SlideShare a Scribd company logo

Suicide ppt

Dr SUHASINI KANYADI SHETTY
Dr SUHASINI KANYADI SHETTY
Dr SUHASINI KANYADI SHETTYAssistant Professor cum Incharge Medical Officer UHTC at S. N. Medical College, RGUHS University

suicide - a public health problem history, global scenario, Indian scenario, etiology, risk factors. protective factors, suicide in adolescents, treatment, prevention, recommendations

Suicide ppt

1 of 69
Download to read offline
PRESENTER: Dr. Suhasini K. 
Dec 3 2014
Introduction 
Historical perspective 
Global & Indian scenario 
Etiology 
Risk factors 
Protective factors 
Common methods 
Stages 
Warning signs 
Treatment 
Prevention 
Recommendations 12/03/14 2
 Suicide – defined as an act with a fatal outcome 
that is deliberately initiated and performed by the 
person in the knowledge or expectation of its fatal 
outcome. 
It’s a complex phenomenon 
Insurmountable disparity between expectations and 
outcomes, real or imagined – tremendous pressure on 
mind, blinding its logic, forcing it a conclusion of escape 
12/03/14 3
Derived from Latin word 
sui = oneself , cidium = a killing 
Primary emergency for mental health professional 
Major public health problem 
12/03/14 4
The story of suicide is probably as old as that of man 
himself 
Suicide has variously been glorified, romanticized, 
bemoaned, and even condemned 
12/03/14 5
In ancient Athens, a person who committed suicide 
without the approval of the state was denied the 
honours of a normal burial 
In ancient Greece & Rome suicide was deemed to be an 
acceptable method to deal with military defeat 
12/03/14 6

More Related Content

What's hot (20)

Chaplain's Suicide Prevention Presentation
Chaplain's Suicide Prevention PresentationChaplain's Suicide Prevention Presentation
Chaplain's Suicide Prevention Presentation
 
Post traumatic stress disorder
Post traumatic stress disorderPost traumatic stress disorder
Post traumatic stress disorder
 
Suicide (mental health)
Suicide (mental health)Suicide (mental health)
Suicide (mental health)
 
Suicide
SuicideSuicide
Suicide
 
Adolescent suicide
Adolescent suicideAdolescent suicide
Adolescent suicide
 
Suicide
SuicideSuicide
Suicide
 
Suicide, risk factors, assessment and methodological problems
Suicide, risk factors, assessment and methodological problemsSuicide, risk factors, assessment and methodological problems
Suicide, risk factors, assessment and methodological problems
 
Suicide prevention
Suicide preventionSuicide prevention
Suicide prevention
 
Management suicide
Management suicideManagement suicide
Management suicide
 
Suicide
SuicideSuicide
Suicide
 
Substance abuse
Substance abuseSubstance abuse
Substance abuse
 
Suicide
SuicideSuicide
Suicide
 
Phobia
PhobiaPhobia
Phobia
 
Stigma and mental illness
Stigma and mental illnessStigma and mental illness
Stigma and mental illness
 
Suicide
SuicideSuicide
Suicide
 
Suicide prevention by suresh aadi8888
Suicide prevention  by suresh aadi8888Suicide prevention  by suresh aadi8888
Suicide prevention by suresh aadi8888
 
Suicidal behavior-in-adolescents
Suicidal behavior-in-adolescentsSuicidal behavior-in-adolescents
Suicidal behavior-in-adolescents
 
Suicide assessment
Suicide assessmentSuicide assessment
Suicide assessment
 
Acute stress disorder
Acute stress disorderAcute stress disorder
Acute stress disorder
 
Suicide and suicide risk assessment
Suicide and suicide risk assessmentSuicide and suicide risk assessment
Suicide and suicide risk assessment
 

Viewers also liked

Teen Suicide Presentation
Teen Suicide PresentationTeen Suicide Presentation
Teen Suicide PresentationDanielle
 
Suicide prevention presentation ppt
Suicide prevention presentation pptSuicide prevention presentation ppt
Suicide prevention presentation pptrionar
 
suicide presentation
 suicide presentation suicide presentation
suicide presentationuzmabb12045
 
Psychiatric emergency
Psychiatric emergencyPsychiatric emergency
Psychiatric emergencyshegdar
 
SCHIZOPHRENIA for B.Sc (Nsg).docx
SCHIZOPHRENIA for B.Sc (Nsg).docxSCHIZOPHRENIA for B.Sc (Nsg).docx
SCHIZOPHRENIA for B.Sc (Nsg).docxNithiy Uday
 
Management of schizophrenia
Management of schizophreniaManagement of schizophrenia
Management of schizophreniaSwati Arora
 
Mental Health Nursing-Schizophrenia
Mental Health Nursing-SchizophreniaMental Health Nursing-Schizophrenia
Mental Health Nursing-SchizophreniaAaron Gogate
 

Viewers also liked (13)

Slides on suicide
Slides on suicideSlides on suicide
Slides on suicide
 
Teen Suicide Presentation
Teen Suicide PresentationTeen Suicide Presentation
Teen Suicide Presentation
 
Suicide prevention presentation ppt
Suicide prevention presentation pptSuicide prevention presentation ppt
Suicide prevention presentation ppt
 
suicide presentation
 suicide presentation suicide presentation
suicide presentation
 
Psychiatric emergency
Psychiatric emergencyPsychiatric emergency
Psychiatric emergency
 
SCHIZOPHRENIA for B.Sc (Nsg).docx
SCHIZOPHRENIA for B.Sc (Nsg).docxSCHIZOPHRENIA for B.Sc (Nsg).docx
SCHIZOPHRENIA for B.Sc (Nsg).docx
 
Management of schizophrenia
Management of schizophreniaManagement of schizophrenia
Management of schizophrenia
 
Schizophrenia (1)
Schizophrenia (1)Schizophrenia (1)
Schizophrenia (1)
 
Process recording
Process recordingProcess recording
Process recording
 
Procss recording
Procss recordingProcss recording
Procss recording
 
Mental Health Nursing-Schizophrenia
Mental Health Nursing-SchizophreniaMental Health Nursing-Schizophrenia
Mental Health Nursing-Schizophrenia
 
Schizophrenia ppt
Schizophrenia pptSchizophrenia ppt
Schizophrenia ppt
 
Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
 

Similar to Suicide ppt

Self harm and suicide
Self harm and suicideSelf harm and suicide
Self harm and suicideFaisal Joel
 
Suicide and deliberate selfharm ppt vimhans
Suicide and deliberate selfharm ppt vimhansSuicide and deliberate selfharm ppt vimhans
Suicide and deliberate selfharm ppt vimhansSripathi santhosh goud
 
Violence and mental illness brown - 2018
Violence and mental illness   brown - 2018Violence and mental illness   brown - 2018
Violence and mental illness brown - 2018Jackie Cavnar, MBA
 
pychiatric emergency 3.pptx
pychiatric emergency   3.pptxpychiatric emergency   3.pptx
pychiatric emergency 3.pptxSamuelAbebe11
 
Adolescent Suicide- A Rising Trend
Adolescent Suicide- A Rising TrendAdolescent Suicide- A Rising Trend
Adolescent Suicide- A Rising TrendCarrie Romero
 
ultimate guide to suicidal thoughts
ultimate guide to suicidal thoughtsultimate guide to suicidal thoughts
ultimate guide to suicidal thoughtswebsites marketo
 
suicide new.pptx
suicide new.pptxsuicide new.pptx
suicide new.pptxbasitjani1
 
Suicide And Social Pathology
Suicide And Social PathologySuicide And Social Pathology
Suicide And Social Pathologyguest74f230
 
Psychiatric emergencies
Psychiatric emergenciesPsychiatric emergencies
Psychiatric emergencieshrowshan
 
Suicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptx
Suicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptxSuicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptx
Suicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptxJohnRobertRilveria1
 
Suicide, hani hamed dessoki
Suicide, hani hamed dessokiSuicide, hani hamed dessoki
Suicide, hani hamed dessokiHani Hamed
 
Discrimination of Mental Illness
Discrimination of Mental IllnessDiscrimination of Mental Illness
Discrimination of Mental IllnessKelsey Meyerhoff
 
Suicide prevention---- deepression-occupational disease of 21st century
Suicide prevention---- deepression-occupational disease of 21st centurySuicide prevention---- deepression-occupational disease of 21st century
Suicide prevention---- deepression-occupational disease of 21st centuryladdha1962
 
Assessment of suicide risk dr essam hassan
Assessment of suicide risk dr essam hassanAssessment of suicide risk dr essam hassan
Assessment of suicide risk dr essam hassanEssamHassan32
 
Psychiatric emergencies
Psychiatric emergenciesPsychiatric emergencies
Psychiatric emergenciesArun Odc
 

Similar to Suicide ppt (20)

Suicide ppt
Suicide pptSuicide ppt
Suicide ppt
 
Self harm and suicide
Self harm and suicideSelf harm and suicide
Self harm and suicide
 
Suicide
SuicideSuicide
Suicide
 
Suicide and deliberate selfharm ppt vimhans
Suicide and deliberate selfharm ppt vimhansSuicide and deliberate selfharm ppt vimhans
Suicide and deliberate selfharm ppt vimhans
 
Violence and mental illness brown - 2018
Violence and mental illness   brown - 2018Violence and mental illness   brown - 2018
Violence and mental illness brown - 2018
 
pychiatric emergency 3.pptx
pychiatric emergency   3.pptxpychiatric emergency   3.pptx
pychiatric emergency 3.pptx
 
Adolescent Suicide- A Rising Trend
Adolescent Suicide- A Rising TrendAdolescent Suicide- A Rising Trend
Adolescent Suicide- A Rising Trend
 
SUICIDE NMHP_)-2.pptx
SUICIDE NMHP_)-2.pptxSUICIDE NMHP_)-2.pptx
SUICIDE NMHP_)-2.pptx
 
ultimate guide to suicidal thoughts
ultimate guide to suicidal thoughtsultimate guide to suicidal thoughts
ultimate guide to suicidal thoughts
 
suicide new.pptx
suicide new.pptxsuicide new.pptx
suicide new.pptx
 
Suicide And Social Pathology
Suicide And Social PathologySuicide And Social Pathology
Suicide And Social Pathology
 
Suicide ppt
Suicide pptSuicide ppt
Suicide ppt
 
Psychiatric emergencies
Psychiatric emergenciesPsychiatric emergencies
Psychiatric emergencies
 
Suicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptx
Suicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptxSuicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptx
Suicide-Risk-Assessment-in-the-Medical-Hospital-2019.pptx
 
Suicide, hani hamed dessoki
Suicide, hani hamed dessokiSuicide, hani hamed dessoki
Suicide, hani hamed dessoki
 
Discrimination of Mental Illness
Discrimination of Mental IllnessDiscrimination of Mental Illness
Discrimination of Mental Illness
 
Suicide prevention---- deepression-occupational disease of 21st century
Suicide prevention---- deepression-occupational disease of 21st centurySuicide prevention---- deepression-occupational disease of 21st century
Suicide prevention---- deepression-occupational disease of 21st century
 
Assessment of suicide risk dr essam hassan
Assessment of suicide risk dr essam hassanAssessment of suicide risk dr essam hassan
Assessment of suicide risk dr essam hassan
 
Teen suicide
Teen suicideTeen suicide
Teen suicide
 
Psychiatric emergencies
Psychiatric emergenciesPsychiatric emergencies
Psychiatric emergencies
 

More from Dr SUHASINI KANYADI SHETTY (8)

Genetics and health
Genetics and health Genetics and health
Genetics and health
 
Millennium developmental goals 2015
Millennium developmental goals 2015Millennium developmental goals 2015
Millennium developmental goals 2015
 
Nutritional emergencies 2015
Nutritional emergencies 2015Nutritional emergencies 2015
Nutritional emergencies 2015
 
Voluntary health agencies
Voluntary health agenciesVoluntary health agencies
Voluntary health agencies
 
Evidence based medicine
Evidence based medicineEvidence based medicine
Evidence based medicine
 
Leptospirosis and Anthrax
Leptospirosis and AnthraxLeptospirosis and Anthrax
Leptospirosis and Anthrax
 
Emergency contraception
Emergency contraceptionEmergency contraception
Emergency contraception
 
Ayush and other systems of medicine
Ayush and other systems of medicineAyush and other systems of medicine
Ayush and other systems of medicine
 

Recently uploaded

Seminario Biología Molecular, Luisa Maradey
Seminario Biología Molecular, Luisa MaradeySeminario Biología Molecular, Luisa Maradey
Seminario Biología Molecular, Luisa Maradeylmaradeya
 
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...bkling
 
Carpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptx
Carpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptxCarpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptx
Carpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptxthiru murugan
 
Tolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkTolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkClinicians
 
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...Dr. Madduru Muni Haritha
 
The EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up Call
The EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up CallThe EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up Call
The EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up Callsemualkaira
 
skin diseases shaffer................ppt
skin diseases shaffer................pptskin diseases shaffer................ppt
skin diseases shaffer................pptHimanshu Goyal
 
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusRenal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusMedicoseAcademics
 
Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...
Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...
Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...leejalashrestha2
 
Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.JULIANA BENAVIDES GUERRERO
 
Presentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementPresentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementeshasmalik27
 
Infective Endocarditis (IE) Lecture pptx
Infective Endocarditis (IE) Lecture pptxInfective Endocarditis (IE) Lecture pptx
Infective Endocarditis (IE) Lecture pptxShashi Prakash
 
pediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptpediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptArun170190
 
Optics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxOptics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxDr. Prabhat Devkota, MD
 
Seminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna SalazarSeminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna SalazarLorenasernasalazar
 
USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.
USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.
USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.vrchk912
 
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar LevelsThe Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar LevelsAman Ullah
 
AI in Healthcare a hands on workshop resource
AI in Healthcare a hands on workshop resourceAI in Healthcare a hands on workshop resource
AI in Healthcare a hands on workshop resourceVaikunthan Rajaratnam
 

Recently uploaded (20)

Seminario Biología Molecular, Luisa Maradey
Seminario Biología Molecular, Luisa MaradeySeminario Biología Molecular, Luisa Maradey
Seminario Biología Molecular, Luisa Maradey
 
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
 
Introduction Endocrinology class -2.pptx
Introduction Endocrinology class -2.pptxIntroduction Endocrinology class -2.pptx
Introduction Endocrinology class -2.pptx
 
Carpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptx
Carpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptxCarpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptx
Carpal, Meta Carpal, Tarsal Meta Tarsal & Phalanges By M Thiru murugan.pptx
 
Tolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkTolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blink
 
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
 
The EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up Call
The EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up CallThe EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up Call
The EMA and Glucagon-Like Peptide-1 Agonists: A Wake-Up Call
 
skin diseases shaffer................ppt
skin diseases shaffer................pptskin diseases shaffer................ppt
skin diseases shaffer................ppt
 
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusRenal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
 
Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...
Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...
Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid...
 
Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.
 
Presentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementPresentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic management
 
Infective Endocarditis (IE) Lecture pptx
Infective Endocarditis (IE) Lecture pptxInfective Endocarditis (IE) Lecture pptx
Infective Endocarditis (IE) Lecture pptx
 
Introduction Endocrine -1.pptx
Introduction Endocrine -1.pptxIntroduction Endocrine -1.pptx
Introduction Endocrine -1.pptx
 
pediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptpediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.ppt
 
Optics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxOptics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptx
 
Seminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna SalazarSeminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna Salazar
 
USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.
USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.
USG,CT AND MR IMAGING OF HEPATIC MASS LESIONS.
 
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar LevelsThe Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
 
AI in Healthcare a hands on workshop resource
AI in Healthcare a hands on workshop resourceAI in Healthcare a hands on workshop resource
AI in Healthcare a hands on workshop resource
 

Suicide ppt

  • 1. PRESENTER: Dr. Suhasini K. Dec 3 2014
  • 2. Introduction Historical perspective Global & Indian scenario Etiology Risk factors Protective factors Common methods Stages Warning signs Treatment Prevention Recommendations 12/03/14 2
  • 3.  Suicide – defined as an act with a fatal outcome that is deliberately initiated and performed by the person in the knowledge or expectation of its fatal outcome. It’s a complex phenomenon Insurmountable disparity between expectations and outcomes, real or imagined – tremendous pressure on mind, blinding its logic, forcing it a conclusion of escape 12/03/14 3
  • 4. Derived from Latin word sui = oneself , cidium = a killing Primary emergency for mental health professional Major public health problem 12/03/14 4
  • 5. The story of suicide is probably as old as that of man himself Suicide has variously been glorified, romanticized, bemoaned, and even condemned 12/03/14 5
  • 6. In ancient Athens, a person who committed suicide without the approval of the state was denied the honours of a normal burial In ancient Greece & Rome suicide was deemed to be an acceptable method to deal with military defeat 12/03/14 6
  • 7. ISLAM: suicide is PROHIBITED CHRISTIANITY: suicide is considered a sin In 19th-century in Europe the act of suicide shifted from being viewed as caused by sin to being caused by insanity. 12/03/14 7
  • 8. Hinduism: When Lord Sri Ram died, there was an epidemic of suicide in his kingdom, Ayodhya The Bhagavad Gita - condemns suicide Upanishads, the Holy Scriptures - condemn suicide ‘he who takes his own life will enter the sunless areas covered by impenetrable darkness after death’ 12/03/14 8
  • 9. Vedas - permit suicide for religious reasons consider that the best sacrifice was that of one's own life - ‘sallekhana’ Sati, where a woman immolated herself on the pyre of her husband rather than live the life of a widow 12/03/14 9
  • 10. More than 8,00,000 people die by suicide every year Estimated annual mortality is 14·5 deaths per 1,00,000 people Around one person every 40 seconds 75% of suicides occur in low- and middle-income countries 12/03/14 10
  • 11. Suicide worldwide was estimated to represent 1.8% of the total global burden of disease in 1998  By 2020 - projected to be 2.4% 12/03/14 11
  • 12. Tenth leading cause of death worldwide It is the second leading cause of death in 15-29 year-olds globally 12/03/14 12
  • 14. Suicide belt – (25 per 100,000) Scandinavia, Switzerland, Germany, Austria, eastern European countries (Belarus, Estonia, Lithuania, and the Russian Federation) and Japan Prime suicide site of the world – Golden Gate Bridge in San Francisco Japan- reported to have highest number of cases 12/03/14 14
  • 15. India ranks 43rd in descending order of rates of suicide with a rate of 10.6/100,000 reported in 2009 About one-third of suicides over the world happen in India According to 2012 WHO data – males -25.8/100,000population/year females- 16.4/100,000 12/03/14 15
  • 16. According to NCRB : In 1989- 8.47/100,000 population/year 1999 – 11.21 2006 – 10.5 Under-reporting • Pondicherry, Andaman & Nicobar Islands – 30/100,000 • Kerala, Sikkim, Tripura, Karnataka also have reported high rates of suicide 12/03/14 16
  • 17. Sociological Factors  Durkheim’s Theory: Emile Durkheim ( French Sociologist ) suicide 12/03/14 17
  • 18. Egoistic - This type of suicide occurs when the degree of social integration is low Altruistic - degree of social integration too high Anomic – Integration into society is disturbed 12/03/14 18
  • 19. Psychological Factors  Freud’s theory: “ Mourning and Melancholia” Menninger’s theory: suicide as inverted homicide 12/03/14 19
  • 20. Biological Factors Serotonergic system: low concentration of 5-HIAA (metabolite of serotonin) Nonadrenergic system: stress-diathesis model HPA axis: Dexamethasone suppression test- non-suppressors ( suicide is more common in groups with low cholesterol levels) 12/03/14 20
  • 21. Genetic factors Molecular biology – polymorphism in TPH gene (tryptophan hydroxylase enzyme) 12/03/14 21
  • 22. Gender differences- Men 4 times > Women Exceptions – India and China , ratio is 1.3:1 Age- Increase with age men peak age- after 45 years women – 55years Race- Two out of every three suicides are White males 12/03/14 22
  • 23. Religion- degree of orthodoxy and integration Marital status- lessens the risk Occupation- higher social status greater the risk unemployed > employed Physician suicides - physicians particularly females are at greater risk 12/03/14 23
  • 24. Climate – no significant variation Physical health- loss of motility disfigurement chronic intractable pain patients on hemodialysis alcohol related illnesses Drugs : Reserpine, corticosteroids, anti-cancer agents 12/03/14 24
  • 25. • Mental illness- 90- 95% have a diagnosed mental disorder Psychiatric patients- depressive disorder- 80% alcohol related disorders – 4-60% schizophrenic disorder- 3-10% personality disorder- 5-44% organic mental disorder- 2-7% 12/03/14 25
  • 26. Depression Schizophrenia Addiction disorder Family history & past history of suicidality Dysregulated serotonergic system Early parental loss Isolation Unemployment Acute life events Older age Male sex Vulnerable periods 12/03/14 26
  • 27. Strong connections to family and community support  Skills in problem solving, conflict resolution, and non-violent handling of disputes  Personal, social, cultural and religious beliefs that discourage suicide and support self-preservation Restricted access to means of suicide  Seeking help and easy access to quality care for mental and physical illnesses 12/03/14 27
  • 28. Pesticide poisoning(30%)  Hanging 12/03/14 28
  • 29. Firearms Drug overdose Fatal injuries 12/03/14 29
  • 30. Exsanguinations  Suffocation Drowning 12/03/14 30
  • 31. STAGES OF SUICIDE Ideation Threatening Attempting 12/03/14 31 Intervention
  • 32. Parasuicide : injures themselves by self mutilation but do not wish to die Cyber-suicide : suicide pact made between individuals who meet on the internet Copycat suicide : a suicide within a peer group/publicized suicide can serve as a model for next suicide in absence of sufficient protective factors (Werther syndrome) Anniversary suicide: persons take their lives on the day a member of their family did 12/03/14 32
  • 33. IPC S. 309 Attempt to Commit Suicide S.306 Abetment of Suicide • S.305 Abetment in Special Cases 12/03/14 33
  • 34. Suicide in adolescents: Highly vulnerable group Living in violent & abusive environment Lack of support network They are usually successive in their attempt to suicide Male : female ratio almost equal 12/03/14 34
  • 35.  Causes- mental illness school difficulties broken romance separation rejection physical/ sexual abuse Children –bullying /being bullied (NOTE: Direct questioning about suicidal thoughts is necessary) 12/03/14 35
  • 36. Trouble coping with recent losses, death, divorce, moving, break-ups, etc. Feelings of hopelessness and despair Making final arrangements: writing a will or eulogy, or taking care of details (i.e. closing a bank account). 12/03/14 36
  • 37. Gathering of lethal weapons Giving away prized possessions Preoccupation with death, such as death and/or 'dark' themes in writing, art, music lyrics, etc. Sudden changes in personality or attitude, appearance, chemical use, or school behavior. 12/03/14 37
  • 38. “I can't go on anymore" "I wish I was never born" "I wish I were dead" "I won't need this anymore" 12/03/14 38
  • 39. "My parents won't have to worry about me anymore" “Everyone would be better off if I was dead” “Nobody cares if I live or die” 12/03/14 39
  • 40. Treatment of suicide attempters For every completed case of suicide there are about 20 non fatal attempts Repetition – 15-25% within a year Poor problem solving skills 12/03/14 40
  • 41. Psychosocial treatment a)Problem-solving b)Psychotherapy c)Distress-tolerance skills d)Outreach e)Provision of emergency cards f) Family therapy 12/03/14 41
  • 42. Pharmacological treatment a)Antidepressants- fluoxetine, should be always combined with other therapies b)Neuroleptics- flupenthixol 20mg for 6 months c)Lithium 12/03/14 42
  • 43. 1) Assessment- ( SAD PERSON’S scale – high specificity but low sensitivity so not used anymore) 2) Treatment: a)Psychiatric disorders to be treated b)Community therapy- problem solving and outreach c) Adolescents – family therapy, group therapy 12/03/14 43
  • 45. General principles Population strategies High-risk strategies 12/03/14 45
  • 46. Population strategies Intervention at community level: 1. Increasing public awareness 2. Campaign to reduce stigma 3. Guidelines for the mass media 4. Regulating formulations, packaging and sale of pesticides 5. Regulation of over-the-counter medication 6. Gender-related legislation and action 7. Introducing alcohol policies 12/03/14 46
  • 47. Interventions at institutional and organizational levels: 1. Establishing sentinel centres and developing an information system 2. Training of personnel working in high risk settings 3. Establishing crisis intervention and counselling centres and telephone hotlines 4. Increase in specific clinical training programmes for lay counsellors 5. Redesigning the curriculum for medical and nursing personnel 6. Intervention programmes for high schools 12/03/14 47
  • 48. High-risk strategies 1. Patients with psychiatric disorder a) Risk identification b) Preventive strategies- active treatment of individuals and psychological therapy 2. Elderly people- care and support 12/03/14 48
  • 49. 3. Suicide attempters 4. High-risk occupational groups- all these groups have easy access to methods of suicide – removing the access 5. Prisoners- young males held at remand Ensuring that prison cells are safe in terms of absence of structures favorable for suicide 12/03/14 49
  • 51.  Key Gatekeepers o Primary health care providers o Mental health care providers o Emergency health care providers o Teachers and other school staff o Community leaders o Police officers and other first responders o Military officers o Social welfare workers o Spiritual and religious leaders o Traditional healers 12/03/14 51
  • 54. In the WHO Mental Health Action Plan 2013-2020 - the global target of reducing the suicide rate in countries by 10% by 2020. WHO’s Mental Health Gap Action Programme, launched in 2008, includes suicide prevention as a priority and provides evidence-based technical guidance to expand service provision in countries 12/03/14 54
  • 56. Model for developing countries in public health low IMR MMR High life expectancy Marched forward in physical health, neglected mental health 12/03/14 56
  • 57. Evidenced by high suicide rates 32/100,000 population/ year KRISIS (Kerala Integrated Scheme for Intervention in Suicide)- launched in 2004 In 2008- 26/100,000 population/yr 12/03/14 57
  • 58. Public awareness Integration of mental health and general health in suicide prevention approaches At MBBS level – making it a compulsory subject of study and a examination paper 12/03/14 58
  • 59. Foundations providing services in prevention of suicide Prerana group- Mumbai Sneha NGO – Chennai based Maithri -Ernakulam 12/03/14 59
  • 60. When someone is suicidal , he or she will always remain suicidal Heightened suicide risk is often short-term and situation-specific. While suicidal thoughts may return, they are not permanent and individual with previously suicidal thoughts and attempts can go on to live a long life 12/03/14 60
  • 61. Talking about suicide is a bad idea and can be interpreted as encouragement Given the widespread stigma around suicide, most people who are contemplating suicide do not know who to speak to. Rather than encouraging suicidal behaviour, talking openly can give an individual other options or the time to rethink his/her decision, thereby preventing suicide. 12/03/14 61
  • 62. Only people with mental disorders are suicidal Suicidal behaviour indicates deep unhappiness but not necessarily mental disorder. 12/03/14 62
  • 63. Most suicides happen suddenly without warning The majority of suicides have been preceded by warning signs, whether verbal or behavioural.  Of course there are some suicides that occur without warning 12/03/14 63
  • 64. Someone who is suicidal is determined to die On the contrary, suicidal people are often ambivalent about living or dying  Someone may act impulsively by drinking pesticides, and die a few days later, even though they would have liked to live on 12/03/14 64
  • 65. People who talks about suicide do not mean to do it People who talk about suicide may be reaching out for help or support 12/03/14 65
  • 68.  Kaplan & Sadock’s Synopsis of Psychiatry (10th edi)  New Oxford Textbook of Psychiatry ; Michael Gelder, Nancy Andreasen (2nd edition)  Community Mental Health in India; B. Chavan, Nithin Gupta  Essentials of Psychiatry; Jerald Kay, Allan Tasman  A hand book on Suicide Prevention Strategies, KRISIS  World Health Organization. World Health Report 2001. Mental health: New understanding, new hope. Geneva  S.Manoranjitham;Towards a National Strategy to Reduce Suicide in India; The National Medical Journal of India vol. 18, no. 3, 2005  Aaron R, Joseph A, Abraham S, Muliyil J, George K, Prasad ; Suicides in young people in rural southern India Lancet; 2004;363:1117–18 12/03/14 68