● Suicide is defined as the “intentional” killing of oneself (Centre for Mental Health & Addictions, (CAMH) Canada).

● Suicide can affect anyone regardless of race, age, ethnicity and other social-economic characteristics

● It is caused by multiple factors

● Often associated with mental disorders including schizophrenia, depression, anxiety and substance addictions especially if untreated

● Although women are three times more likely to attempt suicide, men are three times more likely than women to die from suicide.

● Suicide can be an impulsive act and may be preceded by substance use

● It can also be triggered by psychosis/mental illnesses including schizophrenia whereby individuals may be hearing voices instructing them to kill themselves

● Suicide can be prevented if the warning signs can be recognized and timely support and treatment of the triggering condition provided

Why do people Commit Suicide?

● People commit because they experience extreme stress and mental health disease often resulting in feelings of hopelessness and despair

● The individuals involved are often in severe “pain” and have lost hope and ability to end the pain

● The majority of suicide victims often exhibit signs of their verbal expressions or behaviours prior to committing the act.

Warning Signs:

Verbal

● The person may express a wish to “end” his/her life, die, kill or harm oneself

● Express feelings of hopelessness and helplessness

● Speak of having no reason to live

● May feel s/he may be a burden to others

● Expressions of unbearable pain

● Feeling trapped

Behaviours

● Sudden change in mood and behaviours

● Increase the use of alcohol or substance

● Changes in sleeping patterns (sleeping much more than they normally would

● Decrease in appetite

● Searching for means of committing suicide (includes online searches)

● Withdrawal from family/friends or activities previously enjoyed

● Saying “goodbye” to people

● Giving away treasured/valuable possessions

● Making preparations for one’s own death (Will writing)

● Aggressive behaviours

● Lack of energy or feeling tired

Mood/Mental State

● Depressed mood

● Anxiety

● Loss of interest in living/life/previously interested activities

● Irritability

● Agitation/Anger

● Feelings of Humiliation/Shame

● Flat affect

Risk Factors

● Presence of Mental Health and/or Addiction Problem(s)

o Depression

o Bipolar disorder

o Schizophrenia

o Personality traits (aggressive/impulsive, changing moods, poor relationships)

o Conduct disorder

o Anxiety disorders

o Serious physical health

o Substance use

● Environmental Factors

o Prolonged stress

o Bullying/harassment

o Difficult /stressful relationships

o Unemployment

o Traumatic life events/transitions or recent major losses (divorce, death, job loss, rejection etc.)

o Lack of family or friends support

o Witnessing someone else’s suicide or exposure to graphic details even if remotely by proxy

o Access to deadly weapons or medications/means

● History/ abusive childhood

o Prior suicide attempts

o Past family suicide

o Childhood trauma, abuse or neglect

What Helps?: “Protective” Factors to Suicide Risks

● Positive social support

● Existence of responsibility towards others (dependent children, pets) except in the case of postpartum depression

● Positive coping skills

● A positive relationship with mental and healthcare providers

● Self-efficacy skills (personal belief or confidence to persevere/thrive)

● Religious belief about the wrongness of suicide

How You Can a Suicidal Person

● Listen supportively and attentively

● Take them seriously

● Do not judge or minimize the person’s feelings

● Be supportive, positive and hopeful

● Be direct and ask if they are suicidal

● Ask if the person has the means/plan or method

● If a plan exists or is disclosed, limit access to weapons/medications/possible means

● Ask them to rank severity (scale of 1-10) assess periodically to ascertain if worsening

● Discuss help and treatment availability

● Encourage the person to speak about his/her feeling

● Ask the person to see his/her family doctor or mental health professional (offer to assists with arrangement

● Develop a safety plan with the individual

o Who will they call if feelings intensify

o Who can stay with them to ensure the person is safe

o List of phone numbers of persons or services to call if unsafe

o Assess if he/she can or cannot be left alone

● Seek help/support for yourself to share the burden/cope

● Take the individual to the nearest hospital if needed

● Call your local emergency line or crisis teams/mental health provider if available

References

https://afsp.org/about-suic…/risk-factors-and-warning-signs/

http://www.camh.ca/…/mental-illness-and-addiction-i…/suicide

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