If suicide is the answer, what is the question?

The subject of suicide has been heavily covered in the news lately. Mainly due to the time of year where most people believe suicide numbers rise (though some studies suggest otherwise) but also due to the well publicised suicide of an ex-sportsman in England and a number of celebrities `coming out` about depression and attempted suicide. While some of the stories have to be seen in the context that any publicity is good publicity, it does highlight the issue that suicide rates are rising.  Statistics from the WHO say that over one million people commit suicide every year and this figure is rising every year. That is one death every forty seconds and a sixty per cent rise since 1945. One factor in this is clearly our modern, hectic lifestyle which cares little for emotional well-being. It is also strongly believed that other factors including living conditions, cultural and family restrictions as well as religion play a major role. Alarmingly, suicide amongst young people aged between 15 and 25 is on an all time global high. Interestingly, there are approximately twenty million attempted suicides per year, according to the WHO meaning that 1 in 20 actually achieve their aim.

One of the main features of some of the more recent stories of suicide in the media has been that suicide was committed by people who seemingly had everything to live for and showed no signs of depression, worry or any kind of problem beforehand. One must then ask, was it planned or was it just an explosion of feelings that lead to the ultimate in spontaneous death? Many times, these questions can never be answered and loved ones and friends left behind torture themselves with thoughts of uncertainty, guilt and anguish.  Is it however possible that someone ends their life so brutally without a long catalogue of problems? We can only speculate about this but an analysis of suicide notes (WHO) suggests that  many times  one single event pushed an otherwise depressed person over the edge. However as  much as we speculate, suicide is one of the most perplexing aspects of human behavior. However there are also many myths surrounding the subject :

Myth:    People who talk about suicide don’t do it.
Fact:   Talking about suicide can be an appeal for help. Most people usually communicate their intentions to suicide to another person, either directly or indirectly. This could include dropping hints about suicide, talking about death or dying, or writing a poem. If not responded to, the person’s thoughts could progress to action – a suicide attempt. All talk of suicide should therefore be taken seriously and acknowledged as such to the suicidal person. People who talk about suicide should be encouraged to talk further and seek professional support.

Myth:    Once a person decides to complete suicide, there is nothing anyone can do to stop them.
Fact:   The suicidal crisis represents a cry for help rather than a wish to die. A part of the person wants to live and a part wants to die. With help the person can be encouraged towards life. If the person receives the help he or she is seeking, an attempt is less likely. Suicidal crises can be relatively short-lived. To protect the person during this time: stay with the person, listen to their struggle and encourage them to keep safe. Help the person to access professional support, as many people do move beyond seeing death as an option with professional assistance.

Myth:    All deaths are preventable. 
Fact:   Despite our best efforts to help a person at risk of suicide, some people who attempt suicide will die as a result of their actions.

Myth:    Suicides happen without any warning/ are spontaneous acts/ people keep their plans to themselves.
Fact:   Studies have indicated that as many as eight out of ten people give warning of their intention to suicide. More often, this intention is not recognised rather than hidden.

Myth:    Talking openly about suicide increases the risk.
Fact:   It is important not to treat suicide as a taboo subject. Raising the issue sensitively and asking directly about suicide gives the person at risk permission to speak about his or her distress, and demonstrates to the person that you care. Rather than feeling worse, the person at risk could feel relieved if the issue of suicide is raised in a caring and non-judgmental manner. This could prevent action and increase the chances of the person at risk seeking further help.

Myth:    People who talk about suicide/ make a nonfatal suicide attempt are just seeking attention.
Fact:   All suicidal thoughts and behaviours are a cry for help that need to be listened to and responded to. We cannot make assumptions about the person’s intentions and need to take this seriously. Anyone distressed enough to talk about or attempt suicide needs professional support. Addressing the underlying problems through talking with a professional helper could reduce the likelihood of future attempts.

Myth:    Suicidal people always want to die.
Fact:   The majority of people who attempt suicide are confused about whether they want to live or die. Most people want to live better and happier lives but need relief from the intense emotional pain they are experiencing. If people in the midst of a suicidal crisis were certain that they wanted to die, they would not be communicating their distress to others. In communicating their distress to others in this way, suicidal people are actually reaching out for help to ease their emotional pain.

Let me leave you with a few choice quotes on the subject:

“Suicide is a whispered word, inappropriate for polite company. Family and friends often pretend they do not hear the word’s dread sound even when it is uttered. For suicide is a taboo subject that stigmatize not only the victim but the survivors as well “. EARL A. GROLLMAN, Suicide

“The reality of suicide is far different from the fantasy. Most suicidal thinkers romanticize their death by suicide, failing to realize that any suicide gesture or attempt can result in permanent brain, kidney, or liver damage, loss of limbs, blindness, or even death”. SUSAN ROSE BLAUNER, How I Stayed Alive When My Brain Was Trying to Kill Me

Why proper Nutrition and Exercise help Stress Management

Today we live in a fast-paced, hectic world that moves non-stop and has no time for people who cannot keep up. That is the sad truth. The result is a drastic increase in stress and stress-related illnesses. There has never been a greater need to take care of ourselves and ensure that our bodies and minds are able to keep pace with  the strain that we put on them. Two important factors in this are  the ability to eat and regulate a healthy balanced diet and exercise regularly. Concerning diet,  The World Health Organization displays the following shocking statistics for all to see on their website:

  • Globally, there are more than 1 billion overweight adults, at least 300 million of them obese.
  • Obesity and overweight pose a major risk for chronic diseases, including type 2 diabetes, cardiovascular disease, hypertension and stroke, and certain forms of cancer.
  • The key causes are increased consumption of energy-dense foods high in saturated fats and sugars, and reduced physical activity.

Obesity has reached epidemic proportions globally, with more than 1 billion adults overweight – at least 300 million of them clinically obese – and is a major contributor to the global burden of chronic disease and disability. Often coexisting in developing countries with under-nutrition, obesity is a complex condition, with serious social and psychological dimensions, affecting virtually all ages and socioeconomic groups.

These are startling facts and go to prove when stress is also added to the list above, it creates an explosive combination. Eating is a natural process that most people find pleasurable to engage in at any time. If we watch television we are usually  bombarded with commercials for usually exactly the kind of food that we should eat in moderation. It seems much easier these days to eat convenience foods and snacks. At celebratory events such as Christmas or birthdays, we all eat too much of the wrong thing. We live in a society that value quick, easy, uncomplicated solutions to everything including food.

So why would I suggest that eating healthily would reduce stress and improve positive feelings?  Firstly, Apart from the obvious good feeling that comes from being the correct weight, preparing food and taking time to eat it can be a relaxing activity especially with friends or partners. Just engaging in this activity can reduce stress in itself. Secondly, eating a balanced diet can stimulate chemicals in the brain that convey positive thoughts and feelings. Often ingredients in convenience foods have the opposite effect. Eating better is not the whole picture. One must also ensure that food is eaten at regular intervals to avoid snacking or going without. Stress can be made worse when food is not eaten frequently. On the other hand, some people who ‘comfort-eat’, that is eating when bored or under pressure (and usually the wrong things) are only adding to their stress level. A balanced diet with fatty and sugary foods kept to a minimum can be a vital weapon in the battle against stress.

As our society becomes more health-conscious, there has been an increased focus on the importance of exercise. Many people exercise to control weight and get in better physical condition to become more healthy or physically attractive, but exercise and stress management are also closely linked. Exercise can be an extremely effective stress reliever for several reasons: Physical activity helps to increase the production of your brain’s feel-good neurotransmitters, called endorphins. Although this function is often referred to as a runner’s high, a hard game of tennis or a nature hike can also give the same feeling. Regular exercise can increase self-confidence and lower the symptoms associated with mild depression and anxiety. This can ease your stress levels and give you a sense of command over your body and your life. In addition, regular exercise calls for the kind of focus and determination that can distract your mind from other thoughts. Taking frequent effective exercise is one of the best physical stress-reduction techniques available. Exercise not only improves your health and reduces stress caused by unfitness; it also relaxes tense muscles and helps you to sleep. An added advantage is that it can be done socially with groups of people. In contrast to other methods, this social aspect can prove to be crucial for people who are suffering depressive phases. To sum up, any program of stress relief must include an overview of dietary needs and changes and a regular exercise program that is manageable and with realistic goals

 

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