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 Major depression is the psychiatric diagnosis most
commonly associated with suicide
 About 2/3 of people who complete suicide are
depressed at the time of their deaths
 One out of every 16 people who are diagnosed
with depression eventually go on to end their lives
through suicide
 The risk of suicide in people with major depression is about 20
times that of the general population
 People who have had multiple episodes of depression are at
greater risk for suicide than those who have had one episode
 People who have a dependence on alcohol or drugs in
addition to being depressed are at greater risk for suicide
Depression distorts a person's thinking
Make them to focus only on their failures and
disappointments &
Exaggerate the negative things.
The loss of pleasure and the low energy that is part
of depression can make every problem (even small
ones) seem like too much to handle.
Low
energy
The loss of
pleasure
HelplessnessHopelessness
Hanging ( 31.7 %)
Poisoning –pesticide,
drug overdose etc
(34.8%)
Firearms – (8 %)
Drowning
Wrist cutting
Jumping from height
Vehicular impact-rail or
traffic collision
• Fact :Most people who commit suicide have talked
about or given definite warning signs of their suicidal
intentions.
Myth: People who talk about
suicide do not commit
suicide.
• Fact : There are almost always warning signs, but
others are often unaware of the significance of the
warnings or unsure about what to do.
Myth: Suicide happens
without warning.
• Fact: Suicide is preventable. Most suicidal people
desperately want to live; they are just unable to see
alternatives to their problems.
Myth: Suicidal people are
fully intent on dying. Nothing
others do or say can help.
• Fact: Most suicidal people are suicidal for only limited
periods of time. However, someone who has made an
attempt is at increased risk for future attempts.
Myth: Once someone is
suicidal, they are suicidal
forever.
• Fact :Many suicides occur several months after the
beginning of improvement, when a person has energy
to act on suicidal thoughts.
Myth: Improvement after a
suicidal crisis means that the
risk of suicide is over.
• Fact: Suicide cuts across social and economic
boundaries.
Myth: Suicide strikes most
often among the rich, or
conversely, among the poor.
PROTECTIVE FACTORS
 Appropriate treatment for mental, physical and
substance abuse disorders
 Family and community support
 Restricted access to highly lethal method of suicide
 Learned skill in problem solving, conflict resolution
 cultural and religious belief that discourages
suicide ideation
 Ask pt. directly, “Have you thought about harming yourself in
any way?” “If so, what do you plan to do?”. “Do you have the
means to carry out this plan?”
 Create safe environment; remove all potentially harmful
objects; supervise closely; room searches
 Formulate short-term verbal or written agreement that pt will
not harm self; when time seek another; secure pt will seek
staff when feelings of self harm
 Maintain close observation; 1:1 or q15, room close to nurse
station, no private room, accompany to toilet if needed
 Special precaution in administering medication
 Rounds at frequent irregular intervals
 Encourage pt expression of honest feelings, including anger
Encourage the
person to seek
treatment.
Help the person
get assistance.
Facilitate open
communication
& Be
respectful of
the person’s
feelings.
Don’t be
patronizing or
judgmental.
Never promise
to keep
someone’s
suicidal
feelings a
secret.
Offer
reassurance.
Encourage the
person to
avoid alcohol
and drugs.
What you
can do:
Suicide presentation
Suicide presentation

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Suicide presentation

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.  Major depression is the psychiatric diagnosis most commonly associated with suicide  About 2/3 of people who complete suicide are depressed at the time of their deaths  One out of every 16 people who are diagnosed with depression eventually go on to end their lives through suicide
  • 6.  The risk of suicide in people with major depression is about 20 times that of the general population  People who have had multiple episodes of depression are at greater risk for suicide than those who have had one episode  People who have a dependence on alcohol or drugs in addition to being depressed are at greater risk for suicide
  • 7.
  • 8. Depression distorts a person's thinking Make them to focus only on their failures and disappointments & Exaggerate the negative things. The loss of pleasure and the low energy that is part of depression can make every problem (even small ones) seem like too much to handle. Low energy The loss of pleasure HelplessnessHopelessness
  • 9.
  • 10. Hanging ( 31.7 %) Poisoning –pesticide, drug overdose etc (34.8%) Firearms – (8 %) Drowning Wrist cutting Jumping from height Vehicular impact-rail or traffic collision
  • 11. • Fact :Most people who commit suicide have talked about or given definite warning signs of their suicidal intentions. Myth: People who talk about suicide do not commit suicide. • Fact : There are almost always warning signs, but others are often unaware of the significance of the warnings or unsure about what to do. Myth: Suicide happens without warning. • Fact: Suicide is preventable. Most suicidal people desperately want to live; they are just unable to see alternatives to their problems. Myth: Suicidal people are fully intent on dying. Nothing others do or say can help. • Fact: Most suicidal people are suicidal for only limited periods of time. However, someone who has made an attempt is at increased risk for future attempts. Myth: Once someone is suicidal, they are suicidal forever. • Fact :Many suicides occur several months after the beginning of improvement, when a person has energy to act on suicidal thoughts. Myth: Improvement after a suicidal crisis means that the risk of suicide is over. • Fact: Suicide cuts across social and economic boundaries. Myth: Suicide strikes most often among the rich, or conversely, among the poor.
  • 12.
  • 13. PROTECTIVE FACTORS  Appropriate treatment for mental, physical and substance abuse disorders  Family and community support  Restricted access to highly lethal method of suicide  Learned skill in problem solving, conflict resolution  cultural and religious belief that discourages suicide ideation
  • 14.
  • 15.
  • 16.  Ask pt. directly, “Have you thought about harming yourself in any way?” “If so, what do you plan to do?”. “Do you have the means to carry out this plan?”  Create safe environment; remove all potentially harmful objects; supervise closely; room searches  Formulate short-term verbal or written agreement that pt will not harm self; when time seek another; secure pt will seek staff when feelings of self harm  Maintain close observation; 1:1 or q15, room close to nurse station, no private room, accompany to toilet if needed  Special precaution in administering medication  Rounds at frequent irregular intervals  Encourage pt expression of honest feelings, including anger
  • 17. Encourage the person to seek treatment. Help the person get assistance. Facilitate open communication & Be respectful of the person’s feelings. Don’t be patronizing or judgmental. Never promise to keep someone’s suicidal feelings a secret. Offer reassurance. Encourage the person to avoid alcohol and drugs. What you can do: