SUICIDE SUICIDE Target: I will be able to know the warning signs for suicide and describe the relationships between substance use and suicide and sexual assault Suicide: the act or an instance of taking one's own life voluntarily and intentionally • 4th leading cause of death for 5-14 year olds and the 2nd leading cause for 15-24 year olds in the U.S. Pg. 53 • 90% of people who kill themselves have a diagnosable mental disorder, most commonly depression or a substance abuse disorder. • In the U.S. alone, suicide kills more than 32,000 people a year. That’s the equivalent of a death by suicide every 16 minutes. Risk Factors: • Family history of suicide • Previous suicide attempts • Prolonged depression • Financial difficulties • Serious illness in oneself or a loved one • Loss of a loved one through death or rejection • Excessive drug and alcohol use • Alcohol and drug abuse are second only to depression and other mood disorders when it comes to risk factors for suicide. • Sexual assault or Sexual Abuse • Research has consistently provided evidence that sexual assault is associated with increased risk for suicidal ideation, attempts, and death. Warning Signs: • Recent loss and inability to let go of grief • History of depression • Change in personality (sadness, withdrawal, irritability, anxiety, tiredness, indecisiveness, or apathy) • Change in behavior (inability to concentrate, loss of interest in classes/work, unexplained demonstration of happiness following a period of depression) • Sexual dysfunction or diminished sexual interest • Expressions of self-hated and excessive risk-taking (“I don’t care what happens to me” attitude) • Change in sleep patterns and/or eating habits • A direct statement about committing suicide (Ex: “I might as well end it all”) • An indirect statement about suicide (ex: “You won’t have to worry about me anymore”) • Final preparations such as writing a will, giving away prized possessions, or writing revealing letters. • Preoccupation with themes of death • Marked changes in personal appearance Preventing Suicide: On the FIB notebook insert… fill in the following… • Monitor the warning signals- keep an eye out for that person; don’t leave them alone • Take threats seriously- don’t brush them off as “just talk” • Let the person know how much you care- Tell them you’re there to help • Listen- Try not to discredit or be shocked by what the person says. Empathize, sympathize, and keep the person talking • Ask questions- Ask directly “Are you thinking of hurting or killing yourself?” • Do not belittle the person’s feelings- Don’t tell the person that they don’t really mean it or couldn’t succeed at suicide. • Help the person think about alternatives to suicideOffer to go for help along with the person, call the hotline, use all available community resources • Tell someone- Do not keep your suspicions to yourself; do not let a suicidal friend talk you into keeping your discussions confidential. Summary: I’M HERE TO HELP Write a letter to someone you know (real or fictitious) who might be considering suicide or who has had a previous suicide attempt. • Be open and honest and describe the following: • What risk factor(s) they have • What warning signs you have seen • How their decision to end their life would impact others • How you can help them Pg. 52