SUICIDECOMMUNITY HEALTH NURSING 6004

SEMESTER 8MADAM ZARINAH

SUICIDE

WHAT IS SUICIDE ? Suicide is defined as the act of

deliberately taking one's own life

CAUSES OF SUICIDE Mental disorders Stress Grief Loneliness Guilt or shame Fear of aging A serious illness The death of the love ones

Unresolved sexual problem Loss of hope Unrequited love Self scarified Physical , sexual , verbal abuse Feeling helpless Intense emotional pain Feeling that things will never get better

Low of self esteem Alchohol abuse Drug abuse Bullying ( as well as children can be

failure) A horrible dissapointment A feeling not be accepted by

family,friends and community

METHOD OF SUICIDE Firearms Asphyxiation methods (including hanging) Blunt force or trauma(jumping from a building or

bridge, self defenestrating, stepping in front of train ,or car collision)

Exsanguinations or bloodletting (slitting one’s wrist or throat)

Intentional drowning Self-immolation Electrocution Intentional radiation poisoning Intentional starvation

MANIFESTATION Making a will Getting his or her affairs in odder Suddenly visiting friends or family members (one last

time) Buying instruments of suicide like a gun, hose, rope

or medications A sudden and significant decline (depressed mood)or

improvement in mood Writing a suicide notes Severe agitation Severe anxiety, symptoms of which may include

moderate alcohol abuse, insomnia

Hopelessness Loss of interest in activities they used to

enjoy(anhedonia) Persistent thoughts about the possibility of

something bad happening Isolated/withdrawn/refused verbal

communication Refusing treatment Reduced appetite Complaints of pain or physical discomfort not

consistent with physical health

MANAGEMENT Initiate DRABC and monitor vital signs Treat according to method of suicide

(weapons, drugs, or other methods) Maximize patient safety Referral to mental health services Refer hospital policy Look carefully for signs of self inflicting

injury or of illness secondary to poisoning or overdose

The specific signs and symptom presents will be related to the method of suicide that patient attempted

In caring for person who is suspected of being suicidal should direct in questioning her

It is importance that to be clear whether the patient intended to harm him or herself

If there is any physical evidence of and attempt to self harm or if bystander claims that the patient threatened to harm himself we should assume that the patient is a potential danger to himself-take precaution for patient safety

STRATEGIES Promote awareness that suicide is a public health

problem that is preventable Develop broad-based support for suicide prevention Develop and implement strategies to reduce the stigma

associated with being a consumer of mental health, substance abuse and suicide prevention services

Develop and implement community-based suicide prevention programs

Promote efforts to reduce access to lethal means and methods of self-harm

Implement training for recognition of at-risk behavior and delivery of effective treatment

Develop and promote effective clinical and professional practices

Increase access to and community linkages with mental health and substance abuse services

Improve reporting and portrayals of suicidal behavior, mental illness and substance abuse in the entertainment and news media

Promote and support research on suicide and suicide prevention

Improve and expand surveillance systems Identify Students at Risk

Increase Help-Seeking Behavior Provide Mental Health Services Follow Crisis Management Procedures Restrict Access to Potentially Lethal

Means Develop Life Skills Promote Social Networks

Selection and training of volunteer citizen groups offering confidential referral services.

Promoting mental resilience through optimism and connectedness.

Education about suicide, including risk factors, warning signs and the availability of help.

Increasing the proficiency of health and welfare services at responding to people in need. This includes better training for health professionals and employing crisis counseling organizations.

HEALTH EDUCATIONS Talk with someone every day, preferably face

to face. Though you feel like withdrawing, ask trusted friends and acquaintances to spend time with you. Especially family and best friends.

Spend time with people who aren't depressed. This can lift you up and make you feel better.

Remove any dangerous objects or weapons from your home.

Avoid alcohol and other drugs. They will only make you feel worse.

Wait until you are feeling better before doing things you find difficult or unpleasant.

Make time for things that bring you joy. Distance yourself from any means of suicide. If you are

thinking of taking an overdose, give your medicines to someone who can give them to you one day at a time. Remove any dangerous objects or weapons from your home.

Avoid doing things you're likely to fail at or find difficult until you're feeling better. Know what your present limits are and don't try to go beyond them until you feel better. Set realistic goals for yourself and work at them slowly, one step at a time.

Make a written schedule for yourself every day and stick to it no matter what. Set priorities for the things that need to be done first. Cross things out on your schedule as you finish them. A written schedule gives you a sense of predictability and control. Crossing out tasks as you complete them gives a feeling of accomplishment.

In your daily schedule don't forget to schedule at least two 30-minute periods for activities which in the past have given you some pleasure such as: listening to music, playing a musical instrument, meditating doing relaxation exercises, doing needlework, reading a book or magazine, taking a warm bath, sewing, writing, shopping, playing games, watching your favorite DVD or video, gardening, playing with your pet, participating in a hobby, taking a drive or a walk.

Take care of your physical health. Eat a well-balanced diet. Don't skip meals. Get as much sleep as you need, and go out for one or two 30-minute walks each day..

Make sure you spend at least 30-minutes a day in the sun. Bright light is good for everyone with depression, not just people with Seasonal Affective Disorder (SAD).

You may not feel very social but make yourself talk to other people. Whether you talk about your feelings or about any other topic, reducing your social isolation is likely to be helpful.

Remember that while it may feel as if it will never end, depression is not a permanent condition.

You can go counseling or support programs. These programs can be provided by trained public health professionals

Get advice from psychology doctor

SUICIDE

SUICIDE IS NOT THE SOLUTION OF A PROBLEMS

GROUP MEMBERS NORSYARINA BT RAMASAH (01-200804-01434) NOR ZAIHAN BT HAMZAH (01-200804-01433) NUR HIDAYAH BT IBRAHIM (01-200804-00418) NUR ATIKAH BT MD ISA (01-200804-00964) NUR ANIS BT SUPIAN (01-200804-01305) NURSYAHEERA BT SUHAIMI (01-200804-01303) NUR HIDAYAH BT ARSZIT (01-200804-00069) NUR AMEERAH BT MOHD AZMI (01-200804-00366) RAFIQAH BT RADZI (01-208804-00445) NURMARZIANA BT MAHADZIR (01-200804-00476)

THANK YOUANY QUESTIONS ?