Definition suicide is direct purposeful action taken by a person to end his own life.The most suicides are associated with mooddisorders. The person who is suicidal demonstrates awide range of mood , perceptions and behaviors . Apersons aim may be actual self-destruction or he maybe attempting to bring about some change in his life ,,he may wish to hurt someone , perhaps a friend ,parent or lover .Most people who commit suicide give specific verbalor non-verbal warning . Sadly , in some cases theclues are not recognized until after death has occurred
Factors associated with a high risksex: women continue to attempt suicide more often, but mentend to complete suicide more often.Increasing age: for young adults has been increasing in recentyears, elderly Caucasian males continue to have the highestsuicide rate.Marital status: single ,widowed and divorced status. Excessive alcohol or other drug use.Mental disorder: depression, manic depression, schizophrenia,substance abuse, eating disorders, and severe anxiety.Physical illness.Economic crisis.Lack of support systems.Previous suicide attempts.Low self-esteemSocial causes
signs and symptoms•Warning signs that an individual isimminently planning to kill themselvesmay include the person making a will,getting his or her affairs in order,suddenly visiting friends or familymembers (one last time)•buying instruments of suicide like a gun,rope, pills or other forms of medications,a sudden and significant improvement inmood, or writing a suicide note.
overdose of drugs Drowning shooting Strangulation Starvation Suffocation inhalation of poisonous fumes jumping from a height severing a major blood vessel driving and crashing a vehiclejumping in front of a moving vehicle Burning drinking corrosive substances electrocution
However, suicide is known to be rare in children, but may be it increases due to many factors, including an increase in the number of broken homes,Boys are more likely to use violent methods of suicide such as hanging or shooting, and girls to take drug overdoses Suicide behavior and depressive disorders were common among the parents and siblings, and that children who died by suicide had usually shown antisocial behavior .
The treatment for suicidal thoughts and behaviors?•Talk therapy that focuses on helping the personunderstand how their thoughts and behaviors affecteach other (cognitive behavioral therapy) has beenfound to be an effective treatment for many people whostruggle with thoughts of harming themselves.•School intervention programs in which teens aregiven support and educated about the risk factors,symptoms, and ways to manage suicidal thoughts inthemselves and how to engage adults when they or apeer expresses suicidal thinking have been found todecrease the number of times adolescents reportattempting suicide.
1- demographics :age , gender , martial status , socioeconomic status,family history , occupation , religion . 2- presenting symptoms / medical – psychiatricdiagnosis :Mood disorder and psychiatric disorder . 3- suicidal ideas or acts :How serious is the intent ?Dose the person have a plan ? 4- interpersonal support system : Dose the individual have support person on whomhe or she can rely during a crisis ? 5-Analysis of the suicidal crisis 6- psychiatric / medical / family history7- Coping strategies:How has the individual handled previous crises ?
1-Risk for suicide related to feelings of hopelessness and desperation.2- Hopelessness related to absence of support systems and perception of worthlessness .
1- Establish rapport and promote a trusting relationship .2- Establish a no-suicide contract with the client .3- Enlist the help of family or friends to ensure that the homeenvironment is safe from dangerous items .4- Appointments may need to be scheduled daily or every other day atfirst until the immediate suicidal crisis has subsided .5- The person should not be left alone . .6- Be direct , Listen actively and encourage expression of feeling .7- Discuss the current crisis in the clients life .8- Help the client identify areas of life situation that are within his orher control and those that cannot be controlled .9- Identify resources that provide support , religious beliefs and close friendsand relative..
1-Take any hint of suicide seriously . 2- Do not keep secrets .3- Try to give them hope and remind them that what they are feeling is temporary . 4- Stay with them. Do not leave them alone . Go to where they are if necessary . 5- Help them seek professional help . 6- Do not judge the person and Do not show anger toward them.