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    Suicidal Behaviour in Children & Adolescents: Dr. Ajaz Ahmad Suhaff

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    This document discusses suicidal behavior in children and adolescents. It notes that nearly 1 million people worldwide commit suicide each year, with every 40 seconds someone dying by suicide globally. India reported over 381 daily suicides in 2019, with over 24,000 children ages 14-18 committing suicide from 2017-2019. Risk factors for suicide include depression, schizophrenia, addiction, family history, isolation, unemployment, acute life events, bullying, and vulnerable periods. Schools can play a role in prevention through detection of at-risk students, risk assessment, intervention, and ongoing support with a team approach involving counselors, psychologists, parents and referrals. The media should avoid romanticizing suicide and portray it as a tragedy rather than a model for others.

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    Suicidal Behaviour in Children & Adolescents: Dr. Ajaz Ahmad Suhaff

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    drsuhaff
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    This document discusses suicidal behavior in children and adolescents. It notes that nearly 1 million people worldwide commit suicide each year, with every 40 seconds someone dying by suicide globally. India reported over 381 daily suicides in 2019, with over 24,000 children ages 14-18 committing suicide from 2017-2019. Risk factors for suicide include depression, schizophrenia, addiction, family history, isolation, unemployment, acute life events, bullying, and vulnerable periods. Schools can play a role in prevention through detection of at-risk students, risk assessment, intervention, and ongoing support with a team approach involving counselors, psychologists, parents and referrals. The media should avoid romanticizing suicide and portray it as a tragedy rather than a model for others.

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    This document discusses suicidal behavior in children and adolescents. It notes that nearly 1 million people worldwide commit suicide each year, with every 40 seconds someone dying by suicide globally. India reported over 381 daily suicides in 2019, with over 24,000 children ages 14-18 committing suicide from 2017-2019. Risk factors for suicide include depression, schizophrenia, addiction, family history, isolation, unemployment, acute life events, bullying, and vulnerable periods. Schools can play a role in prevention through detection of at-risk students, risk assessment, intervention, and ongoing support with a team approach involving counselors, psychologists, parents and referrals. The media should avoid romanticizing suicide and portray it as a tragedy rather than a model for others.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    48 views21 pages

    Suicidal Behaviour in Children & Adolescents: Dr. Ajaz Ahmad Suhaff

    Uploaded by

    drsuhaff
    This document discusses suicidal behavior in children and adolescents. It notes that nearly 1 million people worldwide commit suicide each year, with every 40 seconds someone dying by suicide globally. India reported over 381 daily suicides in 2019, with over 24,000 children ages 14-18 committing suicide from 2017-2019. Risk factors for suicide include depression, schizophrenia, addiction, family history, isolation, unemployment, acute life events, bullying, and vulnerable periods. Schools can play a role in prevention through detection of at-risk students, risk assessment, intervention, and ongoing support with a team approach involving counselors, psychologists, parents and referrals. The media should avoid romanticizing suicide and portray it as a tragedy rather than a model for others.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 21

    Suicidal Behaviour in

    Children & Adolescents

    Dr. Ajaz Ahmad Suhaff


    SKIMS MEDICAL COLLEGE
    Introduction
     The word suicide derives from a Latin word
    sue (of oneself) & Cide or cidium (a killing).

     Suicide is a serious public health problem.

     Have long-lasting effects on Individuals,


    Families, and Communities.
     Nearly 1 million people worldwide commit suicide each year.

     Every 40 seconds a person dies by suicide somewhere on the globe.

     India reported about 381 suicides daily for the year of 2019, marking an increase of nearly
    3.4% suicide deaths as compared to 2018.

     Over 24000 children in the age bracket of 14-18 years committed suicide from 2017-2019

    [ a report by the National Crime Records Bureau said ].


    Attitudes to Suicide

    How does the word


    ‘Suicide’
    Make you feel?

    Do any of these attitudes apply to you?


    People who die by It is mostly
    suicide don’t give young men who
    warning signs die by suicide

    People who talk


    about suicide are
    People serious about just attention
    suicide can’t be helpe seekers
    d
    so what is the point?

    Talking about suicide might


    give someone the idea to do
    it
    WHO IS AT RISK OF DYING BY
    SUICIDE ?
    ANYONE
    RISK FACTORS
    Depression Early parental
    Schizophrenia loss
    Addiction disorder Isolation
    Family history Unemployment
    & past history of Acute life events
    suicidality Bullying
    Dysregulated
    serotonergic system

    Older age
    Male sex
    Vulnerable
    periods
    Suicidal signs to watch for
    Remember F-A-C-T-S,

     Feelings: Expressing hopelessness about the future.

     Actions: Displaying severe/overwhelming pain or distress.

     Changes: Showing worrisome behaviors or marked changes in behavior,


    including withdrawal from friends, changes in social activities, anger,
    hostility, or changes in sleep patterns.

     Threats: Talking or writing about death, or making plans for suicide.

     Situations: Experiencing stressful situations including those that involve


    loss, change, personal humiliation, or getting into trouble at home, in
    school, or with the law. These types of situations can serve as triggers
    for suicide
    Verbal warning signs
     “I can't go on anymore“

     "I wish I was never born“

     "I wish I were dead“

     "I won't need this anymore“

     "My parents won't have to worry about me anymore“

     “Everyone would be better off if I was dead”

     “Nobody cares if I live or die”


    Key Gatekeepers

     Primary health care providers


     Mental health care providers
     Emergency health care providers
     counselors/Teachers and other school staff
     Community leaders
     Social welfare workers
     Spiritual and religious leaders
    PREVENTION of Suicide

     Primary.

     Secondary.

     Tertiary.
    Primary prevention

     Improve the skills of team member in identifying high


    risk clients and in planning for treatment and care.

     Never allow high risk cases to be alone.

     Identify the stressor , assess the family and the client.

     Modify the environment.

     Guidance for high risk cases.

     Refer high risk cases for professional help.


    Secondary prevention

     Establishment of counselling centers.

     Improve the ability and quality of Help.

     Guidance and counselling centers for suicide


    attempters.

     Arrange supportive care for high risk groups.

     Provide treatment
    Tertiary prevention

     Interaction with family and friends of person


    who committed suicide.

     Minimizing the residual effects of suicide


    attempt.

     Follow up and continuity of care as to be


    planned.
    Schools’ Role in Prevention

    DETECTION

    RISK ASSESSMENT

    INTERVENTION

    Ongoing Support
    A Team Approach
    Detection/Awareness
    -All school personals.

    Risk Assessment
    -counsellor, school psychologist,

     Parents

     Referral and Follow up


    School Counsellors

     Screening of high risk students.

     Promote healthy development of all students.

     Provide responsive services(counselling and crisis intervention) including


    grief and bereavement.

     Inform parents/gaurdians or appropriate authorities.

     Train other school staff to identify the high risk students.

     Regular awareness programmes for students and staff to teach conflict


    resolution, stress management, grief therapy.

     Get involved if someone is suicidal


    Role of Media

     Report Responsibly.

     Avoid romanticizing suicide, which can have a profound effect on at


    risk teens.

     Refrain from detailed descriptions of the method of death.

     Do not portray suicide as an inexplicable act. Suicide has causes,


    even if these causes are not immediately obvious.

     Be aware of the implications of language about suicide.

     Do not let the glamour of celebrity suicides obscure the reality of the
    act. A celebrity’s suicide should be reported as a tragedy, not as a
    model for others.
    Legal Aspect
     309 IPC –used to penalize attempted suicide with up to
    one year of imprisonment or with fine , or with both.

     Abetment of suicide is punishable under sec. 306 IPC.

     As per Mental Health care Act, 2017 clause 115,


    attempted suicide has been decriminalized, .

     The relevant provision of the Mental Healthcare Act, 2017 states, "Notwithstanding anything contained
    in section 309 of the Indian Penal Code any person who attempts to commit suicide shall be presumed,
    unless proved otherwise, to have severe stress and shall not be tried and punished under the said
    Code.“
    Life is
    Beautiful

    Thank you

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