"Suicide is a multi-determined phenomenon that occurs against a background of complex interacting biological, social, psychological and environmental risk and protective factors. Despite the complexity of this phenomenon, suicide can be prevented"
-- International Association for Suicide Prevention
This week I will talk to you about suicide. Yup, I am going there. Suicide prevention is a cause that I am very passionate about, as many of you who know me personally may already know. This is my calling and my niche. Today I would like to share a little bit about it with you. I will try not to be preachy or get on a soapbox, I just want to share some facts.
I am part of two suicide related associations. The first I joined last year and it is called American Association of Suicidology (AAS). They are a researched based association that has the goal of understanding and preventing suicide. They do this through a variety of ways, including providing public awareness as well as various trainings to both the public and professionals. The second (whom I have been supporting but just 'officially' became a member of this year) is International Association for Suicide Prevention (IASP). They are a non-governmental organization that has an "official relationship" with the World Health Organization (WHO) and exists in over 50 countries. They are a collection of the world's best research on suicide related subjects and host many awareness events across the globe.
A third, related organization I am apart of that supports suicide prevention is To Write Love On Her Arms (TWLOHA). TWLOHA is a
non-profit movement dedicated to presenting hope and finding help for
people struggling with depression, addiction, self-injury and suicide.
TWLOHA exists to encourage, inform, inspire and also to invest directly
into treatment and recovery. They do a TON of different events and are very much geared towards young adults and lay persons.
The reason I am talking briefly about these organizations is because next month is World Suicide Prevention Day/Week. This year on 09/10/12 marks the 10th anniversary of this day. The week is from 09/09/12 - 09/15/12. I support this cause every year in a variety of ways. The most common way to support this cause is by putting a lit candle in your window at 8pm on 09/09/12. Why, you ask? The lit candle is to support suicide prevention and awareness, survivors of suicide and for the memory of loved lost ones. There are many additional ways to support this cause -- some simple and quiet, some very complex and loud. You can find a list of suggested activities on the official IASP webpage devoted to the event. I am personally still trying to figure out all of the ways in which I am going to support the week and the cause. I guess it will have to remains TBA.
Some general facts: (IASP, 2012)
- There is roughly 1 death via suicide every 40 seconds, which equals one million people worldwide per year. This exceeds the number of deaths per year contributed to homicide and war COMBINED.
- WHO estimates the number of suicide attempts may be up to 20 times the number of deaths.
- In some countries, suicide rates have increased by 60% over the last year
- Suicide attempts in women tend to be 2-3 times higher than men, but the average ratio of male to female suicides is 3:1.
- The strongest predictor of suicide is previous attempts, raising the rate of suicide 30-40 times higher than for the general public.
Chronic risk factors that increase over one's lifetime: (AAS, 2009)
- History of:
- Suicide attempts or ideation
- Self-injury
- Suicide in family members
- Parental history of violence, substance abuse, or hospitalization due to mental illness
- Impulsive/reckless behaviors
- Psychiatric disorders such as: Mood Disorder, Anxiety Disorder, Schizophrenia, Substance Use Disorder, Eating Disorder, Body Dysmorphic Disorder, Conduct Disorder, Personality Disorder (specifically Cluster B)
- Traumatic Brain Injury
- Low self-esteem/high self-hate
- Exposure to another's death by suicide
- Lack of self or familial acceptance of sexual orientation
- Perfectionism (particularly in context of Depression)
- Access to firearms
- Acute or enduring unemployment
Acute risk factors: (AAS, 2009)
- Suicidal ideation
- Recent suicide attempt
- Current self-harm behavior
- Excessive or Increased Use of Substances
- Psychological Pain (acute distress in response to loss, defeat, rejection, etc.)
- Recent Discharge from Psychiatric Hospitalization
- Anger, Rage, Seeking Revenge, Aggressive Behavior
- Withdrawal from Usual Activities, Supports, Interests, School or Work; Isolation (e.g. lives alone)
- Suspiciousness, Paranoia (ideas of persecution or reference)
- Severe Feelings of Confusion or Disorganization
- Dramatic Mood Changes
- Hopelessness, Poor Problem-solving, Cognitive Constriction (thinking in black and white terms, not able to see gray areas, alternatives…), Rumination, Few Reasons for Living, Inability to Imagine Possibly Positive Future Events
- Perceived Burdensomeness
- Recent Diagnosis of Terminal Condition
- Feeling Trapped, Like There is No Way Out (other than death); Poor Problem-Solving
- Recklessness or Excessive Risk-Taking Behavior, Especially if Out of Character or Seemingly Without Thinking of Consequences, Tendency Toward Impulsivity
Suicide tends to be triggered by a real or perceived threat that leaves the individual feeling emotions such as shame, guilt, despair, rejection, abandonment, or humiliation.
If you know someone whom is suicidal and do not know how to respond, the best thing to do is stay with the suicidal individual and contact a mental health professional or other persons trained in crisis intervention. Stay calm and be supportive of the suicidal individual. NEVER DOUBT THE SEVERITY OF THE SITUATION (ie: saying things such as "you are not really going to hurt yourself, right?" would be one of the few detrimental things you could say). Keep him/her away from weapons, illicit substances, alcohol, or any potentially hazardous materials (ie: cleaning supplies, rope, and sharp objects). If you cannot find or do not have access to your local mental health crisis hotline, contact law enforcement who will respond to the scene with a trained mental health professional.
If you or someone you know is suicidal, please contact a mental health professional or call 1-800-273-TALK (8255).