Tuesday, June 8, 2021

                                            Suicide, Suicidal Thoughts and Building Resilience

      At times, overwhelming feelings of sadness, hopelessness, worthlessness, and loneliness are enough for some individuals to consider, or attempt to take their own lives. Death by suicide is relatively uncommon but it is estimated that approximately 4,000 people die by suicide each year in Canada (Canadian Psychological Association, 2020). It is more common for individuals to engage in self-harm behaviours and/or entertain suicidal thoughts (CPA, 2020).

     Some individuals may have passive suicidal thoughts such as wishing to not wake up or that something fatal will happen. Others have more active thoughts about ending their lives. It is important to take both passive and active suicidal thoughts very seriously because it indicates that something is not right in the individual’s life (CPA, 2020). Research indicates that suicide is generally more common in people who have mental illnesses such as major depressive disorder, and schizophrenia. Other underlying mental illnesses may include depression, anxiety, or substance misuse disorders. Sometimes chronic pain or physical illness can have a devastating affect for an individual which may also lead to suicidal behaviours (CPA, 2020).

     According to the CPA (2020), most people who seriously consider suicide do not want to die. Sources of stress such as personal relationships, social status, school, work or worries about the future can contribute to feelings of hopelessness and pain. If you or someone you know is experiencing suicidal ideations or has a plan to attempt suicide, talk to someone about your feelings. There are people who can help you to feel better about life (CPA, 2020).

     Although depression and suicide go hand in hand, not everyone who dies by suicide is depressed (CPA, 2020). Never the less, if someone is depressed, it tis important to find out if they are having suicidal thoughts. Individuals who are demonstrating behaviours such as giving away possessions, have written a suicide note, are talking about self-harm, or gathering items to attempt self-harm/suicide are at risk for suicide. Individual who have experienced recent personal loss, or have a history of past attempts are at an even higher risk for suicide (CPA, 2020). Other signs are changes in eating and sleeping habits, withdrawing from others, extreme emotional disturbances, neglect for self-care, and loss of interest in previously enjoyed activities. If you or someone you know is experiencing any of these symptoms or talking about suicide, suicide behaviours or in crisis, its important to stay with them and call for help. A suicide and the associated behaviours is a medical emergency (CPA, 2020). Call for help. Call 911 (CPA, 2020).

     Recent evidence suggests that building resilience may reduce the risk of suicide in at risk individuals. Resilience building for mental health in this day and age seems out of reach for some people (Sher, 2019). We face challenges on a daily basis that erode the foundation of our mental resilience. Care giving needs, finances, health conditions, relationship issues, workrelated issues, lock-down restrictions, and a general lack of support build up to cause emotional distress and overwhelm our precious mental resilience reserve. (Poleshuck, Perez‐Diaz, Wittink, et al., 2019). Evidence shows that attaining enhanced mental resilience comes form developing intrinsic motivation which strengthens our ability to cope with life’s challenges in a positive manner. This can be a protective factor against suicide and suicide behaviours (Sher , 2019). Factors depicted below can contribute to mental resilience (Sher, 2019). Of course the question remains. How do I utilize these factors to build mental resilience? We can build mental resilience by engaging in healthy lifestyles including physical fitness, healthy eating and social activities. Re-structuring our cognition by replacing negative thoughts/thought patterns for positive thoughts and patterns takes skill and practice but is a key ingredient for enhanced mental resilience (Poleshuck, Perez‐Diaz, Wittink, et al., 2019). Stress reducing interventions such as mindfulness, meditation, journaling, and engaging in artful activities are examples of resilience building (Poleshuck, Perez‐Diaz, Wittink, et al., 2019). Working with a qualified therapist can help you build mental resilience, allow you to take control of the chaos and step out of the fog (CPA, 2020).

                                                                                                         (Dreamstime, 2021).


Canadian Psychological Association, (2020). Psychology works fact sheet: Suicide.  

       https://cpa.ca/psychology-works-fact-sheet-suicide/

Photo: Girl with white paper, (2021). https://www.dreamstime.com/photos-images/depression.html

Poleshuck, E., Perez‐Diaz, W., Wittink, M., ReQua, M., Harrington, A., Katz, J., Juskiewicz, I., Stone, J., 

      Bell, E., & Cerulli, C. (2019). Resilience in the midst of chaos: Socioecological model applied to   

      women with depressive symptoms and socioeconomic disadvantage. Journal of Community

      Psychology, 47(5), 1000–1013. https://doi.org/10.1002/jcop.22188

Sher, L. (2019). Resilience as a focus of suicide research and prevention. Acta Psychiatrica Scandinavica,

       140(2), 169–180. https://doi-org.roxy.nipissingu.ca/10.1111/acps.13059

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