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Suicide (cont.)

Where can people get help?

American Association of Suicidology
http://www.suicidology.org
1-202-237-2280

American Foundation for Suicide Prevention
http://www.afsp.org

Jason Foundation
http://www.jasonfoundation.com/home.html

National Suicide Prevention Hotline
1-800-SUICIDE (784-2433)

National Suicide Prevention Lifeline
1-800-273-TALK (8255)

National Suicide Prevention Strategy
http://www.sg.gov/library/calltoaction/

National Youth Violence Prevention Resource Center
1-866-SAFEYOUTH (1-866-723-3968)
http://www.safeyouth.org
Hours: Monday through Friday, 8 a.m.-6 p.m. Eastern time

Substance Abuse and Mental Health Services Administration (SAMHSA)
http://www.samhsa.gov

Suicide Prevention Advocacy Network (Span)
http://www.spanusa.org

Yellow Ribbon Suicide Prevention Program
http://www.yellowribbon.org/

National Strategy for Suicide Prevention
http://www.mentalhealth.org/suicideprevention/

The future

How to best assess the risk of someone committing suicide continues to be an elusive challenge for health professionals, so it's an appropriate goal for future research. The best way to achieve the balance between using psychiatric medication to treat any underlying conditions that may result in suicidal thoughts and the potential side effects of those medications is an ongoing issue in suicide prevention.

Suicide At A Glance
  • Suicide is the process of purposely ending one's own life. How societies view suicide varies by culture, religion, ethnic norms, and the circumstances under which it occurs.
  • Nearly a million people worldwide commit suicide each year—about 30,000 each year in the United States.
  • Self-mutilation is the act of deliberately hurting oneself without meaning to cause one's own death.
  • Physician-assisted suicide is defined as a doctor ending the life of a person who is incurably ill in a way that is either painless or minimally painful for the purpose of ending suffering of the individual.
  • The effects of suicide on the loved ones of the deceased can be devastating, resulting in suicide survivors enduring a variety of conflicting, painful emotions.
  • Life circumstances that may immediately precede a suicide include the time period of at least a week after discharge from a psychiatric hospital, a sudden change in how the person appears to feel, or a real or imagined loss.
  • Firearms are the most common means by which people take their life. Other common methods include overdose of medication, asphyxiation, and hanging.
  • There are gender, age, ethnic and geographical risk factors for suicide, as well as those based on family history, life stresses, and medical and mental-health status.
  • Warning signs that an individual is imminently planning to kill him- or herself may include the making of a will, getting his/her affairs in order, suddenly visiting loved ones, buying instruments of suicide, experiencing a sudden change in mood, or writing a suicide note.
  • Many people who complete suicide do not tell any health professional of their intent in the months before they do so. If they communicate a plan to anyone, it is more likely to be a friend or family member.
  • The assessment of suicide risk often involves an evaluation of the presence, severity, and duration of suicidal thoughts as part of a mental-health evaluation.
  • Treatment of suicidal thinking or attempt involves adapting immediate treatment to the sufferer's individual needs. Those with a strong social support system, who are hopeful and have a desire to resolve conflicts may need only a brief crisis-oriented intervention. Those with more severe symptoms or less social support may need hospitalization and long-term mental-health services.
  • Treatment of any underlying emotional problem using a combination of psychotherapy, safety planning, and medication remains the mainstay of suicide prevention.
  • People with suicidal thinking are encouraged to talk to a doctor or other health professional, spiritual advisor, or immediately go to the closest emergency room or mental-health crisis center for help. Those who have experienced suicidal thinking are commonly directed to keep a list of people to call in the event that those thoughts return. Other strategies include having someone hold all medications to prevent overdose, removing any weapons from the home, scheduling frequent stress-relieving activities, getting together with others, writing down feelings, and avoiding the use of alcohol or other drugs.
  • Techniques for coping with the suicide of a loved one include nutritious eating, getting extra rest, talking to others about the experience, thinking of ways to handle painful memories, understanding their state of mind will vary, resisting pressure to grieve by any one else's time table, and survivors doing what is right for them.
  • To help children and adolescents cope with the suicide of a loved one it is important to ensure they receive consistent caretaking, frequent interaction with supportive adults, and understanding of their feelings as they relate to their age.

References:

Adams, K. "Managing grief through journal writing." Center for Journal Therapy. 2006.

Aseltine, R. H. and DeMartino, R. "An outcome evaluation of the SOS suicide prevention program." American Journal of Public Health 94(3) 2004: 446-451.

Bender, E. "Suicide expert calls for more aggressive screening." Psychiatric News 38(11) June 6, 2003: 28.

Brown, H. "Suicide by cop: When it happens to you, there's almost always police stress as a result." Police Stressline, 2003.

Center for Suicide Prevention. "Grief after suicide: notes from the literature on qualitative differences and stigma." SIEC Alert 46, November 2001.

Conwell, Y., Duberstein, P. R., Connor, K., Eberly, S., Cox, C. and Caine, E. D. "Access to firearms and risk for suicide in middle-aged and older adults." American Journal of Geriatric Psychiatry 10 Aug. 2002: 407-416.

Cuellar, J. and Curry, T. R. "The prevalence and comorbidity between delinquency, drug abuse, suicide attempts, physical and sexual abuse, and self-mutilation among delinquent Hispanic females." Hispanic Journal of Behavioral Science 29(1) 2007: 68-82.

Fawcett, J. "Treating impulsivity and anxiety in the suicidal patient." Annals of the New York Academy of Sciences 932 (2001): 94-105.

Frierson, R. L., Melikian, M. and Wadman, P. C. "Principles of suicide risk assessment. How to interview depressed patients and tailor treatment." Postgraduate Medicine 112(3) Sept. 2002.

Frileux, S., Lelievre, C., Munoz Sastre, M. T., Mullet, E. and Sorum, P. C. "When is physician assisted suicide or euthanasia acceptable?" Journal of Medical Ethics 29 (2003): 330-336.

Horowitz, M. J., Siegel, B., Holen, A., Bonanno, G. A., Milgrath, C. and Stinson, C. H. "Diagnostic criteria for complicated grief disorder." Focus 1 (2003): 290-298.

JAMA Patient Page. Suicide. Journal of the American Medical Association 293(20) (2005).

Klonsky, E. D., Oltmanns, T. F. and Turkheimer, E. "Deliberate self-harm in a nonclinical population: prevalence and psychological correlates." American Journal of Psychiatry 160 Aug. 2003: 1501-1508.

Mayo Foundation. "Suicide: Coping when a loved one takes their life." 2007.

Mayo Foundation. "Suicide: Don't let despair obscure other options." 2007.

Melhem, N. M., Day, N., Shear, K., Day, R., Reynolds, C. F. and Brent, D. "Traumatic grief among adolescents exposed to a peer's suicide." American Journal of Psychiatry 161 Aug. 2004: 1411-1416.

National Institute of Mental Health. "Suicide in the United States: Statistics and prevention." Oct. 3, 2007.

Neimeyer, R. A., Prigerson, H. G. and Davies, B. "Mourning and meaning." American Behavioral Scientist 46(2) (2002): 235-251.

Osterweil, N. "APA: Simple screen improves suicide risk assessment." Psychiatric Times May 25, 2007.

Palmer, L. I. "The legal and political future of physician-assisted suicide." Journal of the American Medical Association 289 (2003): 2283.

Pfeffer, C. R. "Death." Psychiatric Times 17 (9) Sept. 2000.

Qin, P., Agerbo, E. and Mortensen, P. B. "Suicide risk in relation to socioeconomic, demographic, psychiatric and familial factors: A national register-based study of all suicides in Denmark, 1981-1997." American Journal of Psychiatry 160 Apr. 2003: 765-772.

Rask, K., Kaunonen, M. and Paunonen-Ilmonen, M. "Adolescent coping with grief after the death of a loved one." International Journal of Nursing Practice 8(3) June 2002: 137-142.

Reinherz, H. Z., Tanner, J. L. and Berger, S. R. "Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior and compromised functioning at age 30." American Journal of Psychiatry 163 (2006): 1226-3122.

Shain, B. N. "Committee on Adolescence. Suicide and suicide attempts in adolescents." Pediatrics 120(3) Sept. 2007: 669-676.

Sher, L. "Preventing suicide." Quarterly Journal of Medicine 97(10) (2004): 677-680.

Silva, M. J. and Vitiello, B. "The treatment for adolescents with depression study (TADS): methods and message at 12 weeks." Journal of the American Academy of Child and Adolescent Psychiatry 45 (2006): 1393-1403.

Soreff, S. Suicide. eMedicine Sept. 28, 2006.

Wikipedia. Suicide. Wikipedia Foundation, Inc. Oct. 11, 2007.

Wikipedia. Euthanasia. Wikipedia Foundation, Inc. Oct. 11, 2007.


Last Editorial Review: 10/24/2007




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