Thais will give an impetus to readers who have a judgemental mind

2.  One of the leading causes of death
 One in every 40 seconds in the millennium
 Significant increase in developing countries
 More obsessed are men than woman

3.  Size of the Population
 Age and Sex of the Population
 Socio Cultural ethos
 Sociotechnological development
 Availability of methods of suicides

4.  Global
Suicide Rates(per 100 100 population)
1950-1995

5.  India

6.  Srilanka

7.  Thailand

8.  Sociological theories
 Biological Theories
 Psychological Theories

9.  Knows no boundaries
 Children
 Adult
 Background (Economy)
 Mental or Physical State

10.  Direct or Indirectly they tell their plan
 Showing Plans
 Verbal Threats
 Stupid Statements ( I shall die this weekend)
 Can be treated as a cry for help

11.  Enact the way they want
 Shown concern for them
 Make them understand that their
importance
 Talk to them openly and honestly
 Diversion takes significant shapes

12.  Age
 Gender
 Depression
 Previous Suicide attempt/aftermath
 Excessive usage of Alcohol/Drug
 Loss of Rational Thinking
 Divorced/Separated from family
 No support
 Chronic illness

13.  What depression is:
 Depression is a medical illness, in the same way that
diabetes or heart disease is a medical illness
 Depression is an illness that affects the entire body, not
just the mind.
 Depression is an equal-opportunity illness - it affects all
ages, all races, all economic groups and both genders.
Women, however, suffer from depression almost twice as
much as men do
 Untreated depression is the number one cause of suicide
 Depression is treatable: more than eighty percent of those
who seek psychiatric help go on to make a full recovery

14.  What depression is not:
 Depression is not something to be ashamed
of
 Depression is not the same thing as feeling
"blue" or "down in the dumps"
 Depression is not a character flaw or the sign
of a weak personality
 Depression is not something one can "snap
out” of (Would you ask someone to "snap
out” of diabetes or heart disease?)

15.  How depression and sadness are different
The death of a loved one, loss of a job, or the ending of a
relationship are difficult experiences for a person to
endure. It is normal for feelings of sadness or grief to
develop in response to such stressful situations. Those
experiencing trying times often might describe themselves
as being “depressed.”
 But sadness and clinical depression are not the same.
While feelings of sadness will lessen with time, the
disorder of depression (if left untreated) can continue for
months, even years. Patients who have experienced
depression note marked differences between normal
sadness and the disabling weight of clinical depression.

16.  What causes depression?
Certain life conditions (such as extreme stress or
grief) may bring on an episode of depression.
However, in many people, depression occurs
even when life is going well. This is so because
the commonest cause of depression is a
chemical imbalance in specific regions of the
brain. These chemicals are called neuro-
transmitters; the two most important (in
depression) are serotonin and norepinephrine

17.  Recognizing the illness…
The symptoms vary from person to person, but
often include a persistent sadness of mood, and
loss of interest or pleasure in activities that were
once enjoyable.
 Often there is a significant decrease in appetite
or body weight, sleep difficulties, loss of
energy, feelings of hopelessness, worthlessness
or inappropriate guilt and difficulty in
concentrating. In severe cases, there are
repeated thoughts of death or suicide

18.  You don’t feel hopeful or happy about anything in your life.
 You’re crying a lot, either at nothing, or something that normally
would be insignificant.
 You feel like you’re moving (and thinking) in slow motion.
 Getting up in the morning requires a lot of effort.
 Carrying on a routine conversation is a struggle.
 You’re having trouble making simple decisions.
 It seems like there’s a glass wall between you and the rest of the world.
 You feel like you can’t do anything right.
 You have a feeling of impending doom - you think something bad is
going to happen, although you may not be sure what.
 Incessantly and uncontrollably into your mind comes the memory of
every failure, every bad or uncomfortable conversation / encounter /
experience, like a torrent of negativity.

19.  You're putting off things that need to be done: paying
your insurance premium, taking that book back to the
library, buying a birthday present for someone.
 You can't remember the last time you had a hearty laugh.
 You don't feel like you can handle your job anymore, even
though nothing has changed so far as workload or
responsibility.
 You've been to the doctor a lot recently, for things like
headaches, stomach aches, fatigue, but the doctor can't
find anything wrong.
 It takes you a whole weekend to do chores that used to
only occupy a morning.

20.  You seem unable to imagine or conceive of
your life even a few days ahead - no plans,
no hopes. You can't even be sure you'll still
be here.
 You're watching TV constantly - lying on the
couch and flicking the remote seems to be
the most effort you can deal wit

21.  Depression cannot be willed away. In most
cases, depression cannot be controlled for
any length of time simply by exercise, a
change in dietary habits, or taking a
vacation.
 Depression, being a medical illness,
requires appropriate medical treatment
 A psychiatric evaluation is mandatory.

22.  f you are feeling suicidal now, please stop long enough
to read this. It will only take about five minutes. I do
not want to talk you out of your bad feelings. I am not a
therapist or other mental health professional - only
someone who knows what it is like to be in pain.
 I don't know who you are, or why you are reading this
page. I only know that for the moment, you're reading
it, and that is good. I can assume that you are here
because you are troubled and considering ending your
life. If it were possible, I would prefer to be there with
you at this moment, to sit with you and talk, face to face
and heart to heart. But since that is not possible, we will
have to make do with this.


23.  I have known a lot of people who have wanted to kill themselves, so I
have some small idea of what you might be feeling. I know that you
might not be up to reading a long book, so I am going to keep this
short. While we are together here for the next five minutes, I have five
simple, practical things I would like to share with you. I won't argue
with you about whether you should kill yourself. But I assume that if
you are thinking about it, you feel pretty bad.
 Well, you're still reading, and that's very good. I'd like to ask you to
stay with me for the rest of this page. I hope it means that you're at
least a tiny bit unsure, somewhere deep inside, about whether or not
you really will end your life. Often people feel that, even in the deepest
darkness of despair. Being unsure about dying is okay and normal.
The fact that you are still alive at this minute means you are still a little
bit unsure. It means that even while you want to die, at the same time
some part of you still wants to live. So let's hang on to that, and keep
going for a few more minutes.

24.  That's all it's about. You are not a bad person, or
crazy, or weak, or flawed, because you feel
suicidal. It doesn't even mean that you
really want to die - it only means that you have
more pain than you can cope with right now. If
I start piling weights on your shoulders, you
will eventually collapse if I add enough
weights... no matter how much you want to
remain standing. Willpower has nothing to do
with it. Of course you would cheer yourself up,
if you could

25.  You can survive suicidal feelings if you do
either of two things: (1) find a way to reduce
your pain, or
 (2) find a way to increase your coping
resources. Both are possible.

26.  1 You need to hear that people do get
through this -- even people who feel as
badly as you are feeling now. Statistically,
there is a very good chance that you are
going to live. I hope that this information
gives you some sense of hope.

27.  2 Give yourself some distance. Say to yourself, "I
will wait 24 hours before I do anything." Or a week.
Remember that feelings and actions are two
different things - just because you feel like killing
yourself, doesn't mean that you have to
actually do it right this minute. Put some distance
between your suicidal feelings and suicidal action.
Even if it's just 24 hours. You have already done it
for 5 minutes, just by reading this page. You can do
it for another 5 minutes by continuing to read this
page. Keep going, and realize that while you still
feel suicidal, you are not, at this moment, acting on
it. That is very encouraging to me, and I hope it is
to you.

28.  3 People often turn to suicide because they
are seeking relief from pain. Remember that
relief is a feeling. And you have to be alive to
feel it. You will not feel the relief you so
desperately seek, if you are dead

29.  4 Some people will react badly to your
suicidal feelings, either because they are
frightened, or angry; they may actually
increase your pain instead of helping you,
despite their intentions, by saying or doing
thoughtless things. You have to understand
that their bad reactions are about their fears,
not about you.

30.  5 Suicidal feelings are, in and of themselves,
traumatic. After they subside, you need to
continue caring for yourself. Therapy is a
really good idea. So are the various self-help
groups available both in your community
and on the Internet.

31.  Just think for a minute before ending
yourself.
 If you can allow yourself and recount the
glories you have, you shall not..
 This is not difficult, you can and if you will
you can….. And Can.
 Start afresh, there is always a tomorrow.

32.  I wish you had a useful session and wish
you the best in your life.
 For contact: mohen63@gmail.com
 Cell :9360308688
 Visit: www.comeongetgoing.com