Ppt suicide presentation


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Ppt suicide presentation

  1. 1. Suicide Is Every Body’sBusinessSuicide Prevention,Education and Awareness1(c) Copyright CTA 2008
  2. 2. IT WAS OVER FOR HIM ....FOR ME, MY HUSBAND AND FORMY FAMILY ….IT WAS JUST THE BEGINNING(Quote from a mother whose son committed suicide)2(c) Copyright CTA 2008
  3. 3. Counselling a Suicidal person• Suicidal ideation includes both theplanning of a suicide as well as fleetingthoughts about suicide(c) Copyright CTA 2008 3
  4. 4. Myths and facts• There are many myths surrounding suicidalbehaviours• They can prevent a person getting help• They can mask the seriousness of thesituation• They can influence a wrong assessment(c) Copyright CTA 2008 4
  5. 5. Suicide and the Law• You are required by law to report to the relevantauthorities any details relating to a person whointends to harm themselves• There are no secrets when it comes to a suicidalperson. You can help a suicidal person but youcan’t help a dead person• You cannot disclose to anyone, other than theauthorities, (this is a breach of confidentiality),without permission from your client.5
  6. 6. Interventions• ASK DIRECTLY - do not be passive• Use appropriate assertiveness• Assess the risk – level of perturbation6
  7. 7. Crisis Intervention Plan• Remove the means - safeguard environment• Negotiate safety - contract [next slide]• Decrease Isolation - family, friends,workmates• Decrease anxiety - medication, relaxation• Future links - goals• Place in Hospital - controlled environment7
  8. 8. Negotiate safety• Ensure the client’s safety is established bynegotiating with them to not harmthemselves• A “do no harm” contract is a very good way togive your client a sense of hope that help ishappening8
  9. 9. Assess the risks• A Suicide Risk Assessment is a very goodindicator of your client’s risk level• A Suicide Risk Assessment also helps you asthe counsellor to ask all the questions and togather information that might not flow fromyour client with just conversation9
  10. 10. Referral• Do not hesitate to speak to your Supervisor orrefer your client on to a:– More experienced Counsellor– Psychologist– Doctor– Mental Health• Know what’s available in your area– Support groups10
  11. 11. Suicide grief Counselling• No matter if you have been waiting for theinevitable or if the suicide of a loved one orfriend is out of the blue …..you will be shocked11(c) Copyright CTA 2008
  12. 12. Shock• Suicide is of course a sudden death and aswith any sudden death it takes an enormoustoll on our capacity to cope with change• Someone we care about is suddenly not aliveanymore …. and the implications of theirpersonal pain and distress prior to the eventsends shock waves throughout their personalnetwork of relatives, friends and associates12(c) Copyright CTA 2008
  13. 13. Shock• Shock can be exacerbated by what we see orhear• Sometimes what we see is horrific and so outof the normal that it is hard to get the pictureout of our mind• Sometimes what we hear conjures up picturesin our mind that does the same13(c) Copyright CTA 2008
  14. 14. Shock• What happens in our bodies and mindswhen a deep shock occurs?• Body systems are jolted• Flight/fight centre of the brain is activated• Fragmentation of information occurs• Pieces of information can get stuck• E.g. words, pictures, feelings, body sensations,tastes, smells• We get stuck in the moment which disrupts ourwhole system14(c) Copyright CTA 2008
  15. 15. Shock• The pathway of shock …..• In some cases the shock reaction passes overtime and dissipates for people• Individuals may find that they are sleepless,can’t stop thinking about what has happened,lose their appetite, weep, lose energy, etc fora number of days, but start to piece thingstogether bit by bit and slowly return tonormal15(c) Copyright CTA 2008
  16. 16. Shock• In other cases – the shockremains in the system andsomeone may develop acondition known as posttraumatic stress disorder• The emergency ‘on’ switch isleft on and the person can’tseem to turn it off• If this occurs the early impactof shock continues withnightmares, flash backs, senseof alarm or doom, stuck in themoment … and getting worseover time 16(c) Copyright CTA 2008
  17. 17. Shock• Post Traumatic Stress Disorder or PTSD –needs treatment by trained mental healthprofessionals.• Treatments include:• EMDR, Cognitive/Behavioural techniques,body based therapies and drug therapy• If you have never gotten over a suicide deathor know someone who hasn’t – then referthem for expert help17(c) Copyright CTA 2008
  18. 18. Shock and Anger• Sometimes with the shock reaction comes anger.Anger is usually a reaction that we hold which affirmsto us that we are worth something. When someonewe love or know dies and by their own hand we maystruggle with feelings of anger as the event can meanto us at a subconscious level that we aren’t worthmuch if the person does this to us or others• Other times we are angry at people we feel shouldhave helped, or at God for letting it happen. Anger isour psyche’s way of defending itself18(c) Copyright CTA 2008
  19. 19. Sadness• After shock and anger comes the inevitablesadness. Suicide death brings with it a greatdeal more sadness as it seems so senseless.We feel sad for the victim of suicide and sadfor ourselves and their family• Sadness seems too small a word to describethe pain of loss – many feel devastated andfeel that they won’t ever be the same again.They feel destroyed19(c) Copyright CTA 2008
  20. 20. Sadness• The what if’s of sadness make us sadder• Missing the person makes us very sad• This is natural of course. It is part of what wehave to do to adjust to our loss• Sadness can be fast tracked however if wehave a way of thinking about the event whichbrings us peace. Similarly negative thoughtsgive us no real relief and keep the pain longer20(c) Copyright CTA 2008
  21. 21. Sadness• Unhelpful thoughts …..• They are selfish to put us through this• Other people don’t kill themselves – theywere weak• That person drove them to it• If only I knew or could get there in time• There is no God or meaning in the universe forthis to happen• How could they do this to me? Etc. 21(c) Copyright CTA 2008
  22. 22. Sadness• Negative thoughtscome easily butdon’t really help us• There is no RIGHTway to think, buthere are somethoughts that peopleuse to make theirsadness morebearable 22(c) Copyright CTA 2008
  23. 23. Sadness• He/she must not have been thinking straightwhen they did this. (They weren’t in theirright mind)(sudden mental illness is real e.g. stroke,baby blues, hormonal change, moodregulation centre in brain out of order)23(c) Copyright CTA 2008
  24. 24. Sadness• He/she couldn’t copeanymore and neededheaven (or a rest) earlier(emotional regulation andmood levels are different foreach of us – it is not a levelplaying field, some have amuch harder job in life withtheir emotions)24(c) Copyright CTA 2008
  25. 25. Sadness• He/she is being comforted now with peaceand love(feeling powerless to help, but visualisingGod doing it for us or so many at a funeralsending love and kindness to the person)25(c) Copyright CTA 2008
  26. 26. Sadness• I will tell them off when Iget there and they will besorry at what they put methrough. We willunderstand each otherthen – we do already Ithink.(restoring the relationshipwe couldn’t fix – orbringing back our sense ofjustice) 26(c) Copyright CTA 2008
  27. 27. Coping with the sadness• Being with friends or kind people• Finding ‘sense’ activities and taking time outto appreciate the moment and our senses ofsmell, hearing, sight, touch, taste• Rocking– rhythm activities• Hugging – holding soft things• Balance of rest and activity• Not blaming others for not understanding orhaving unhelpful words … they can’t know27(c) Copyright CTA 2008
  28. 28. Stigma• There is still stigmaaround suicide in ourcommunities• There probably alwayswill be• Some people judgeothers• Mostly we just judgeourselves and imaginewhat others may bethinking or saying28(c) Copyright CTA 2008
  29. 29. Stigma• Religious Stigma – it used to bethought that suicide was a sin andthat the person would go to hell• Most religions now have anunderstanding that many things canbe sin …. judging others for one, butthat when someone is so despairingthat they want to die – that they needlove not judgment …. we trust Godhas a far better grasp on this than us29(c) Copyright CTA 2008
  30. 30. Stigma• Mental Illness Stigma – we used to think that ifthere was something wrong with one memberof the family then the whole family must beweird or uncaring• We know now that 1 in 4 will experience someform of mental illness in their life• We know that some very wonderful, lovedpeople can commit suicide• No family is exempt from this situation30(c) Copyright CTA 2008
  31. 31. Stigma• Societal stigma – it’s the deathwe can’t speak of ….• We need to speak of it• We need to talk about our pain AND ourhappiness in life• Our children need to see us recover fromunhappiness and find happiness out of pain.This gives them a real picture of life and agreat model for their own future31(c) Copyright CTA 2008
  32. 32. Self Blame• Self blame has to do with our need for reason• We are rational and seek meaning in any event• Immediately we receive the news about asuicide we ask questions …. why did they do it,was there anything I should have known ordone to prevent it, and then …. I should have, Icould have ….. Etc ….• Parents particularly blame themselves howeverany individual prone to taking responsibility forothers is in the personal firing line for blame!32(c) Copyright CTA 2008
  33. 33. Self Blame• Antidotes• Events are always combinations of things ….which have to do with random things,including human responsibility …. suicide is anaction taken by a person …. they may nothave been in their right mind at the time,however you did not do this to them. Youdidn’t choose for this to happen, you didn’twant it to ….. you are not to blame33(c) Copyright CTA 2008
  34. 34. Blame• To blame the person who killed themselves isa natural desire as well• After all they have caused untold people greatmisery …. but to blame them is not helpful foranybody• We have to suspend blame and selfaccusation for healing to occur34(c) Copyright CTA 2008
  35. 35. Antidote to blame• We ALL did the best wecould at the time aslimited human beings,with limited resources,with limitedunderstanding, withlimited capacity• They did the best thatthey could at the time aswell 35(c) Copyright CTA 2008
  36. 36. Blame• If we can’t blame ourselves orthe person who committedsuicide …. God often gets theblast from us …. we accept thatwe are they were not perfect …but for there to be a God, he issupposed to be perfect, or theuniverse has made a big mistake…• To take this course of thinkingbegins to break down the safetyof our world for us36(c) Copyright CTA 2008
  37. 37. Blame• The world is not perfect• We are not perfect• Less than perfect things occur each day• But the world is still a beautiful place - it hasboth pain and beauty• We can grow and learn. We can treasure thegood37(c) Copyright CTA 2008
  38. 38. Blame• In this way we keep ourselves from bitternesstowards others, our loved one, ourselves, lifeand our God• Bitterness serves no useful purpose … it shutsus down and takes joy and hope from us ….38(c) Copyright CTA 2008
  39. 39. There is hope for our life after asuicide of someone we love39(c) Copyright CTA 2008
  40. 40. Our world is a wonderful place ofnew life40(c) Copyright CTA 2008
  41. 41. Keeping our very best memoriesclose!41(c) Copyright CTA 2008
  42. 42. Contacts in our community• White Wreath Association• Counselling organisations – Lifeline for 24 hrtalking or Calvary Careline• Trauma Therapy – The Counsellors 4724001642(c) Copyright CTA 2008