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UNDERSTANDING
AND OVERCOMING
THE MYTHS OF
SUCICIDE IN YOUTH
Dr.K.Nagi reddy
(M.D,AIIMS new delhi)
Consultant psychiatrist
Asha kiran
hospital,N.R.Peta,kurnool
Warning signs of suicide in youth
Depression
Bullying
Alcohol and drug
abuse
Sexual abuse
Problem is
everywhere
What law says about suicide?
Problem with IPC
309
Hope with new mental
health care bill
• Decriminalization of suicide
in case of suicide
the person will be
presumed,unless otherwise
proved,to have severe stress
at the time of attempting
suicide,there by not liable to
be persecuted under section
309 IPC
The government has also been
assigned duties to provide
care treatment and
rehabilitation
suicide: most
stigmatized of all human
behaviours
• More stigamatized than
slavery and murder
• A powerful mythology
has arisen around
suicide
• These myths lead to
more stigma
So let us do away with
stigma and myths
Not only is it not
easy,but…
• stigma=fear+ignorance
• We will try to reduce
ignorance
• Keep little bit fear
intact
• Healthy dose of fear is
required for survival
Decreasing ignorance via
dismantling of myths
• Many myths about
suicide are so
engrained that we may
not be able to reduce
ignorance untill we
undo these myths
Categories of
myths
• Myths about suicidal
mind
• Myths about suicidal
behavior
• Myths about nature of
suicide
Myths about
suicidal mind
• Cowardice-myth!!!
• Weakness-myth!!!
• Revenge-myth!!!
• Selfishness-myth!!!
• Selfcentered-myth!!!
• Impulsivity-myth!!
Problems with
suicidal myths
• These myths of suicide
stand in the way of
providing assistance for
those who are in danger.
• By removing the myths
that are responsible for
care and education of
young people,it is more
easy to recognize who are
at risk and provide the
help that is needed.
Myth : talking about suicide or asking
someone if they feel suicidal will
encourage suicidal attempts
Fact
• talking about suicide
provides oppurtunity for
communication
• fears are shared and
more likely to diminsh
• first step can be simple
enquiry about
whether or not the
person is intending to
end their life
• However talking about
suicide should be
carefully managed.
Myth
• Young people
who talk about
suicide never
attempt or talk
about suicide
Fact
• Talking about
suicide can be a
plea for help
• Those who are
most at risk will
show other signs
apart from
talking about
suicide.
Fact
Encourage the person to talk
further and help them to find
appropriate counselling
assistance.
Do not trivialize plans that
seems incomplete and less
dangerous
All suicide attempts are serious
and should be acknowledged
Encourage the young person to
develop personal safety plan.
Myth
Strong minds and strong
people never attempt
suicide only weak minds
do
Fact
• Strong minds donot
exist
• Each one of us can
suffer from
depression sadness
and attempt
suicide
• Only difference is
some are more
vulnerable than
others
Myth
• Attempted
suicide or
suicide happens
without warning
Fact
• Survivors of
suicide often say
the intention
was hidden from
themselves
• Its more likely
that intention
was just not
recognised by
the person or
their relatives
Myth
• If a person attempts suicide and survives
they may never make a further attempt
Fact
• A suicide
attempt is
regarded as an
indicator of
further attempts
• It is likely that
the level of
danger will
increase with
each further
suicide attempt
Myth
• Once a person is
intent on suicide
there is no way
of stopping them
Fact
• Most of the suicides are
preventable
• Suicide crisis can be
relatively short lived
• Suicide is a permanent
solution to temporary
problem
• Immediate practical
help can avert the
intention of suicide
Myth
• People who
threaten suicide
are just seeking
attention
Fact
• All suicide attempts
must be treated as
though the person
has the intent to die
• Don’t dismiss a
suicide attempt as
simply being an
attention gaining
device
• The attention that
they get may well
save their lives
Myth
• Suicide is hereditary
Fact
• Suicide attempts
are not generally
inherited
• Members of family
share the same
environment may
well rise the
suicidal thought as
an option for
other family
members
Myth
• Only certain
types of people
become suicidal
Fact
• Everyone has the potential for suicide
• The evidence is that predisposing conditions may lead to
attempted sucides or suicides
Myth
• Suicide is
painless
Fact
• Many suicide
methods are
very painful
• Fictional
potrayal of
suicide do not
usually include
the reality of
pain
myth
• Depression and
self destructive
behaviour are
rare in young
people
Fact
• Both forms of
behaviour are
common in
adoloscents
• Self destructive
behaviour is most
likely to be seen
for the first time
in adoloscents
• All suicidal people
are not depressed
Myth
• Marked and
sudden
improvement in
the mental state
of an attempter
following a
suicidal crisis or
depressive
period signifies
that suicide risk
is over.
Fact
• The opposite may
be true three
months following an
attempt a young
person is at most
risk of completing
suicide
• The apparent lifting
of the problems
could mean the
person has made
firm decision to
commit suicide and
feels better of the
decision
Myth
• Once a young person is suicidal he or she is
suicidal forever
Fact
• Most young people who
are considering suicide
will be that way for
limited period
• Given proper assistance
and support they will
recover and continue to
lead a meaningful and
happy life.
Myth
• The only
effective
intervention for
suicide comes
from
professional
psychotherapies
with extensive
experience in
that area
Fact
• All people who
interact with
suicidal
adolescence can
help them by
emotional
support.
• Family friends
teachers play an
important role
Myth
• Most suicidal
young people
never seek or
ask for help
Facts
• Evidence shows that
they often tell their
school peers
• Most of them visit a
medical doctor
• Adolescents are more
likely to ask for help
through non verbal
gestures
Myth
• Suicidal young people are always angry when someone
intervenes
Fact
• It is common for young
people to be defensive
and resist help at first
• But for many,it is a
relief to have someone
who genuinely care
about them
• Vast majority express
gratitude for the
intervention.
Myth
• Break ups in
relationship
happens
frequently in
young
people.they
donot cause
suicide.
Fact
• Suicide can be
precipitated by a
loss of
relationship.
Myth
• Sucidal young
people are
insane
Fact
• In most of the
cases,they are
extremely unhappy but
not insane.
• But all need evaluation
by mental health care
professional as there
may be chemical
imbalance in their brain
Myth
• Suicide is much
more common in
young people
with higher
socio-economic
status
Fact
• The causes of suicide
behaviour cut across
SES boundaries.
• The research is
incomplete in this area.
Myth
• Some people are
always suicidal
Fact
• Nobody is
suicidal at all
times
• The risk of
suicide for every
individual varies
across time and
depends on
circumstances
Myth
• Every death is
preventable
Fact
• No matter how well
intentioned,alert and
diligent people’s efforts
may be,there is no way
of preventing all
suicides.
Myth
• People who attempt
suicide are weak.
Fact
• Many people who
are very strong
die by suicide.
Myth
• There is little correlation between alcohol drug abuse
and suicide
Fact
• Often times
people who die
by suicide are
under the
influence of
alcohol and
drugs.
Myth
• The main
problem with
preventing
efforts,is trying
to implement
strategies in an
extremely gray
area
Fact
• The problem is
that we lack a
complete
understanding of
youth suicide
• Knowing more
about not known
is major
challenge
Thank you

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Myths of suicide

  • 1. UNDERSTANDING AND OVERCOMING THE MYTHS OF SUCICIDE IN YOUTH Dr.K.Nagi reddy (M.D,AIIMS new delhi) Consultant psychiatrist Asha kiran hospital,N.R.Peta,kurnool
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  • 3. Warning signs of suicide in youth
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  • 12. What law says about suicide?
  • 14. Hope with new mental health care bill • Decriminalization of suicide in case of suicide the person will be presumed,unless otherwise proved,to have severe stress at the time of attempting suicide,there by not liable to be persecuted under section 309 IPC The government has also been assigned duties to provide care treatment and rehabilitation
  • 15. suicide: most stigmatized of all human behaviours • More stigamatized than slavery and murder • A powerful mythology has arisen around suicide • These myths lead to more stigma
  • 16. So let us do away with stigma and myths
  • 17. Not only is it not easy,but… • stigma=fear+ignorance • We will try to reduce ignorance • Keep little bit fear intact • Healthy dose of fear is required for survival
  • 18. Decreasing ignorance via dismantling of myths • Many myths about suicide are so engrained that we may not be able to reduce ignorance untill we undo these myths
  • 19. Categories of myths • Myths about suicidal mind • Myths about suicidal behavior • Myths about nature of suicide
  • 20. Myths about suicidal mind • Cowardice-myth!!! • Weakness-myth!!! • Revenge-myth!!! • Selfishness-myth!!! • Selfcentered-myth!!! • Impulsivity-myth!!
  • 21. Problems with suicidal myths • These myths of suicide stand in the way of providing assistance for those who are in danger. • By removing the myths that are responsible for care and education of young people,it is more easy to recognize who are at risk and provide the help that is needed.
  • 22. Myth : talking about suicide or asking someone if they feel suicidal will encourage suicidal attempts
  • 23. Fact • talking about suicide provides oppurtunity for communication • fears are shared and more likely to diminsh • first step can be simple enquiry about whether or not the person is intending to end their life • However talking about suicide should be carefully managed.
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  • 25. Myth • Young people who talk about suicide never attempt or talk about suicide
  • 26. Fact • Talking about suicide can be a plea for help • Those who are most at risk will show other signs apart from talking about suicide.
  • 27. Fact Encourage the person to talk further and help them to find appropriate counselling assistance. Do not trivialize plans that seems incomplete and less dangerous All suicide attempts are serious and should be acknowledged Encourage the young person to develop personal safety plan.
  • 28. Myth Strong minds and strong people never attempt suicide only weak minds do
  • 29. Fact • Strong minds donot exist • Each one of us can suffer from depression sadness and attempt suicide • Only difference is some are more vulnerable than others
  • 30. Myth • Attempted suicide or suicide happens without warning
  • 31. Fact • Survivors of suicide often say the intention was hidden from themselves • Its more likely that intention was just not recognised by the person or their relatives
  • 32. Myth • If a person attempts suicide and survives they may never make a further attempt
  • 33. Fact • A suicide attempt is regarded as an indicator of further attempts • It is likely that the level of danger will increase with each further suicide attempt
  • 34. Myth • Once a person is intent on suicide there is no way of stopping them
  • 35. Fact • Most of the suicides are preventable • Suicide crisis can be relatively short lived • Suicide is a permanent solution to temporary problem • Immediate practical help can avert the intention of suicide
  • 36. Myth • People who threaten suicide are just seeking attention
  • 37. Fact • All suicide attempts must be treated as though the person has the intent to die • Don’t dismiss a suicide attempt as simply being an attention gaining device • The attention that they get may well save their lives
  • 38. Myth • Suicide is hereditary
  • 39. Fact • Suicide attempts are not generally inherited • Members of family share the same environment may well rise the suicidal thought as an option for other family members
  • 40. Myth • Only certain types of people become suicidal
  • 41. Fact • Everyone has the potential for suicide • The evidence is that predisposing conditions may lead to attempted sucides or suicides
  • 43. Fact • Many suicide methods are very painful • Fictional potrayal of suicide do not usually include the reality of pain
  • 44. myth • Depression and self destructive behaviour are rare in young people
  • 45. Fact • Both forms of behaviour are common in adoloscents • Self destructive behaviour is most likely to be seen for the first time in adoloscents • All suicidal people are not depressed
  • 46. Myth • Marked and sudden improvement in the mental state of an attempter following a suicidal crisis or depressive period signifies that suicide risk is over.
  • 47. Fact • The opposite may be true three months following an attempt a young person is at most risk of completing suicide • The apparent lifting of the problems could mean the person has made firm decision to commit suicide and feels better of the decision
  • 48. Myth • Once a young person is suicidal he or she is suicidal forever
  • 49. Fact • Most young people who are considering suicide will be that way for limited period • Given proper assistance and support they will recover and continue to lead a meaningful and happy life.
  • 50. Myth • The only effective intervention for suicide comes from professional psychotherapies with extensive experience in that area
  • 51. Fact • All people who interact with suicidal adolescence can help them by emotional support. • Family friends teachers play an important role
  • 52. Myth • Most suicidal young people never seek or ask for help
  • 53. Facts • Evidence shows that they often tell their school peers • Most of them visit a medical doctor • Adolescents are more likely to ask for help through non verbal gestures
  • 54. Myth • Suicidal young people are always angry when someone intervenes
  • 55. Fact • It is common for young people to be defensive and resist help at first • But for many,it is a relief to have someone who genuinely care about them • Vast majority express gratitude for the intervention.
  • 56. Myth • Break ups in relationship happens frequently in young people.they donot cause suicide.
  • 57. Fact • Suicide can be precipitated by a loss of relationship.
  • 59. Fact • In most of the cases,they are extremely unhappy but not insane. • But all need evaluation by mental health care professional as there may be chemical imbalance in their brain
  • 60. Myth • Suicide is much more common in young people with higher socio-economic status
  • 61. Fact • The causes of suicide behaviour cut across SES boundaries. • The research is incomplete in this area.
  • 62. Myth • Some people are always suicidal
  • 63. Fact • Nobody is suicidal at all times • The risk of suicide for every individual varies across time and depends on circumstances
  • 64. Myth • Every death is preventable
  • 65. Fact • No matter how well intentioned,alert and diligent people’s efforts may be,there is no way of preventing all suicides.
  • 66. Myth • People who attempt suicide are weak.
  • 67. Fact • Many people who are very strong die by suicide.
  • 68. Myth • There is little correlation between alcohol drug abuse and suicide
  • 69. Fact • Often times people who die by suicide are under the influence of alcohol and drugs.
  • 70. Myth • The main problem with preventing efforts,is trying to implement strategies in an extremely gray area
  • 71. Fact • The problem is that we lack a complete understanding of youth suicide • Knowing more about not known is major challenge
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