m Suicide is defined as the act of

deliberately taking one's own life

m Ôental disorders
m Stress
m Grief
m Loneliness
m Guilt or shame
m Fear of aging
m A serious illness
m The death of the love ones
m Rnresolved sexual problem
m Loss of hope
m Rnrequited love
m Self scarified
m Physical , sexual , verbal abuse
m Feeling helpless
m Intense emotional pain
m Feeling that things will never get better
m Low of self esteem
m Alchohol abuse
m Drug abuse
m Bullying ( as well as children can be
failure)
m A horrible dissapointment
m A feeling not be accepted by
family,friends and community
m Firearms
m Asphyxiation methods (including hanging)
m Blunt force or trauma(jumping from a building
or bridge, self defenestrating, stepping in front
of train ,or car collision)
m Exsanguinations or bloodletting (slitting one·s
wrist or throat)
m Intentional drowning
m Self-immolation
m Electrocution
m Intentional radiation poisoning
m Intentional starvation
m Ôaking a will
m Getting his or her affairs in odder
m Suddenly visiting friends or family members
(one last time)
m Buying instruments of suicide like a gun, hose,
rope or medications
m A sudden and significant decline (depressed
mood)or improvement in mood
m Writing a suicide notes
m Severe agitation
m Severe anxiety, symptoms of which may
include moderate alcohol abuse, insomnia
m ðopelessness
m Loss of interest in activities they used to
enjoy(anhedonia)
m Persistent thoughts about the possibility of
something bad happening
m Isolated/withdrawn/refused verbal
communication
m Refusing treatment
m Reduced appetite
m Complaints of pain or physical discomfort
not consistent with physical health
m Initiate DRABC and monitor vital signs
m Treat according to method of suicide
(weapons, drugs, or other methods)
m Ôaximize patient safety
m Referral to mental health services
m Refer hospital policy
m Look carefully for signs of self inflicting
injury or of illness secondary to poisoning
or overdose
m The specific signs and symptom presents will be
related to the method of suicide that patient
attempted
m In caring for person who is suspected of being
suicidal should direct in questioning her
m It is importance that to be clear whether the
patient intended to harm him or herself
m If there is any physical evidence of and
attempt to self harm or if bystander claims that
the patient threatened to harm himself we
should assume that the patient is a potential
danger to himself-take precaution for patient
safety
m Promote awareness that suicide is a public health
problem that is preventable
m Develop broad-based support for suicide prevention
m Develop and implement strategies to reduce the
stigma associated with being a consumer of mental
health, substance abuse and suicide prevention
services
m Develop and implement community-based suicide
prevention programs
m Promote efforts to reduce access to lethal means
and methods of self-harm
m Implement training for recognition of at-risk behavior
and delivery of effective treatment
m Develop and promote effective clinical and
professional practices
m Increase access to and community linkages
with mental health and substance abuse
services
m Improve reporting and portrayals of suicidal
behavior, mental illness and substance abuse
in the entertainment and news media
m Promote and support research on suicide and
suicide prevention
m Improve and expand surveillance systems
m Identify Students at Risk
m Increase ðelp-Seeking Behavior
m Provide Ôental ðealth Services
m Follow Crisis Ôanagement Procedures
m Restrict Access to Potentially Lethal
Ôeans
m Develop Life Skills
m Promote Social Networks
m Selection and training of volunteer citizen
groups offering confidential referral services.
m Promoting mental resilience through optimism
and connectedness.
m Education about suicide, including risk factors,
warning signs and the availability of help.
m Increasing the proficiency of health and
welfare services at responding to people in
need. This includes better training for health
professionals and employing crisis counseling
organizations.
m Talk with someone every day, preferably
face to face. Though you feel like
withdrawing, ask trusted friends and
acquaintances to spend time with you.
Especially family and best friends.
m Spend time with people who aren't
depressed. This can lift you up and make
you feel better.
m Remove any dangerous objects or
weapons from your home.
m Avoid alcohol and other drugs. They will
only make you feel worse.
m Wait until you are feeling better before doing things
you find difficult or unpleasant.
m Ôake time for things that bring you joy.
m Distance yourself from any means of suicide. If you
are thinking of taking an overdose, give your
medicines to someone who can give them to you
one day at a time. Remove any dangerous objects
or weapons from your home.
m Avoid doing things you're likely to fail at or find
difficult until you're feeling better. Know what your
present limits are and don't try to go beyond them
until you feel better. Set realistic goals for yourself and
work at them slowly, one step at a time.
m Ôake a written schedule for yourself every day and stick
to it no matter what. Set priorities for the things that need
to be done first. Cross things out on your schedule as you
finish them. A written schedule gives you a sense of
predictability and control. Crossing out tasks as you
complete them gives a feeling of accomplishment.
m In your daily schedule don't forget to schedule at least two
30-minute periods for activities which in the past have
given you some pleasure such as: listening to music,
playing a musical instrument, meditating doing relaxation
exercises, doing needlework, reading a book or
magazine, taking a warm bath, sewing, writing, shopping,
playing games, watching your favorite DVD or video,
gardening, playing with your pet, participating in a hobby,
taking a drive or a walk.
m Take care of your physical health. Eat a
well-balanced diet. Don't skip meals. Get
as much sleep as you need, and go out
for one or two 30-minute walks each
day..
m Ôake sure you spend at least 30-minutes
a day in the sun. Bright light is good for
everyone with depression, not just
people with Seasonal Affective Disorder
(SAD).
m ou may not feel very social but make
yourself talk to other people. Whether you
talk about your feelings or about any other
topic, reducing your social isolation is likely
to be helpful.
m Remember that while it may feel as if it will
never end, depression is not a permanent
condition.
m ou can go counseling or support
programs. These programs can be provided
by trained public health professionals
m Get advice from psychology doctor
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