Ppt suicide presentation

Suicide Is Every Body’s

Business

Suicide Prevention,

Education and Awareness

1 (c) Copyright CTA 2008

IT WAS OVER FOR HIM ....

FOR ME, MY HUSBAND AND FOR MY FAMILY ….

IT WAS JUST THE BEGINNING

(Quote from a mother whose son committed suicide)


Counselling a Suicidal person

• Suicidal ideation includes both the planning of a suicide as well as fleeting thoughts about suicide

(c) Copyright CTA 2008 3

Myths and facts

• There are many myths surrounding suicidal

behaviours

• They can prevent a person getting help

• They can mask the seriousness of the situation

• They can influence a wrong assessment

(c) Copyright CTA 2008 4

Suicide and the Law

• You are required by law to report to the relevant authorities any details relating to a person who intends to harm themselves

• There are no secrets when it comes to a suicidal person. You can help a suicidal person but you can’t help a dead person

• You cannot disclose to anyone, other than the authorities, (this is a breach of confidentiality), without permission from your client.

5

Interventions

• ASK DIRECTLY - do not be passive

• Use appropriate assertiveness

• Assess the risk – level of perturbation

6

Crisis Intervention Plan

• Remove the means - safeguard environment

• Negotiate safety - contract [next slide]

• Decrease Isolation - family, friends, workmates

• Decrease anxiety - medication, relaxation

• Future links - goals

• Place in Hospital - controlled environment

7

Negotiate safety

• Ensure the client’s safety is established by negotiating with them to not harm themselves

• A “do no harm” contract is a very good way to give your client a sense of hope that help is happening

8

Assess the risks

• A Suicide Risk Assessment is a very good indicator of your client’s risk level

• A Suicide Risk Assessment also helps you as the counsellor to ask all the questions and to gather information that might not flow from your client with just conversation

9

Referral

• Do not hesitate to speak to your Supervisor or refer your client on to a:

– More experienced Counsellor

– Psychologist

– Doctor

– Mental Health

• Know what’s available in your area

– Support groups

10

Suicide grief Counselling • No matter if you have been waiting for the

inevitable or if the suicide of a loved one or friend is out of the blue …..

you will be shocked


Shock

• Suicide is of course a sudden death and as with any sudden death it takes an enormous toll on our capacity to cope with change

• Someone we care about is suddenly not alive anymore …. and the implications of their personal pain and distress prior to the event sends shock waves throughout their personal network of relatives, friends and associates


Shock

• Shock can be exacerbated by what we see or hear

• Sometimes what we see is horrific and so out of the normal that it is hard to get the picture out of our mind

• Sometimes what we hear conjures up pictures in our mind that does the same


Shock

• What happens in our bodies and minds when a deep shock occurs?

• Body systems are jolted • Flight/fight centre of the brain is activated • Fragmentation of information occurs • Pieces of information can get stuck • E.g. words, pictures, feelings, body sensations,

tastes, smells • We get stuck in the moment which disrupts our

whole system


Shock

• The pathway of shock …..

• In some cases the shock reaction passes over time and dissipates for people

• Individuals may find that they are sleepless, can’t stop thinking about what has happened, lose their appetite, weep, lose energy, etc for a number of days, but start to piece things together bit by bit and slowly return to normal


Shock • In other cases – the shock

remains in the system and someone may develop a condition known as post traumatic stress disorder

• The emergency ‘on’ switch is left on and the person can’t seem to turn it off

• If this occurs the early impact of shock continues with nightmares, flash backs, sense of alarm or doom, stuck in the moment … and getting worse over time 16 (c) Copyright CTA 2008

Shock

• Post Traumatic Stress Disorder or PTSD – needs treatment by trained mental health professionals.

• Treatments include:

• EMDR, Cognitive/Behavioural techniques, body based therapies and drug therapy

• If you have never gotten over a suicide death or know someone who hasn’t – then refer them for expert help


Shock and Anger

• Sometimes with the shock reaction comes anger. Anger is usually a reaction that we hold which affirms to us that we are worth something. When someone we love or know dies and by their own hand we may struggle with feelings of anger as the event can mean to us at a subconscious level that we aren’t worth much if the person does this to us or others

• Other times we are angry at people we feel should have helped, or at God for letting it happen. Anger is our psyche’s way of defending itself


Sadness

• After shock and anger comes the inevitable sadness. Suicide death brings with it a great deal more sadness as it seems so senseless. We feel sad for the victim of suicide and sad for ourselves and their family

• Sadness seems too small a word to describe the pain of loss – many feel devastated and feel that they won’t ever be the same again. They feel destroyed


Sadness

• The what if’s of sadness make us sadder

• Missing the person makes us very sad

• This is natural of course. It is part of what we have to do to adjust to our loss

• Sadness can be fast tracked however if we have a way of thinking about the event which brings us peace. Similarly negative thoughts give us no real relief and keep the pain longer


Sadness

• Unhelpful thoughts …..

• They are selfish to put us through this

• Other people don’t kill themselves – they were weak

• That person drove them to it

• If only I knew or could get there in time

• There is no God or meaning in the universe for this to happen

• How could they do this to me? Etc. 21 (c) Copyright CTA 2008

Sadness

• Negative thoughts come easily but don’t really help us

• There is no RIGHT way to think, but here are some thoughts that people use to make their sadness more bearable 22 (c) Copyright CTA 2008

Sadness • He/she must not have been thinking straight

when they did this. (They weren’t in their right mind)

(sudden mental illness is real e.g. stroke, baby blues, hormonal change, mood regulation centre in brain out of order)


Sadness

• He/she couldn’t cope anymore and needed heaven (or a rest) earlier

(emotional regulation and mood levels are different for each of us – it is not a level playing field, some have a much harder job in life with their emotions)


Sadness

• He/she is being comforted now with peace and love

(feeling powerless to help, but visualising God doing it for us or so many at a funeral sending love and kindness to the person)


Sadness

• I will tell them off when I get there and they will be sorry at what they put me through. We will understand each other then – we do already I think.

(restoring the relationship we couldn’t fix – or bringing back our sense of justice)


Coping with the sadness • Being with friends or kind people

• Finding ‘sense’ activities and taking time out to appreciate the moment and our senses of smell, hearing, sight, touch, taste

• Rocking– rhythm activities

• Hugging – holding soft things

• Balance of rest and activity

• Not blaming others for not understanding or having unhelpful words … they can’t know


Stigma • There is still stigma

around suicide in our communities

• There probably always will be

• Some people judge others

• Mostly we just judge ourselves and imagine what others may be thinking or saying


Stigma • Religious Stigma – it used to be

thought that suicide was a sin and that the person would go to hell

• Most religions now have an understanding that many things can be sin …. judging others for one, but that when someone is so despairing that they want to die – that they need love not judgment …. we trust God has a far better grasp on this than us


Stigma

• Mental Illness Stigma – we used to think that if there was something wrong with one member of the family then the whole family must be weird or uncaring

• We know now that 1 in 4 will experience some form of mental illness in their life

• We know that some very wonderful, loved people can commit suicide

• No family is exempt from this situation 30 (c) Copyright CTA 2008

Stigma

• Societal stigma – it’s the death

we can’t speak of ….

• We need to speak of it

• We need to talk about our pain AND our happiness in life

• Our children need to see us recover from unhappiness and find happiness out of pain. This gives them a real picture of life and a great model for their own future


Self Blame • Self blame has to do with our need for reason

• We are rational and seek meaning in any event

• Immediately we receive the news about a suicide we ask questions …. why did they do it, was there anything I should have known or done to prevent it, and then …. I should have, I could have ….. Etc ….

• Parents particularly blame themselves however any individual prone to taking responsibility for others is in the personal firing line for blame!


Self Blame

• Antidotes

• Events are always combinations of things …. which have to do with random things, including human responsibility …. suicide is an action taken by a person …. they may not have been in their right mind at the time, however you did not do this to them. You didn’t choose for this to happen, you didn’t want it to ….. you are not to blame


Blame

• To blame the person who killed themselves is a natural desire as well

• After all they have caused untold people great misery …. but to blame them is not helpful for anybody

• We have to suspend blame and self accusation for healing to occur


Antidote to blame

• We ALL did the best we could at the time as limited human beings, with limited resources, with limited understanding, with limited capacity

• They did the best that they could at the time as well


Blame • If we can’t blame ourselves or

the person who committed suicide …. God often gets the blast from us …. we accept that we are they were not perfect … but for there to be a God, he is supposed to be perfect, or the universe has made a big mistake …

• To take this course of thinking begins to break down the safety of our world for us


Blame

• The world is not perfect

• We are not perfect

• Less than perfect things occur each day

• But the world is still a beautiful place - it has both pain and beauty

• We can grow and learn. We can treasure the good


Blame

• In this way we keep ourselves from bitterness towards others, our loved one, ourselves, life and our God

• Bitterness serves no useful purpose … it shuts us down and takes joy and hope from us ….


There is hope for our life after a suicide of someone we love


Our world is a wonderful place of new life


Keeping our very best memories close!


Contacts in our community

• White Wreath Association

• Counselling organisations – Lifeline for 24 hr talking or Calvary Careline

• Trauma Therapy – The Counsellors 47240016


Date post:	29-Nov-2014
Category:	Health & Medicine
Upload:	cta-australia
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Ppt suicide presentation

Health & Medicine