Suicide Prevention.

4. Did our communication improve??

5. No….

6. Suicide Prevention
Dr Gaurav P Sanker
Nodal officer, DMHP,Kannur
Dr. Gaurav P Sanker
Psychiatrist , DH kannur
Nodal Officer, DMHP Kannur

7.  “Not all persons who commit suicide want to die
Not all persons who want to die commit suicide”

8.  Sui – of oneself
 Caedes - murder

9. suicide – global perspective
 >8 lakh / year
 For each suicide more than 20 attempts
 75% - low income and medium countries
 2nd leading cause of death in 15 – 29yr
olds
 Men > women

10. statistics

13. Suicides in india

14. Suicide over the years

15. Suicide and Economic status

16. Suicide and education

17. Suicide and Profession

18. Suicide and gender

19. Suicide - causes

20. Suicide - causes

22. Group suicides

23. Suicides
in kerala

24. Suicide since may 2016 – 12988
Children - 401

29. Means of suicide; kerala 2014
total 8446
Hanging 5693
Poison 1373 ( 507 + 866)
Drowning 450
Self immolation 364
Coming under running vehicles 217
Sleeping pills 57
Jumping 36
Self inflicting injury 25
Touching electric wire 11
Firearms 2
Others 218

31. Those who talk about committing suicide
seldom does it.
Many of the persons who commit suicide
give warning

32. Suicide attempt is a means to get attention

33. We cannot do anything if a person has
decided to commit suicide

34. People who are successful in life will not commit
suicide

35. If we ask about or talk about suicide the risk of
suicide will increase
Talking about suicide may be helpful to a person
who is thinking about suicide

36. Suicide is a legally punishable crime
Mental health care Act 2016
decriminalised suicide

37. Path to the end

38. Risk factors
 Social and cultural factors- financial crises, unemployment
 Family background- family h/o substance use, suicide,
neglected/ abusive parenting, divorce
 Personality traits
 Mental health issues
 Prior suicide attempt

39. Risk factors- mental illness

40. Precipitation factors
 Death of loved ones
 Love failure
 Loss of job
 Legal issues
 Interpersonal conflicts

41.  Natural calamities
 Diagnosed Terminal illness
 Alcohol/ drug addictions
 Socially isolated

42. Warning signs
 Unable to cope with adverse life situations
 Hopelessness
 Preparing for death ( preparing will)
 Collecting lethal objects
 Donating things which they valued in life
 Searching about suicide
 Sudden changes in behavior
 Visiting even distant relatives

43. Verbal warning signs
 Njan janichillayirunenkil nannayirunnu…
 Enikkini jeevithathil munnotu pokan kazhiyilla…
 Enganeyenkilum ithoke avasanichirunenkil…
 Marichal mathiyayiryunnu…
 Enekondu ini aarkum oru budhimuttu undakkilla…

44. Protective factors
 Good family
 Good social support
 Good life skills
 Unavailability/control of lethal objects used for committing
suicide
 Availability of help / mental health services

45. Suicide prevention

46. Suicide…
Biological
Psychological
Economical
Social
Cultural

47. Community level
 Mental health awareness
 Control and checks on availability of lethal objects
 Prohibition of selling medicines without prescription
 Sensitization through media

48. Institution level
 Setting up counselling centres
 Training
 Promoting healthy relationships at home and
workplace
 Mental health services

49. Psychological first aid

50. Psychological first aid

51. Psychological first aid

53.  Replace word “suicide”
 description??
 Place and method ??
 1st page ??
 Less sensational / dramatic
 Attributing unclear reason??
 Awareness through media
 Publish Helpline numbers and counselling agencies

54. treatment

56. And…
together we can say…
Thank you