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@BC

info: common clues to suicide

本文发表在 rolia.net 枫下论坛http://www.dcottawa.on.ca/index.cfm?Title=Resource%20Materials

COMMON CLUES TO SUICIDE
FEELINGS
• Sad, depressed
• Helpless
• Hopeless
• Moody
• Apathetic
• Marked hostility
• Worthless
• Guilty
• Extremely isolated
• Pronounced mood swings

THOUGHTS/STATEMENTS
• “I wish I were dead”
• “All of my problems will be over soon”
• “I can’t do anything right”
• “People would be better off without me”
• “I’m a loser”
• “I just can’t take it anymore”
• “No one can do anything to help me now”
• “Nothing matters”

ACTIONS
• Lower levels of activity
• Start giving away possessions
• Loss of interest
• Change in appetite
• Disturbed sleep patterns
• Change in sexual interest
• Significant weight loss/gain
• Extreme behaviour change
• Lack of interest in personal appearance
• Engage in impulsive behaviour
• Withdraw from world

HIGH RISK POPULATIONS
• The elderly
• Previous suicide attempters
• Native persons
• Young people
• Those suffering from certain mental disorders
• Alcoholics
• Persons in custody
• The bereaved, especially by suicide death(s)
• Gay and lesbian youth
• Abuse of alcohol/drugs

ASSESSING IMMEDIATE SUICIDE RISK
CONSIDER:

Lack Of Supports
• This is based on the person’s perception that they do not have resources to turn to.
• External resources (friends, counsellor, etc…).
• Internal resources (hope, faith, etc…).
• People who are unable to identify resources are at higher risk.

Prior Suicidal Behaviours
• People with a previous episode of suicidal behaviour have a 35-50 times greater risk of completing suicide than the overall population.

Suicide Plan
• People with a detailed plan are at higher, more immediate risk.

Consider the following:
• How?
• When?
• How prepared are they?
• How lethal is the plan?
• How to Help
When You Suspect Someone You Know is Suicidal. Watch for clues. There may be changes in:
• Behaviour
• Personality
• Appearance
• Sleep patterns
• Weight
Take threats seriously.
• The person is calling out for help.

Answer cries for help. Listen.
• Do not ignore the issue.
• Offer help, support, and compassion.
• Be willing to hear how bad it seems.
• Don’t deny, minimize or challenge.
• Don’t panic

Ask about suicide openly. People don’t get more suicidal by sharing their feelings. Be
direct in asking
• Are you feeling depressed?
• Are you thinking of suicide?
• How? How soon? How prepared?

Let them know you care
• Reassure them that they are not alone
• Talk to the part of them that wants to live.
• Focus on agreement to take one small step away from suicide and towards life.

Get help. There is no confidentiality
• Involve family and friends when a life is at risk.
• Offer to take them to a doctor, clinic or hospital emergency.
• Go with them. Don’t leave them alone.
• Remember that you are one of the resources but you are not alone.更多精彩文章及讨论,请光临枫下论坛 rolia.net
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