important aspect of the trauma Markedly diminished interest or participation in significant activities Feeling of detachment or estrangement from others Restricted range of affect (e.g., unable to have loving feelings) Sense of foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)
Generalized Anxiety Disorder (GAD) Restlessness Feeling nervous or on edge/tense Feeling a lump in your throat Difficulty concentrating Fatigue Irritability Impatience
GAD Symptoms Being easily distracted Muscle tension Trouble falling or staying asleep Excessive sweating Shortness of breath Stomachache Diarrhea Headache
Alcoholism / Alcohol Abuse Drinking alone or in secret Being unable to limit the amount of alcohol you drink Not remembering conversations or commitments, sometimes referred to as "blacking out" Losing interest in activities and hobbies that used to bring pleasure Feeling a need or compulsion to drink Keeping alcohol in unlikely places at home, at work or in the car Becoming intoxicated intentionally to feel good or drinking to feel "normal" Having legal problems or problems with relationships, employment or finances Building a tolerance to alcohol so that you need an increasing number of drinks to feel alcohols effects Experiencing physical withdrawal symptoms — such as nausea, sweating and shaking — if you dont drink
Attention!This information is notintended to be a form ofcounseling or treatment
Suicide Myths and FactsMyth: No one can stop a suicide, it’s inevitable.Fact: If people in a crisis get the help they need, they will probably never be suicidal again.Myth: Confronting a person about suicide will only make them angry and increase the risk of suicideFact: Asking someone directly about suicidal intent lowers anxiety, opens up communication and lowers the risk of an impulsive act.Source: Question, Persuade, Refer (Dr. Paul Quinnet)
Myths and FactsMyth: Suicidal people keep their plans to themselves.Fact: Most suicidal people communicate their intent sometime during the week preceding their attempt.Myth: Those who talk about suicide don’t do it.Fact: People who talk about suicide may try, or even complete, an act of self-destruction.Myth: Once a person decides to complete suicide, there’s nothing anyone can do to stop them.Fact: Suicide is the most preventable kind of death, and almost any positive action may save a life.
Clues and Warnings The more clues and signs observed, the greater the risk. Take all signs SERIOUSLY.Source: Question, Persuade, Refer (Dr. Paul Quinnet)
Verbal Clues• “I’ve decided to kill myself.”• “I wish I were dead.”• “I’m going to commit suicide.”• “I’m going to end it all.”• “If (such and such) doesn’t happen, I’ll kill myself.”• “I’m tired of life, I just can’t go on.”• “My family would be better off without me.”• “Who cares if I’m dead anyway.”• “I won’t be around much longer.”• “Pretty soon you won’t have to worry about me.”
Behavioral Clues• Any previous suicide attempt• Acquiring a gun or stockpiling pills• Co-occurring depression, moodiness, hopelessness• Giving away prized possessions• Sudden interest or disinterest in religion• Drug or alcohol abuse, or relapse after a period of recovery• Unexplained anger, aggression and irritability Source: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA.
Situational Clues• Being fired or being expelled from school• A recent unwanted move• Loss of any major relationship• Death of a spouse, child, or best friend, especially if by suicide• Diagnosis of a serious or terminal illness• Anticipated loss of financial security• Loss of a cherished therapist, counselor or teacherSource: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA.
Tips for Asking the Suicide Question• If in doubt, don’t wait, ask the question• Talk to the person alone in a private setting• Allow the person to talk freely• Give yourself plenty of time• Have your resources handy…phone numbersSource: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA.
Asking the Question• “You know, when people are upset as you seem to be, they sometimes wish they were dead. I’m wondering if you’re feeling that way too?”• “You look pretty miserable, I wonder if you’re thinking about suicide?”• “Are you thinking about killing yourself?”Note: If you cannot ask the question, find someone who can.Source: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA.
Persuade How to persuade someone to stay alive• Listen to the problem and give them your full attention.• Remember, suicide is not the problem, only the solution to a perceived insoluble problem.• Offer hope in any formSource: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA
PersuadeAsk…• “Will you go with me to get help?• “Will you let me help you get help?”• “Will you promise me not to kill yourself until we’ve have found some help?” YOUR WILLINGNESS TO LISTEN AND TO HELP CAN REKINDLE HOPE, AND MAKE ALL THE DIFFERENCE.Source: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA.
REFER• The best referral involves taking the person directly to someone who can help.• The next best referral is getting a commitment from them to accept help, then making the arrangements to get that help.Source: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA
You can also say…• “I want you to live,” or “I’m on your side…we’ll get through this.” Remember When you plant the seeds of hope…hope helps prevent suicide.Source: Question, Persuade, Refer (Dr. Paul Quinnet) and the MHA
Questions? THANK YOU !Carlos@carlosFmartinez.com