Suicide intervention

Suicide intervention is a direct effort to prevent person(s) from attempting to take ones own life intentionally or voluntary through self destructive behaviour such as; hanging ones self, cutting wrists, (Webster, n.d). “Suicide rates vary throughout the world, but are of significant concern, with an estimated worldwide loss of 877,000 lives in 2002” (Isaac, M, 2009). Among the youth it’s one of the three foremost causes of death (Debski, Spadafore, Jacobs, Poole, Hixon, 2007).


“In a recent study, As many as 30% of people in the general public have at some point in their lives had suicidal thoughts and 20% have seriously considered suicide” (Granello, 2010,pg 1). Considering the impact of suicide in the world, there is a vital need for education, training and specialized techniques for dealing with suicidal clients.

In the Journal of medical health counselling, D.Granello (2010, pg1) also discusses and outlines strategies for interacting with suicidal clients in a 25 practical strategies for mental health counsellors, “The strategies are situated within a seven-step model for crisis-intervention that is specifically tailored to suicidal clients.” There is a need to develop skills necessary in helping clients dealing with suicide.

Although methods of suicide intervention are helpful and effective, many other things come into consideration. N. McAuliffe and L. Perry point out in the online paper that “mental illness is the most important factor that predisposes people to suicidal behaviour” (2007).

Other factors that influence suicidal behaviour are discussed in the journal Suicide among Pre-adolescents (Westerfeld, et al., 2010 ) a history of abuse, internalized coping strategies, stressful life events, a family history of family suicidality, and psychological problems, family discord, exposure to suicide, a lack of social support.

Overall, “Interventions are designed to promote overall healthy behaviours; raise awareness; improve lifestyle; enhance overall psychological well being while reducing suicidal risk” (Wasserman, et al., 2010)


In the United States, individuals who express the intent to harm themselves are automatically determined to lack the present mental capacity to refuse treatment, and can be transported to an emergency department against their will.[citation needed] An emergency physician there will determine whether or not inpatient care at a mental health care facility is warranted. This is sometimes referred to as being "committed." If the doctor determines involuntary commitment is needed, the patient is hospitalized and kept under observation until a court hearing is held to determine the patient's competence.

Individuals suffering from depression are considered a high-risk group for suicidal behavior. When depression is a major factor, successful treatment of the depression usually leads to the disappearance of suicidal thoughts.[citation needed] However, medical treatment of depression is not always successful, and lifelong depression can contribute to recurring suicide attempts.

Medical personnel frequently receive special training to look for suicidal signs in patients. Suicide hotlines are widely available for people seeking help. However, the negative and often too clinical reception that many suicidal people receive after relating their feelings to health professionals (e.g. threats of institutionalization, increased dosages of medication, the social stigma) may cause patients to remain more guarded about their mental health history or suicidal urges and ideation.[citation needed]

Contents

First aid for suicide ideation

Medical professionals advise that people who have expressed plans to kill themselves be encouraged to seek medical attention immediately. This is especially relevant if the means (weapons, drugs, or other methods) are available, or if the patient has crafted a detailed plan for executing the suicide. Mental health professionals suggest that people who know a person whom they suspect to be suicidal can assist him or her by asking directly if the person has contemplated committing suicide and made specific arrangements, has set a date, etc. Posing such a question does not render a previously non-suicidal person suicidal[citation needed]. According to this advice, the person questioning should seek to be understanding and empathetic above all else since a suicidal person will often already feel ashamed or guilty about contemplating suicide so care should be taken not to exacerbate that guilt.

Mental health professionals suggest that an affirmative response to these questions should motivate the immediate seeking of medical attention, either from that person's doctor, or, if unavailable, the emergency room of the nearest hospital.

If the prior interventions fail, mental health professionals suggest involving law enforcement officers. While the police do not always have the authority to stop the suicide attempt itself, in some countries including some jurisdictions in the US, killing oneself is illegal.

In most cases law enforcement does have the authority to have people involuntarily committed to mental health wards. Usually a court order is required, but if an officer feels the person is in immediate danger he/she can order an involuntary commitment without waiting for a court order. Such commitments are for a limited period, such as 72 hours – which is intended to be enough time for a doctor to see the person and make an evaluation. After this initial period, a hearing is held in which a judge can decide to order the person released or can extend the treatment time. Afterwards, the court is kept informed of the person's condition and can release the person when they feel the time is right to do so. Legal punishment for suicide attempts is extremely rare[citation needed].

Mental health treatment

Treatment, often including medication, counseling and psychotherapy, is directed at the underlying causes of suicidal thinking. Clinical depression is the most common treatable cause, with alcohol or drug abuse being the next major categories[citation needed].

Other psychiatric disorders associated with suicidal thinking include bipolar disorder, schizophrenia, Borderline personality disorder, Gender identity disorder and eating disorders. Suicidal thoughts provoked by crises will generally settle with time and counseling. Severe depression can continue throughout life even with treatment and repetitive suicide attempts or suicidal ideation can be the result.

Methods for disrupting suicidal thinking include having family members or friends tell the person contemplating suicide about who else would be hurt by the loss, citing valuable and productive aspects of the patient's life, and provoking simple curiosity about the victim's own future[citation needed].

During the acute phase, the safety of the person is one of the prime factors considered by doctors, and this can lead to admission to a psychiatric ward or even involuntary commitment.

According to a 2005 randomized controlled trial by Gregory Brown, Aaron Beck and others, cognitive therapy can reduce repeat suicide attempts by 50%.[1]

Suicide prevention

Various suicide prevention strategies are suggested by Mental Health professionals[citation needed]:

  • Promoting mental resilience through optimism and connectedness.
  • Education about suicide, including risk factors, warning signs, and the availability of help.
  • Increasing the proficiency of health and welfare services in responding to people in need. This includes better training for health professionals and employing crisis counseling organizations.
  • Reducing domestic violence, substance abuse, and divorce are long-term strategies to reduce many mental health problems.
  • Reducing access to convenient means of suicide (e.g., toxic substances, handguns).
  • Reducing the quantity of dosages supplied in packages of non-prescription medicines e.g., aspirin.
  • Interventions targeted at high-risk groups.

Research on suicide prevention

Research into suicide is published across a wide spectrum of journals dedicated to the biological, economic, psychological, medical and social sciences. In addition to those, a few journals are exclusively devoted to the study of suicide (suicidology), most notably, Crisis, Suicide and Life Threatening Behavior, and the Archives of Suicide Research.

References

  1. ^ Cognitive Therapy for the Prevention of Suicide Attempts, Brown, G.K., Have, T.T., Henriques, G.R., Xie, S.X., Hollander, J.E., Beck, A.T., Journal of the American Medical Association, 2005

Debski, J., Spadafore, C., Jacob, S., Poole, D. A., & Hixson, M. D. (2007). Suicide intervention: Training, roles, and knowledge of school psychologists. Psychology in the Schools, 44(2), 157-170. doi:10.1002/pits.20213

Granello, D. (2010). A Suicide Crisis Intervention Model with 25 Practical Strategies for Implementation. Journal of Mental Health Counseling, 32(3), 218-235. Retrieved from EBSCOhost

Isaac, M., Elias, B., Katz, L. Y., Shay-Lee, B., Deane, F. P., Enns, M. W., & Sareen, J. (2009). Gatekeeper Training as a Preventative Intervention for Suicide: A Systematic Review. Canadian Journal of Psychiatry, 54(4), 260-268. Retrieved from EBSCOhost

McAuliffe, N., & Perry, L. (2007). Making it Safer: A Health Centre’s Strategy for Suicide Prevention. Psychiatric Quarterly, 78(4), 295-307. doi:10.1007/s11126-007-9047-x Suicide/ Intervention.(n.d)retrieved from www.merriamwebster.com/dictionary/suicide?show=0&t=1317084736

External links

References


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