Suicide

Question 1

High priority warning signs of suicide

Answer 1

• Threatening to kill themselves
• Actively looking for ways to kill themselves
• Talking or writing about death, dying or suicide

Question 2

Low priority warning signs of suicide

Answer 2

Hopelessness; anger/ revenge seeking; risky behaviours; feeling trapped; increased drug and alcohol use; social withdrawal; anxiety/agitation/sleep disturbances; mood changes; no purpose or reason to live

Question 3

What does the Applied suicide intervention skills training programme say

Answer 3

Connecting with suicide: I care
Understanding choices: I hear
Assisting life: I’ll help

Question 4

Psychological first aid: I care
Invitations to show that you care
How and why do you accept the invitation?

Answer 4

Actions: withdrawal, self harm,misuse of alcohol and drugs
Words: no hope, self depreciating
Feelings: desperate, guilty, lonely, sad
Physical: disturbed sleep, lack of interest, change or loss of apetitie

Be clear and ask about suicide directly and clearly
Why? To show you do not think badly, that you care

Question 5

Psychological first aid: I hear
Now what?
turning points*

Answer 5

Now what?: Ask fi they have a plan, if self harm possible dial 111. Listen to story and show positive feedback

Turning points: Emotionally charged moment when the life side comes out.
Rejects suicide
Hopes for something (a connection, someone to talk to)
uncertain about choices
Willing to try

Question 6

Psychological first aid: I’ll help
Develop a safety plan and confirm actions
Identifying life protectors
What support is available

Answer 6

• Disabling suicide, identifying strengths and supports.
• belief systems, values, important people, memories of strength, accessing self compassion

Uni health and counselling, youthline, lifeline, depression helpline

Question 7

What to say and not to say when someone presents suicidally

Answer 7

Normalise, authentic comminication
do not be selfish
Do not use at least

Question 8

What is best way to ask if someone is suicidal and assess risk?

Answer 8

Stuff from leccy + say you are not psychologist/psychiatrist

Question 9

Why NZ has such high rates

Answer 9

Colonialism
Racism and discrimination
Inequalities
Access to services