This document provides an overview and update on suicide in 2020. It discusses that depression is commonly associated with suicide and over 800,000 people die by suicide every year globally. The most common method is hanging. Risk factors include depression, schizophrenia, alcohol dependence, and borderline personality disorder. Protective factors include strong family connections, social support, and access to mental health care. For those who encounter someone expressing suicidal thoughts, it is important to try to redirect the conversation, then contact a helpline for support. Treatment involves addressing any underlying psychiatric conditions through therapy and medication. Myths about suicide are also addressed.

1. Topic :- Update on SUICIDE (2020)
Dr Rahul JainDr Sharda Jain
for Gynaecologist & Surgery Specialist

2. Over 400 ppts are available on
slideshare.net ***for use of public/Doctors
www.slideshare.net / Lifecarecentre

4. Common among all?
• DEPRESSION

5. INTRODUCTION
• SUICIDE IS DEFINED AS THE ACT OR AN
INSTANCE OF TAKING ONE'S OWN LIFE
VOLUNTARILY AND INTENTIONALLY.
• ACT OF FATAL OUTCOME DELIBERATELY
INITATED AND PERFORMED BY THE PERSON
IN THE KNOWLEDGE OR EXPECTATION OF ITS
FATAL OUTCOME.

6. EPIDEMIOLOGY-
• MORE THAN 8LAKH PEOPLE DIE BY SUICIDE
EVERY YEAR
• AROUND ONE PERSON EVERY 40 SECONDS
• 10% AMONG SCHIZOPHRENICS
• 10.3 PER LAKH POPULATION(INDIA)

7. CAUSES-
• DEPRESSION(M/C)
• SCHIZOPHRENIA
• ALCOHOL DEPENDENCE
• BORDERLINE PD
• MANIC PATIENTS

8. SPECIAL ENTITIES-
• PARASUICIDE-HARM YOURSELF,NO INTENT TO
DIE
• CYBER SUICIDE-SUICIDE PACT MADE B/W
INDIVIDUALS WHO MEET ON THE INTERNET
• COPYCAT SUICIDE(BURARI CASE OF 2018)-11
MEMBERS OF SANT NAGAR FAMILY
• PARADOXICAL SUICIDE

9. METHODS-
• M/C METHOD IS HANGING

10. Methods(contd)-
• POISONINGS(OP,SLEEPING
PILLS,PARACETAMOL ETC)
• FIREARMS

11. Methods(contd)-
• FALLS
• DROWNING

12. Stages of suicide
• IDEATION
INTERVENTION
• THREATENING
• ATTEMPT

13. RISK FACTORS FOR SUICIDE-
• MODIFIED SAD PERSONS SCALE(SCORE>6
RISK)

14. PROTECTIVE FACTORS-
• STRONG CONNECTIONS WITH FAMILY
• JOINT FAMILIES
• MARRIED INDIVIDUALS
• EASY ACCESS TO MENTAL HEALTHCARE
• SOCIAL,CULTURAL,PERSONAL BELIEFS NOT

15. OBJECTIVE EVIDENCE-
• LOW LEVELS OF 5-HYDROXYINDOLEACETIC
ACID IN CSF IN SUICIDE PRONE PATIENTS
• BIOCHEMICAL MARKER OF SUICIDE

16. MYTHS-
• ONCE PERSON IS SUICIDAL,HE OR SHE WILL
ALWAYS REMAIN SUICIDAL
• TALKING ABOUT SUICIDE IS A BAD IDEA
• MOST SUICIDES HAPPEN WITHOUT WARNING
• PEOPLE WHO TALK ABOUT SUICIDE OPENLY ARE
LESS LIKELY TO DO IT

17. WHAT TO DO IF ENCOUNTER A
PATIENT WHO IS SUICIDAL?
• IF NOT SUICIDAL AT MOMENT GET HIM
PSYCHIATRIC HELP
• IF SUICIDAL AT MOMENT,TRY TO TALK ABOUT
NON RELATED THINGS THEN TRANSFER THE
CALL TO HELPLINE(AASRA-9820466726
HELPLINE 24/7),URGE OF PATIENT TO SUICIDE
COMES DOWN

18. PSYCHIATRIC MANAGEMENT-
• TREATING THE PSYCHAITRIC DISORDER
• ELECTROCONVULSIVE THERAPY
• COGNITIVE BEHAVIOURAL THERAPY(COGNITIVE
DISTORTIONS LIKE OVER
GENERALISATION,SELECTIVE
ABSTRACTION,ARBITARY INFERENCE)
• FAMILY THERAPY,GROUP TERAPY

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22. • THANK YOU
• ANY QUESTIONS?