By Dr. Riddhish K. Maru
September 10, 2020 (IANSlife) On World Suicide Prevention Day we look at the tell tale signs and symptoms you can watch out for incase you feel a friend, colleague or a loved one may be contemplating suicide.
The act of killing or trying to harm oneself is called suicide. It is an action against a human's basic survival instinct or agains one's nature of procreation, this makes it an interesting subject interesting. Suicide is exclusively almost seen only in the human species and it’s been known off since immemorial time.
Suicide is the outcome of neurobiological breakdown. The process begins in severe stress and pain which has been generated by due to a serious life crisis. Suicide occurs when the stress induces unbearable pain that feelings of self-control and self-esteem are weakened & death is seen as the only relief.
Suicidal entails changes in the brain's chemistry and physiology, an imbalance in serotonin levels. Para suicidal behaviour is seen when there are attempts to deliberately harm self to gain attention.
Suicide is on the rise in this century, 258,075 people committed suicide in India in 2012. India's suicide rate was 21.1 per 100,000 people, according to WHO.
Menninger believed that suicide is inverted homicide. Generally aggression is directed outward, at a person or an object. But when it is directed inwards, it becomes suicide. Freud beliefs were on similar lines but with the parameters of life force (Eros) and death force (Thanatos).
F for Feelings:
A for Actions or Events
C for Change
T for Threats
If you have ever had suicidal thoughts or you know someone who has, the first thing you need to do is accept that it is possible to feel that way. Denial can only lead to more repression and a bigger outburst of events. Secondly, talk to someone about it. It could be your family, friends, colleague or a psychiatrist. And always when you feel things are going out of your control, don’t be ashamed to ask for help. These are few ways that suicidal ideas can be identified early and can be addressed. Electro convulsive therapy is the gold standard treatment of suicide.
Supportive psychotherapy is required in each case.
Additionally, a set of state led policies are being enforced to decrease the high suicide rate among farmers of Karnataka and Maharashtra.
(The author is a Psychiatrist, consultant at Practo)
The article is website exclusive and cannot be reproduced without the permission of IANSlife
IANSlife can be contacted at email@example.com