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Hope for Suicidel Prevention
 Dr. Chinu Agrawal, Ph.D in
Psychology
Advanced RECBT Practitioner for
Children & Adolescents Certified
with AEI, New York, USA.
 Hope for there is Suicide Prevention

1. Short duration : acutely suicidal

2. Ambivalence : die or not to
die
3. Express intent
4.Looking for help
5.Coping Skills can be taught
 Understanding Suicide
Purpose is to
1. Seek a solution
2. Goal: Cessation of consciousness
3. Stimulus : Psychache – intolerable
, pain, shame, fear, anger, sadness.
 Understanding Suicide

4. Stressor – frustrated psychological

needs, failure, family, high

standards, career difficulties,

 Understanding Suicide

5. Emotion: Hopelessness –

Helplessness “nothing can be

done”

6. Attitude : Ambivalence
 Understanding Suicide

7. Cognitive State – constriction,

tunnel vision, all or nothing

8. Action - Escape
 Understanding Suicide

9. Interpersonal act –

Communication of intention.

10.Consistency of life coping

patterns
 Internal Dialogue
I can’t……..

1. Stop pain

2. Think clearly

3. Make decision

4. See any way out

 Internal Dialogue
I can’t……..

5. Sleep

6. Eat

7. Work

8. Get out of depression

 Internal Dialogue
I can’t……..

9. See possibility of change

10.See myself as worthwhile

11.Get someone’s attention

12.Control
 Clues

1. Talk about dying, gestures, threat –

80%

2. Three months is a vital period

3. Actual Action – Collecting articles, web

history
 Clues

4. Going through crisis : Emotional

disturbance

5. Pervading hopelessness

6. Depression symptoms

7. Orders & admonitions as if decision is final

 Preventio
n

Interventio Postventio
n n
Steps in Prevention
1. Identify Suicidal Ideations
2. Make resources to cope with

Suicide available
3. Even if a temporary reason to stop

can be offered, suicide can be averted.

 Possible Solutions

1. Provide or offer an

atmosphere to consider if

there can be alternative

solutions.
 Possible Solutions

2.Variable answers to divert

consciousness or

soothing.
 Possible Solutions

3. Stimulus – Psyache – reduce

pain

4. Stressor – frustrated needs

– fulfill these needs

 Possible Solutions

5. Emotion – Hopelessness –

Transfusion of hope

6. Ambivalent – Attitude – Buy

time, reduce lethality.

 Possible Solutions

7. Cognitive state – constriction

– increase the options.

8. Communication of intention :

Listen, let cry, involve others.

 Possible Solutions

9. Escape – Block exit

10. Life long consistency –

Previous successful coping

& learning new coping.

 Do’s while helping

1. Be aware

2. Learn warning signs

3. Ask if he is thinking about suicide

4. Be direct, talk openly about suicide

 Do’s while helping

5. Listen to feelings, allow expression

6. Accept feelings

7. Be non judgmental

8. Empathize
 Do’s while helping

9. Offer hope

10.Buy time

11.Consider alternatives

12.Involve others
 Do’s while helping

13.Remove means

14.Observe, Be vigilant

15.Seek help from professionals

 Don’ts while helping

1. Don’t lecture (Right / Wrong,

Bad/Good)

2. Don’t dare

3. Don’t advice

4. Don’t ask “why”

 Don’ts while helping

5. Don’t act shocked

6. Don’t promise secrecy

7. Don’t offer empty promise

 Thank You!
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