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Suicide : the act of intentionally ending
one's own life.
 Suicide is thought to kill about a million people a year and
by 2020 this is expected to increase to more than 1.5 million
with 85% of suicides occurring in low- and middle-income
countries.
 Between 10 and 20 times as many people attempt suicide as
succeed and with 5 to 6 people affected by an individual’s
suicidal behaviour, somewhere in the order of 100 million
people are directly affected by suicidal behaviour each year.
On top of this, and what these numbers cannot tell, is the
enormous suffering of those who wish to end their life and of
those who lose their loved ones and/or caregivers to suicide
or suicidal behaviours.
 Over one million people die by suicide
worldwide each year.
 The global suicide rate is 16 per 100,000
population.
 On average, one person dies by suicide
every 40 seconds somewhere in the
world.
 1.8% of worldwide deaths are suicides.
 Global suicide rates have increased 60%
in the past 45 years.
 The World Health Organization (WHO) released
a report mapping suicide rates around the world and
found that North Korea and Russia had some of the
highest mortality rates by suicide in 2012 with 9,790 and
31,997 deaths out of their total populations, respectively.
By contrast, northern and southern Africa had amongst
the lowest rates for the cause of death. The WHO
reports that there were 43,361 suicides in the U.S. alone
in that year.
http://mic.com/articles/98560/the-countries-with-the-highest-suicide-rates-in-one-map
Data Source: WHO 2011
http://www.worldlifeexpectancy.com/cause-of-death/suicide/by-country/
 suicide ideation: thoughts of engaging in
behavior intended to end one's life
 suicide plan: the formulation of a specific
method through which one intends to die
 suicide attempt: engagement in potentially self-
injurious behavior in which there is at least
some intent to die.
 Nonsuicidal self-injury : self-injury in which a
person has no intent to die (not the focus of this
review)
MYTH: Suicidal persons are crazy.
FACT: Most suicidal persons are not crazy.
MYTH: All suicidal people want to die and there is
nothing that can be done about it.
FACT: Most suicidal people are undecided about
living or dying. They may gamble with death,
leaving it to others to rescue them. Frequently
they call for help before and after a suicide attempt.
MYTH: People who talk about suicide rarely attempt or
commit suicide.
FACT: Nearly 80 % of those who attempt or
commit suicide give some warning of their
intentions. When someone talks about committing
suicide, they may be giving a warning that should
not be ignored.
MYTHS: Once a person is suicidal, they are suicidal forever.
FACT: Most suicidal people are that way for only a brief period in their
lives. If they attempter receives the proper assistance and support,
they will probably never be suicidal again. Only about 10% of
attempters later complete the act.
MYTHS: Improvement following a suicidal crisis means the risk is over.
FACTS: Many suicides occur within 90 days after the beginning of
“improvement” when they seem to have the energy to act on morbid
thoughts and feelings. The desire to escape life may be so great that
the idea of suicide represents relief from a hopeless situation.
Therefore, we must be particularly attentive to the suicidal individual.
MYTH: Talking to someone about suicidal feelings will cause them to
commit suicide.
FACTS: Talking to someone about their suicidal feelings usually
makes the person feel relieved that someone finally recognized their
emotional pain and they feel safer talking about it.
 There is no simple answer.
 Usually, the emotional upset is so
great that the person “just wants to
stop the pain.” The suicidal person
feels a tremendous sense of
loneliness and isolation. They feel
helpless, hopeless, and worthless.
 All kinds of people: young, old, rich
 Poor, male, female, officers, NCO’s,
 enlisted, civilians, every race, and
every creed..
 Poor job performance/evaluation
- Being passed over for promotion or advanced schooling
 Failed relationships
 Death of a loved one
 Sickness and illness
 Financial problems
 Facing UCMJ or other legal charges
 Loss of “support systems” or “emotional safety”
 The compounding and disorienting effects of drugs and/or
alcohol
 Renewal of bonding with family on return from
long field training or an isolated tour
 Leaving old friends
 New military assignments
 Loss of self-esteem/status
 Humiliation/rejection
 Being alone with concerns about self and family
 Suicide of a friend or family member
 Discharge or retirement
 > Sadness that’s greater than usual
 > More prolonged
> Helpless hopeless, worthless
 Disappointment
 Rejection
 Illness
 Loss of relationship
 THE SUICIDE RISK IS HIGHER IN A
PERSON WHO:
> Has problems with family,
relationship, job, Army, finances
> Has made previous suicide attempts
> Has experienced a recent suicide of a
friend or relative
> Threatens suicide

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Suicide as a Major Global Health Issue

  • 1. Suicide : the act of intentionally ending one's own life.
  • 2.  Suicide is thought to kill about a million people a year and by 2020 this is expected to increase to more than 1.5 million with 85% of suicides occurring in low- and middle-income countries.  Between 10 and 20 times as many people attempt suicide as succeed and with 5 to 6 people affected by an individual’s suicidal behaviour, somewhere in the order of 100 million people are directly affected by suicidal behaviour each year. On top of this, and what these numbers cannot tell, is the enormous suffering of those who wish to end their life and of those who lose their loved ones and/or caregivers to suicide or suicidal behaviours.
  • 3.  Over one million people die by suicide worldwide each year.  The global suicide rate is 16 per 100,000 population.  On average, one person dies by suicide every 40 seconds somewhere in the world.  1.8% of worldwide deaths are suicides.  Global suicide rates have increased 60% in the past 45 years.
  • 4.  The World Health Organization (WHO) released a report mapping suicide rates around the world and found that North Korea and Russia had some of the highest mortality rates by suicide in 2012 with 9,790 and 31,997 deaths out of their total populations, respectively. By contrast, northern and southern Africa had amongst the lowest rates for the cause of death. The WHO reports that there were 43,361 suicides in the U.S. alone in that year.
  • 7.
  • 9.  suicide ideation: thoughts of engaging in behavior intended to end one's life  suicide plan: the formulation of a specific method through which one intends to die  suicide attempt: engagement in potentially self- injurious behavior in which there is at least some intent to die.  Nonsuicidal self-injury : self-injury in which a person has no intent to die (not the focus of this review)
  • 10. MYTH: Suicidal persons are crazy. FACT: Most suicidal persons are not crazy. MYTH: All suicidal people want to die and there is nothing that can be done about it. FACT: Most suicidal people are undecided about living or dying. They may gamble with death, leaving it to others to rescue them. Frequently they call for help before and after a suicide attempt. MYTH: People who talk about suicide rarely attempt or commit suicide. FACT: Nearly 80 % of those who attempt or commit suicide give some warning of their intentions. When someone talks about committing suicide, they may be giving a warning that should not be ignored.
  • 11. MYTHS: Once a person is suicidal, they are suicidal forever. FACT: Most suicidal people are that way for only a brief period in their lives. If they attempter receives the proper assistance and support, they will probably never be suicidal again. Only about 10% of attempters later complete the act. MYTHS: Improvement following a suicidal crisis means the risk is over. FACTS: Many suicides occur within 90 days after the beginning of “improvement” when they seem to have the energy to act on morbid thoughts and feelings. The desire to escape life may be so great that the idea of suicide represents relief from a hopeless situation. Therefore, we must be particularly attentive to the suicidal individual. MYTH: Talking to someone about suicidal feelings will cause them to commit suicide. FACTS: Talking to someone about their suicidal feelings usually makes the person feel relieved that someone finally recognized their emotional pain and they feel safer talking about it.
  • 12.  There is no simple answer.  Usually, the emotional upset is so great that the person “just wants to stop the pain.” The suicidal person feels a tremendous sense of loneliness and isolation. They feel helpless, hopeless, and worthless.
  • 13.  All kinds of people: young, old, rich  Poor, male, female, officers, NCO’s,  enlisted, civilians, every race, and every creed..
  • 14.  Poor job performance/evaluation - Being passed over for promotion or advanced schooling  Failed relationships  Death of a loved one  Sickness and illness  Financial problems  Facing UCMJ or other legal charges  Loss of “support systems” or “emotional safety”  The compounding and disorienting effects of drugs and/or alcohol
  • 15.  Renewal of bonding with family on return from long field training or an isolated tour  Leaving old friends  New military assignments  Loss of self-esteem/status  Humiliation/rejection  Being alone with concerns about self and family  Suicide of a friend or family member  Discharge or retirement
  • 16.  > Sadness that’s greater than usual  > More prolonged > Helpless hopeless, worthless
  • 17.  Disappointment  Rejection  Illness  Loss of relationship
  • 18.  THE SUICIDE RISK IS HIGHER IN A PERSON WHO: > Has problems with family, relationship, job, Army, finances > Has made previous suicide attempts > Has experienced a recent suicide of a friend or relative > Threatens suicide