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FINAL-Understanding-Depression-and-Suicide-pptx.pptx
- 1. Understanding Depression and Suicide JohnErindee A. Mallari, R.N. Division Nurse (Div. of CSFP)
- 2. Discussion Outline •What isdepression? •Signs and Symptoms of Depression •Signs and symptoms of suicidal •How to help suicidal and depressed people?
- 3. Depression • (Major depressivedisorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. • Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. • It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home. -American Psychiatric Association
- 4. Chester Bennington Hanging Goo Hara RobinWilliams Hanging Jiah Khan Hanging Kate Spade Verne Troyer Avicii
- 5. Risk Factors for Depression •Biochemistry: Differences in certain chemicals in the brain may contribute to symptoms of depression.
- 6. Risk Factors forDepression • Genetics: Depression can run in families. For example, if one identical twin has depression, the other has a 70 percent chance of having the illness sometime in life
- 7. Risk Factors for Depression •Personality: People with low self- esteem, who are easily overwhelmed by stress, or who are generally pessimistic appear to be more likely to experience depression.
- 8. Risk Factors for Depression •Environmental factors: Continuous exposure to violence, neglect, abuse or poverty may make some people more vulnerable to depression.
- 9. Depression symptoms can vary from mildto severe and can include: RULE: *Symptoms must last at least two weeks for a diagnosis of depression.
- 10. Signs & Symptoms: Feeling sador having a depressed mood Loss of interest or pleasure in activities once enjoyed Changes in appetite — weight loss or gain unrelated to dieting Trouble sleeping or sleeping too much Loss of energy or increased fatigue Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed movements and speech (actions observable by others) Feeling worthless or guilty Difficulty thinking, concentrating or making decisions
- 11. Signs & Symptoms: Thoughtsof death or suicide
- 12. Signs a Personmay be Suicidal
- 13. 1. A dramatic changein mood, behavior or appearance, for example: Expressing, in words or actions, hopelessness, worthlessness, guilt, shame, or having no reason to live or no purpose in life; Withdrawing from friends, family or society; Expressing, in words or actions, loss of interest in things that were previously of interest; Sudden or dramatic increase in depressed mood; Describing themselves as a burden to others or stating that others would be better off without them.
- 14. 2. Someone whois suicidal may threaten to kill themselves, or say that they wish to die, verbally or in writing. This may be very direct, but is sometimes subtle. Watch for: Looking for a way to kill themselves including seeking information about possible suicide methods (e.g. would 100 mg of this kill me?); Unexpected jokes about death or suicide; Expressing, in words or actions, that they feel trapped, like there is no way out, or that suicide is the only solution to their problems; Expressing, in words or actions, the desire or hope that they will die (including praying that God may take their life).
- 15. 3. People mayalso behave in ways that are life-threatening or dangerous, for example: ACTING RECKLESSLY OR ENGAGING IN RISKY ACTIVITIES, SEEMINGLY WITHOUT THINKING; ENGAGING IN SELF-INJURIOUS BEHAVIOR SUCH AS CUTTING, POISONING OR HITTING THEIR HEAD AGAINST THE WALL; STOPPING LIFE-SAVING MEDICAL TREATMENTS/MEDICATIONS.
- 16. 4. Someone who issuicidal may try to set their affairs in order, or make contact with people they have not spoken to in some time, for example: Giving away valued possessions; Asking others to take on responsibility for the care of people or pets; Contacting people to say goodbye, make amends, or to ask for forgiveness.
- 17. How can Itell if the situation is serious?
- 18. Have you decidedhow you would kill yourself? Have you decided when you would do it? Have you taken any steps to secure the things you would need to carry out your plan?
- 19. Additional risk factors: •Has the person been using alcohol or other drugs? The use of alcohol or other drugs can make it more likely that a person will act on impulse. • Has the person made a suicide attempt in the past? A previous suicide attempt makes it more likely that a person will attempt suicide again or kill themselves. You should ask the person directly if they have made a suicide attempt in the past, or ask their significant others (e.g. family members, close friend or religious leader). • Does the person know anyone who has died by suicide? Having a family member or close friend die by suicide increases the risk.
- 20. How can Ikeep the person safe?
- 21. •Never leave someonewho is feeling suicidal on their own. •Try to remove the means of suicide available to the person if it is safe to do so.
- 22. •Make sure thatyou have the phone numbers of suicide hotlines, emergency services and mental health professionals on hand in case of emergency.
- 23. How should Italk with someone who is suicidal? • Express empathy for the person and tell them that you care and want to help. • Encourage the person to do most of the talking and listen to them without expressing judgment. • Allow the person to talk about those feelings, and their reasons for wanting to die. • Help the person to understand that they have control over their suicidal thoughts, and that these thoughts do not need to be acted on.
- 24. • By discussingspecific problems, you can help the person work out practical strategies for effectively dealing with difficulties and life problems that seem impossible to cope with. • Find out what has supported the person in the past, and whether these supports are still available. • Consider and use the person’s belief systems and values, including their spiritual and religious beliefs, to encourage them to change their mind about suicide.