Getting past the misconceptions of “suicide intervention”

Xinhua Guangzhou, Sept. 9 (Xinhua Xiao Sisi) September 10 is “World Suicide Prevention Day”, the International Association for Suicide Prevention for this year’s World Suicide Prevention Day set the theme of “No matter who, no matter where: the world works together to prevent suicide” suicide intervention Once mishandled, it is likely that the efforts made will be wasted, or worse, that they will unintentionally become the driving force behind the ‘suicide frenzy’.” Gan Zhaoyu listed the common misconceptions of suicide intervention: one of the misconceptions is “indifference, so that the best time to intervene is missed. Some elderly people suffer from long years of illness and pain and are a priority group for suicide intervention. Before committing suicidal behavior, they may reveal their thoughts of dying many times. The repeated disclosure of light thoughts to family members is not a real desire to die, but a signal to family members to survive. But if the family ignores this, even to the moment of accounting for the aftermath is still not alert, will miss a good opportunity to intervene, and ultimately lead to tragedy.  The second misconception is that “a tiger’s head is a snake’s tail, so that the intervention is lost”. There are many different types of suicides depending on the cause. Impulsive suicides caused by momentary interpersonal conflicts may have long-term effects with short-term interventions. Some suicides are directly driven by psychotic symptoms and the risk of suicide cannot be removed as long as the psychotic symptoms are not effectively controlled. Temporary mental improvement and smiling faces are merely an illusion. This illusion does not deceive the doctor, but it can deceive the family. Family members inadvertently let down their guard, thus making the original timely and effective intervention become a tiger’s head and a snake’s tail, and ultimately a failure.    The third misconception is that “excessive trust in non-professional forces will lead to an empty basket”. For patients with major depression who have strong suicidal thoughts, even professionals have a headache to intervene in their suicide. This is because, as far as the current technical means are concerned, there is not yet any method that can immediately eliminate the suicidal thoughts of patients. The current common practice is to buy time for the antidepressant to take effect by putting the patient to sleep for several days with high doses of sedative-hypnotic drugs, making him/her unable to commit suicidal acts. It is common for families to overestimate their ability to intervene, and sometimes blind confidence in the power of non-professionals can only lead to a tragedy in return.    The fourth misconception is “talking about principles in front of life”. When the threat of suicide is used to bargain with others, when such negotiations unfortunately occur, as a party to the negotiation, do not use the ‘principle of non-concession’ as the bottom line of the negotiation, and flatly refuse the conditions proposed by the other party to the negotiation, even if the conditions are unreasonable. The correct approach is to find ways to stabilize the other party’s emotions, even if you can not meet all of the other party’s requirements, at least let the other party see hope. If there is really no way out, you can temporarily agree to the request, because such an agreement is legally invalid, and then seek a solution when the danger is removed. Very often, people who threaten suicide are often trying to get the attention of society in an extreme way and do not really want to die. Therefore, interveners in such crises need to understand the true intentions of the other party in order to be able to negotiate with ease. There are many ways to intervene in a suicide, but whatever the form or means, the ultimate goal should be to save the person and to help them save themselves. If such an end goal is deviated from, then it is important to review whether such interventions are timely and sustainable.