It is crucial to “gain time” so that a person with suicidal tendencies might think of other options since they are “ambivalent” right up until the very last minute, questioning whether to carry out the deed and even regretting it.
During the panel discussion “Suicide prevention is possible” at the EFE Forum “New challenges in mental health after the Dana,” which was organised by the EFE Agency in partnership with Johnson & Johnson and 8 Mediterráneo, psychiatrists Jesús Enrique Mesones and Eduardo Jesús Aguilar brought attention to this.
Experts estimate that there is one suicide fatality for every thirty attempts, but that “contagion effect” can be avoided with adequate and constructive communication: “More than saving lives, we actually help people save their lives.”
“Just by listening to people who have these kinds of problems we can do a lot from our consultations, carry out an intervention without being a super specialist,” said Mesones, vice president of the Spanish Society of Suicidology, professor at the Catholic University of Murcia, and head of the Psychiatry Service at Torrevieja Hospital.
He says that although most suicide victims “want to stop suffering, very few do so consciously and behind every suicide there is usually a mental pathology,” half of suicides are caused by depression.
The impacted individuals also visit their primary care physician. According to Eduardo Jesús Aguilar, a psychiatrist at the Hospital ClÃnico de Valencia, a professor at the University of Valencia, and a researcher at Cibersam and Incliva, primary care physicians are responsible for obtaining “sufficient information to be able to make the first entry” during those ten minutes of patient care.
According to Mesones, the individual who kills themselves “is ambivalent until the last moment,” citing instances where those who attempt suicide by jumping off a bridge express regret at the last minute. According to him, “at the time of the acute intervention, the essential thing is to gain time so that they can consider other ways out.”
Additionally, Aguilar thinks it’s critical to recognise that suicide behaviour “is characteristically fluctuating, even though it’s chronic,” and that in the ER, “they know that if they give enough time there is an upswing and a downswing.”
Mesones claims that a suicidal person who has attempted suicide and is in the emergency room has the chance to receive treatment during a waiting period known as “chronotherapy”: “We have the opportunity to be able to address them and we must have the capacity, training and sufficient education to assist them.”
Lithium salts for bipolar disorder patients, clozapine, an atypical antipsychotic for schizophrenia patients, and esketamine for depression patients are the only treatments that have been demonstrated to help prevent suicidal behaviour, according to Mesones. “A study conducted in several Spanish centres reflects the effectiveness of this drug in improving suicidal thoughts, which is very promising,” Mesones said.
A loss, a breakup, an existential crisis, abuse, or mistreatment are some of the things that could hasten this decision, according to Mesones. He explains that while many situations can lead someone to “think that the help they are going to receive is not worth it,” “fortunately not all people who think about suicide do so, the rate is 2%.”
Aguilar says that we need to observe how it changes “and that the rates for women do not rise, but that for men they fall,” in addition to the fact that we have tools to prevent and treat suicide because of the innovation of companies like those sponsoring this event. He says that 70% of suicides are men and 30% are women, for which there may be a variety of reasons.
Disasters like the Dana disaster, which create a sense of “unity” and the impulse to aid others, “protect at first” those who are contemplating suicide, according to the vice president of the Spanish Society of Suicidology.
“It has made many people abandon that idea and start helping families, but that is my perception, there will be no data on that,” says Mesones, who further states that “in the future, if mental illness increases, it will lead to suicides.” EFE
No Comment! Be the first one.