Reasons behind Suicidal Behavior
Suicide is one of major concern in the society. It is most commonly seen in the young age group between twelve to thirty five years. World Health Organization researched that approximately seven hundred thousand people risk their own lives by attempting to suicide annually. Risking precious life is not worthy but they generally commit suicide due to sense of burden, sense of emotional pain, fearing from negative impacts or hopelessness from life. They commit suicide because they do not find any reason to live and think their lives are full of pain (Wasserman, 2016). Thus various assessments methods are used to competency of suicidal cases. The purpose is identifying the risks and treating them to provide a solution. To reduce high risk suicide factors and provides a safety management (Neovius, et.al, 2018).
Committing suicide requires a lot of determination and a person to be strong enough to take pills or inject poison in the body. But it is researched that suicidal overcome the fear of death and harm themselves. A person is ready to bear the pain and is comfortable to take the step to end their life (Bertolote and Fleischmann, A., 2015). But it is important to control this act and save the life. With assessment comes the necessity for management. Some sources like National Suicidal Prevention Lifeline is available and confidential can be reached by calling or texting anytime from anywhere (Reyes?Portillo, et. al , 2018). Other than that there are various behavioural groups that provide support in suicidal cases.
The research is done from Journals as well as articles from Goole scholar. These data are very helpful as they provide feasible strategies to cope up from suicidal causes. According to the Journal of ambulatory care management, suicide is mainly caused due to chemical imbalances in the brain, addition of some drugs or bad habits, alienation, chronic pain or guilt. People in this kind of situation feels entirely alone and thinks that no one understands them, thus understanding the patients would build a positive trusted relationship. Thus seeking and understanding the patients feeling and problems form his/her perspective would help them to be friendly and became stable (Pandey, et. al, 2012).
The American journal of public health states that the patients should be comfortable enough so that it shares every detail in order to provide appropriate treatment. Thus it is essential to access the potential of patient to monitor the suicide attempts, to act on the situation by prescribing to mediation course that may encourage patient as well as family member to dispose the thought of suicide. This journal provides appropriate information so that suicidal cases could be resolved.
Assessment and Management
In the perception of journal of mental health evidence it is important to take care of the physical environment in which patient live by inspecting and evaluating the environment to guarantee that environment is safe and free from all negative impact. Focusing on the idea of suffering helps in building ways to spread hope in the people’s life. After listening to the feelings, safety steps are taken to keep them safe and away from the danger of suicide. Apart from that risk factors are mitigated among individuals by various training session that increases the awareness of suicide loss and its prevention. Alters are mitigated to stops the thinking of committing suicide (Steele, et. al, 2018). Thus managing the risk helps in facilitating the link between friends and family for future help.
According to Journal of the American Psychiatric Nurses Association, Depression is an illness which takes the step of committing suicide. If depression is high it may lead to other problems like mental disorders or any psychiatric services (Aloba,et. al, 2018). Other than that government has taken many steps to change the mind set of people. By organizing certain programs for the betterment of people and have launched many websites that support the patients which advise patients to quit the thought of suicide.
According to the National Crime Record it was stated that suicidal behaviour is due to large number of complex causes like suffering of poverty, unemployment issue, and defeat from loved ones, quarrels or breakdown in relation problems. Social isolation and some mental disorders such as depression play a central role in a suicide cases. This journal provided very meaningful information so that awareness is created in the society for improvement.
These evidences are very feasible, meaningful and appropriate as they helped to know what the suicidal causes are and how risks need to be managed.
Suicide means person thinking to end their life. People try to attempt suicide doesn’t seem to end their life purposely but have difficult feelings which force them to commit suicide. Suicide behaviours are not a physiatrist disorder but it is a coping method. Generally there are people who express thoughts or exchange their thoughts about ending their life to overcome with the pain and problems (Fazel, et. al, 2014). They lose hope to live and are unable to find can reason to live their life. Two methods can be used to cope up with this problem that it assessment and a positive working relationship with the patient. It is Suicide is a growing problem in the society which is continuously increasing day by day, especially in teens. Suicide is not a painless action and requires a lot of struggle to take this step. The idea of suicide is also been glamorizes by advertisements and the issue cannot be left unnoticed.
Preventing Suicidal Behavior
Various issues that have risen due to suicide are:
Suicide is the step taken by individuals, thinking they are not good enough for the society. People’s action to commit suicide requires lot of strength to tolerate high pain of harming themselves. They intentionally heal themselves by burning, cutting or take some poisons pills to deal with the distress in their life (Heron, 2012). People generally commit suicide due to various reasons;
Depression- Most common reason of suicide is people are depressed. Depression is a suffering caused by lack of confidence. Majorly students are depressed by not achieving great heights of success in their carer or due to emotional pain having family issues or lack of love from their loved ones (Pitman, Osborn and Erlangsen, 2014). This issue can be resolved in a feasible manner as depression is not hard to be resolved. It can be treated by keeping the person happy. By giving positive vibes and making the individual feel confident about his/her life. Showing the reasons to live and motivating one can help to come out from depression.
Psychotic- Psychotic is related to a suffering of an individual in which they are mentally disturbed for any unintelligible reason. They are suffering from failures in every field of their life which leads to thinking of committing suicide. This is hard to be resolved than depression (Pitman, Osborn and Erlangsen, 2014). This is one of the effective methods and it could be used to overcome the stress by providing them mediation which will help them in bringing mental piece in their life. Sometimes they need hospital treatment to boost their self-destruction healthy lifestyle.
Impulsive- Often some people are addicted to drugs and alcohol which leads to unpredictable suicide as they are not in their senses. There aggrieve nature after being high force them to take such actions. The decision to commit is based on the motivation by the presence of a painful terminal illness in their lives and having no hope of reprieve exist (Pitman, Osborn and Erlangsen, 2014). This need to be managed as it leads to risking their own lives when they are not in their senses. This could be controlled by reducing excessive consumption of drugs and alcohol.
(source:https://www.camh.ca/en/hospital/health_information/a_z_mental_health_and_addiction_information/suicide/Documents/sp_handbook_final_feb_2011.pdf)
Thus it can be concluded that reasons of suicide are rising day by day. Thus proper steps need to be taken in the society to manage the risk of death. Not only people who look depressed commit suicide there are various people who are successful in their life go through the thought of committing suicide. Many organisations are present to prevent suicide cases and provide recovery from the thought of suicide. Suicide is uncommon and usually happens without any warnings. The major symptoms of committing suicide can be seen by the sight of depression or anxiety, by significant loss in their live like loss of job or loss of loved ones, other than that personal crisis or life stress that increases an intellect of isolation in their lives leads to loss of self-esteem or loss of social support (Yip, et. al, 2012). For these triggers of medication is helpful as it provides exposure to healthy and happy life. Suicide is a not a disease and is preventable with proper assistance and a series of guideline for reducing the stigma of suicidal behaviour (Shaffer, et. al, 2010).
Excessive sadness or unexpected mood swings, feeling of hopelessness, extra sleeping hours, changing in personality and unusual behaviour leads to reckless of suicide. It need to be prevented by taking proper treatment for depression and by building support network that will help to come out from depression (Cochran and Mays, 2010). If the patient is suicidal various things that are observed are: unbearable pain that may be any physical pain or psychological pain, patients talking about killing oneself or finding reason to die these are the signs of depression, patient expressing the feeling of being trapped and there is no hope to live, thinking that they are burden to the society, mood swings or showing rage of killing themselves. One of the difficult things about suicide is its spectrum ranges from low to immediate high (Alaimo, Olson and Frongillo, 2012).
Promotion is used as it is the major concern for the whole community for detection and prevention suicide cases among the people. Assessment is the only way to determine the risk of suicide chances. Assessment involves knowing about background conditions of an individual as well as their behaviours. Thus assessment helps in making judgment about the steps need to be taken to avoid risks, which would be helpful in making effective clinical decisions (Griffith, 2012). A framework is developed that contains all the key treatments and methodologies that need to be taken. Thus the clear and concise document helps in making clinical decisions. The aim of this framework is to adopt a practise style to reduce the suicide risks by building an appropriate plan by reviewing the risk of an individual (Barbui, Cipriani and Geddes, 2018). Suicide is not a casual thing to be overlooked but it is necessary to build strategies that would reduce the risk. Like seeking proper care treatment and building a good relation with the health professional could somewhere reduce the chances of risk. It is important to engage the people in social networks of society. As social support from family, friends or peer helps in removing the thinking of ending their lives (Mann, et. la, 2015). Thus getting support from dear ones reduces the thought of suicide and becomes manageable.
For managing the suicidal risk, change management model is used which refers to identification of patient’s behaviour by proper assessment and treatment of the individual who is having suicidal behaviour. Various approaches like Collaborative Assessment and Management of Suicidality(CAMS) are introduced that is implemented to provide therapies to patents for evaluating the risk of suicide and then developing a proper suicidal plan that would be helpful for reducing suicide chances (Finnegan, Selwyn and Langhinrichsen-Rohling, 2018) .
Lewin defined that to make a successful change in the process there are various phase first by understanding why change need to be done and then re-examining all the change and making the consecutive changes. There are three stages: unfreezing, changing and refreezing.
The first phase of change management model is preparing for change in which various management strategies are defined and plan is changed accordingly by developing a model. Like whenever a patient is suffering from the risk of suicide, the conditions are reordered to manage the risk of suicide. It is important to explain the risks of suicide to patients so that patient is aware about the risk of committing suicide. Once it is known that patient is suffering from the symptoms of suicide it is important to arrange regular follow ups in order to track the mental stability of the patient and monitor the current circumstances (Brown, Bruce and Pearson, 2010).
The second phase is managing the changes by taking the actions and implementing the plan. Various steps taken to implement the plan are:
Detection- Health workers plan a dominating role in detection of suicide risks. Whenever suicide risk has been detected an appropriate service is adopted to deal with the risk.
Primary Assessment- The Suicide Risk Assessment is used to assist all areas in the society that clinicians have proper care facilities for the patients. The individual suffering from suicidal symptoms needs to be taken care by clinical guidelines (Meltzer, et. al, 2013). There are various steps to improve the health behaviours like short antipsychotic medications secessions which lower the depression rate in the patient. Primary Assessment means understanding the physical condition of an individual, checking on the tendency of drug consumption or previous suicide attempts.
Comprehensive Assessment- In this detail analysis of an individual is done by compressive study of mental health issues like psychiatric assessment, psychosocial assessment and a detailed suicide risk assessment is done (Meltzer, et. al, 2013).
Regular Assessment- It is an on-going process that means it needs to be monitored on continuous basis (Meltzer, et. al, 2013). Regular assessment helps in tracking the complete behavioural changes in an individual.
Thus it is true that an effective plan supports and provides a treatment to patients who are at risk of suicide. A risk evaluation is a straight forward conversation between the patient and the doctor regarding the suicidal plans and thoughts. The only motive is to make patient conformable so that they discuss suicide plans openly so that consecutive measures could be taken (Shaffer and Craft, 2010). The conversation is helpful as it helps in managing the risk by getting the complete information about patient’s current mental state and the reason of stress that is contributing to the suicidal risk. Some patients open up easily while other may take time. Thus there are several tools used for complete risk assessment, these tools help to collect information in a brief manner. It is a strong and a reliable method to manage the risk.
The third phase of change management model is reinforcing the changes by analysing the feedback and minimizing the diagnose gap. It is true that managing risk of suicide is difficult but still actions need to be taken to minimize the risk factors.
- Recognizing Risk Factors- There are several events in which person could be analysed on their suffering. Checking the family issues of person’s life that may directly help in knowing the victim of the problem. If a person is suffering from any loss or pain will view the suicide as a solution to end the pain. Listening to their problem verbally helps in planning in a better way (Bongar and B.M.E., 2010). Listening to the person will help in knowing their emotions and the pain they are going through. There behaviours are helpful is knowing them deeply by accessing their intent.
- Supporting the Person- Supporting the suicidal person mentally is important by keeping them happy (Bongar and B.M.E., 2010). Making them positive about all the life accepts. Pushing them to interact with people or encouraging them to attend some motivational conferences which would help them to be confidence and find the motive to live a healthy life. It would be beneficial for them to remove all the negative thoughts. Physical exercise is one of the steps that could be adopted, as it keeps the patient healthy and positive (Lambert and Fowler, 2010).
- Setting safe Plan- Setting an advance safety plan to reduce the suicide attempts can be done by encouraging them to follow the therapies and take proper treatment (Lambert and Fowler, 2010). Apart from that frequently check-ups are important as it helps in be sure that the person is well.
- Encourage Healthy Life- To prevent an individual from suicide it is essential to keep them healthy. By planning their activities in such a way that they eat well, sleep well and socialize. Playing certain sports help a person to remain fit and promotes an individual to express instead of holding them. Suicide is a desperate attempt that is used by an individual to escape from the hardships and sufferings that they think is not bearable (McDowell, Lineberry and Bostwick, 2011). People are going through the feeling of self-loathing, isolation and hopelessness; they think that relief from this feeling could be achieved by committing suicide. Thus prevention from suicide is not a difficult task it could be done by talking to people and making them feel positive by being supportive. Making safety plans and providing proper treatment would help them to overcome from suicidal behaviour (Valente, 2012).
Other that using the change management model there is a huge involvement of users and stakeholders by starting various services to reduce the suicide cases. Like various suicide therapies are launched but it varies from person to person according to their age. Therapies like
Psychotherapies – These are found to be favourable for individuals who have tried to attempt suicide. Thus this helps in reducing the chances of committing suicide again. It basically learns about the experience individual is facing, reasons of stress in their life is understood through training session (Knox, et. al, 2015). Once the reason is classified proper actions are taken to make the individual healthy and live a better life.
Medication- People are benefited by adopting medication process as it helps one to feel better by generating positive vibes. Clozapine is a medication used to treat the one suffering from schizophrenia (Knox, et. al, 2015). There are many individuals who are at high risk of suicide are benefited from medication along with psychosocial intervention.
Conclusion
It can be concluded that suicidal thoughts in the society are increasing day by day. Suicidal behaviours are due to depressive disorders, anxiety or any personal disorders. Factors that have increased suicide are unemployment, relationships difficulties or any legal issues which leads to mental vulnerability. The signs that show a person is trying to commit suicide is threating. People try to hurt themselves by looking the ways to commit suicide because of these high suicidal cases among clients, clinician’s treatment are used to provide a proper assessment and safety plans for treatment. The suicidal assessment undertaken by the clinician’s identifies all the risk factors that contribute to suicide. Identifying all the proactive measures helps in differentiating from those characteristics that cannot be modified. Detailed inquiry from the patients helps in understanding patient’s wellbeing. The information gained from the assessment helps in knowing the level of risk a client is going through so that safety plan is planned accordingly to reduce the risk of suicide. Not only in our professional existence but a complete scrutiny is required in our personal lives. One of the most important and regular management is the risk of suicide which infect sounds like a crime and shall not be left unattended. There are various standard care assessments available, that defines the standard methods to avoid risk.
References
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