This document discusses suicide prevention training. It aims to help participants understand suicide, identify warning signs, know about risk and protective factors, understand myths, and know how to interact with and refer individuals at risk. Suicide is a problem worldwide and is often underreported. Warning signs include talking about hopelessness, meaninglessness, preparations, and giving away possessions. Risk factors include depression, stress, lack of support, impulsivity, and substance abuse. The document recommends the QPR method for gatekeepers: Question the individual, Persuade them to seek help, and Refer them to resources. It provides guidance on how to talk to those at risk in a non-judgmental way and get them help from mental health professionals.

3. • The participants should be able to:
• Have a basic understanding of suicide
• Identify warning signs of suicide
• Know about risk and protective factors of suicide
• Know about various myths related to suicide
• Have some basic understanding about how to
interact with an individual expressing intent for
suicide
• Know how and where to refer an individual at
risk for suicide

4. • Suicide is problem for all
societies
• Suicide generally leads to
negative perception of being
weak, passive, deranged so on..
• An individual attempt suicide due
to immediate events or prolonged
stress or mental disorder

5. • Conceptually suicide is a way to
escape from psychological pain
which is prolonged or acute
• Psychological pain lead to
behavioural and mood change
• Identifying these indicators are
critical to saving people from
committing suicide.

6. • Suicide is a sensitive issue and illegal in some
countries, it is very likely that it is under-
reported.
• Second leading cause of death in 15-29 years
old
• According to WHO statistics, one person takes
his/her life every 4o seconds
• India ranks 6th in wolrd for suicide rate among
women
• 800000 lakhs suicde reported wolrdwide every

7. •Helping someone who is at risk
of suicide is to identify or her at
right juncture and assist in
seeking help
•This can be done by anybody
in society and they can work as
GATEKEEPERS provided they
have been sensitized of

8. •The important aspects are:
Warning signs of suicide
Risk and protective factors of
suicide
Myths and facts about suicide
Where to refer a person at risk
for suicide

9. • Talking (or other modes of expression such
as writing, drawing) about desperate and
hopeless conditions
• Talking (or other modes of expression such
as writing, drawing) about suicide
• Talking (or other modes of expression such
as writing, drawing) about meaninglessness
in life
• Preparations
• Giving away things

10. • All these warning signs become
more serious if there is presence
of one or more RISK FACTORS
for suicide

11. • Though anyone can have thoughts about suicide
a few factors make people more:
• Presence of depression
• Any recent significant stress
• Poor social support
• Impulsivity
• Previous suicide attempt
• Family history of depression and suicide
• Substance abuse
• Mental disorder
• Chronic physical disorders/ disability

12. • FEW FACTORS ACT AS
PROTECTORS:
•Life skills
•Supportive environment
•Availability of facility for mental
health care
•Non availability of means to commit
suicide

13. •What is your coping
technique when you feel
low, distressed, angry,
frustrated in a single
word UPSET

21. MYTH: People talk about suicide to seek
attention
FACT: Expression of suicidal ideation must not
be taken as mere manipulative behavior.
Though there are some individuals who may use
the threat of suicide for some gain; yet its better
to seek a rained mental health professional’s
help.

22. MYTH: A person who has attempted suicide in
past will not do it again
FACT: it is true that everyone may not have
repeated attempts of suicide; some people
commit suicide who have previous history.
Previous attempt is a risk factor

23. • A Gatekeeper can be anyone in the society
..even YOU and he or she can play a major role
in prevention of suicide
• A simple method has been suggested which can
save numerous lives from suicide. The method is
known as QPR – Question | Persuade and Refer
(Quinnet 1995)
• QUESTION – to explore if someone has
thoughts and plans about suicide
• PERSUADE – the identified person to seek help
• REFER – making an adequate arrangement so

24. • If someone expressed thought of suicide, then
talk with the sentences like:
“I understand you are quite upset about
…………….. (stressful reason) and thinking of
killing yourself. I am concerned and would like to
assist you in seeking professional help”
• If someone showing warning signs a simple (but
non judegmental) enquiry like:
“Since your……………(Reason of stress) I am
finding you quite down. Am I right? Would you like
to talk to me about this”

25. • If anyone expresses clearly his/her suicidal
ideation, then direct question can be asked:
“Do you have thoughts about harming yourself”
• In that case persuade the person for seeking
kelp by saying:
“I understand your situation, there are
professionals who can help you and it is
important that you take help.”
• Have information about various mental health
facilities in your area.

26. •Ask but don’t be
judgmental
•Don’t impose moralities
•Don’t express shock
•Don’t minimize

27. • What step will you take when you
see your family member – your
brother, sister, mother, father and
very close friend going through
distress and put forth their wish to
die.
• How will you talk?

28. •Lets talk about great
Contribution
DON RITCHIE, AUSTRALIA

29. • Any action for 40 seconds each day
—
•like holding somebody’s hands
•lending a ear or sharing a positive
message on social media
•to let the people who are struggling, know
that they are not alone, helps.
•Identify one person around you and
dedicate your 40 seconds for cherishing
ones beautiful life.

30. • Any action for 40 seconds each day
—
•Individual going through depression
should be heard and talked to
continuously.
•“Stay in touch by telling them - ‘Don’t
worry we will work on this together and
make things better’.
•‘I will call you in 15 minutes’, ‘Till then let
us make a deal you will not do anything

31. All these few seconds of compassion is
going to save lives.

32. • If you are struggling, take 40 seconds to kick start a
conversation with someone you trust about how you are
feeling.
• If you know someone who has lost a loved one to suicide,
take 40 seconds to start a conversation and ask them how
they are doing.
• If you use social media, highlight the 40-second statistic in
interviews, articles and blog posts.
• If you are an employer, teacher or manager, take 40 seconds
to formulate a positive message of support to your
employees/ students about resources available to them in the
workplace or local community in times of mental distress.
• If you have a platform for communicating with a large
audience (social media, television, radio), provide 40-second