These needs
extend to all those who are directly involved
with a suicidal person - including partners, friends
and carers.
These are just some of the needs identified by
families who have experienced suicide. Although
in general they relate to young people, many of
the issues raised are relevant to other age groups.
When coping with suicidal behaviour families need:
Emotional support
Family members are often living with the worry
of suicidal behaviour on a daily basis. They need
to be emotionally strong to cope with it, and
to be able to respond appropriately to a range
of situations which may possibly arise.
Knowledge and information
about depression and anxiety
Not everyone who feels suicidal is mentally ill.
However thoughts of suicide can sometimes develop
when a person is depressed or anxious. Suicidal
thoughts can be very frightening. To know that
others have experienced the same thing and have
recovered can lessen the fear. As with everything
in life, greater knowledge brings understanding
and therefore better management for all concerned.
see PAPYRUS booklet: ‘Thinking of Ending
It All?’
Advice on how to manage
a suicidal person
Those around the person who is feeling suicidal
can be pivotal to that person's recovery.
see PAPYRUS booklet: 'Not Just a Cry for Help'
For telephone support, information and practical
advice ring
HOPELineUK 08000 68 41 41
Contacts who can offer support
during this very worrying time. See links pages
here. Many parents have told us that when they
were worried about their child they ‘didn’t
know where to turn for help’. Useful advice
from a sympathetic professional or from a voluntary
organisation can make all the difference.
Immediate help in a crisis.
A crisis does not always happen between 9 and
5, Monday to Friday!! People need to know how
they can access immediate help should a suicidal
crisis occur.
Intervention when requested
by the family
Families are often in the best position to judge
when things are bad. Many of the parents who are
members of PAPYRUS have spoken of their 'gut feelings'
prior to their child's suicide.
Fast track referral
to other professionals by GPs. When general practitioners
feel that further intervention is necessary they
need to be able to access appropriate services
quickly.
Appropriate responses
Whilst we are constantly telling people how important
it is to talk through suicidal feelings, it is
equally important that those who are listening
respond sympathetically in a non-judgemental or
critical way. Anything which could lead to further
erosion of self esteem should be avoided since
it will compound the negative feelings which may
have brought the person to a suicidal crisis in
the first place.
Professionals who have received
specific training
- including examples of good practice in suicide
prevention - to enable them to deal appropriately
with suicidal people.
Information about the 'patient'
from the professionals who may be involved. In
a life threatening situation vital pieces of information
and advice can be communicated to the family without
compromising confidentiality. Information from
family members (who are not bound by confidentiality
issues) can often be of value to the professional
in assessing the 'bigger picture'. Services need
to discuss issues of confidentiality and capacity
prior to it becoming a ‘hot’ issue.
With young people limited confidentiality due
to their safety needs / child protection issues
may be in their best interests.
Information about medication
Families and those who are ill need to know how
often their medication should be taken, how long
it will take to have an effect and how to recognise
any adverse reactions. When adverse reactions
have been reported to the doctor he/she may then
consider prescribing an alternative form of treatment.
Frequent, regular contact with the same professional
It can take a long time for trust to develop between
the person seeking help and the professional.
People are less likely to unburden themselves
to a stranger. However, if this is unavoidable
links can be made between professionals and client
and / or introductions made.
Another opinion
No one gets everything right ! It is good practice
for both families and professionals to consult
others if there is an element of doubt about diagnosis,
treatment etc.
Appropriate hospital accommodation
It is desirable that young people are admitted
to wards which are appropriate for their age range
and/or stage of development.
GPs to be immediately advised
of an impending discharge from hospital following
a suicide attempt. The first few days following
discharge is a particularly risky time. Wherever
possible the GP should seek a meeting to establish
a relationship with the family / person who has
been suicidal, so that if another crisis occurs
the family knows where to go to for help.
Readily available support
to be in place at school, college, work, university
etc. with links to appropriate services.
Everyone working with young people needs to be
able to recognise their emotional distress, know
how to support them and know which services to
refer them on to.
Better communication between
everyone involved
Often several individuals or different ‘agencies’
are involved with the one person. It is vital
that everyone knows what is going on. The
family is an important part of this team and should
be included wherever possible.
Support after a death by
suicide
People who have been bereaved by suicide are themselves
a group at higher risk of suicide than the general
population and therefore need ongoing support.
Professionals could ensure that families are aware
of the bereavement support organisations in the
voluntary sector e.g. SOBS
(Survivors of Bereavement by Suicide). Compassionate
Friends, CRUSE
See our links page here.
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