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Suicide Prevention
Dr Gaurav P Sanker
Nodal officer, DMHP,Kannur
Dr. Gaurav P Sanker
Psychiatrist , DH kannur
Nodal Officer, DMHP Kannur
 “Not all persons who commit suicide want to die
Not all persons who want to die commit suicide”
 Sui – of oneself
 Caedes - murder
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
statistics
Suicides in india
Suicide over the years
Suicide and Economic status
Suicide and education
Suicide and Profession
Suicide and gender
Suicide - causes
Suicide - causes
Group suicides
Suicides
in kerala
Suicide since may 2016 – 12988
Children - 401
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
Those who talk about committing suicide
seldom does it.
Many of the persons who commit suicide
give warning
Suicide attempt is a means to get attention
We cannot do anything if a person has
decided to commit suicide
People who are successful in life will not commit
suicide
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
Suicide is a legally punishable crime
Mental health care Act 2016
decriminalised suicide
Path to the end
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
Risk factors- mental illness
Precipitation factors
 Death of loved ones
 Love failure
 Loss of job
 Legal issues
 Interpersonal conflicts
 Natural calamities
 Diagnosed Terminal illness
 Alcohol/ drug addictions
 Socially isolated
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
Verbal warning signs
 Njan janichillayirunenkil nannayirunnu…
 Enikkini jeevithathil munnotu pokan kazhiyilla…
 Enganeyenkilum ithoke avasanichirunenkil…
 Marichal mathiyayiryunnu…
 Enekondu ini aarkum oru budhimuttu undakkilla…
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
Suicide prevention
Suicide…
Biological
Psychological
Economical
Social
Cultural
Community level
 Mental health awareness
 Control and checks on availability of lethal objects
 Prohibition of selling medicines without prescription
 Sensitization through media
Institution level
 Setting up counselling centres
 Training
 Promoting healthy relationships at home and
workplace
 Mental health services
Psychological first aid
Psychological first aid
Psychological first aid
 Replace word “suicide”
 description??
 Place and method ??
 1st page ??
 Less sensational / dramatic
 Attributing unclear reason??
 Awareness through media
 Publish Helpline numbers and counselling agencies
treatment
And…
together we can say…
Thank you

Suicide