GETTING HELP FOR SUICIDAL THOUGHTS

Suicide Prevention

If you are concerned that someone you know is thinking about suicide or planning to attempt suicide, here are some steps that you can take.

1. Share The Love.

Let your friend know that you care for them and that you would like to help them.
Be direct and open about suicide.
Listen and accept their feelings.
Don’t correct or judge their thoughts and feelings.
Don’t promise not to tell anyone. This prevents you and your loved one from seeking support.

 

2. Ask About Their Plan.

Contrary to popular opinion, asking someone about their suicide intentions or plans does not increase the chances of suicide happening. Rather, bringing it up can help the person feel safe enough to talk about their feelings and thoughts and get help.
How much have they been thinking about suicide?
Do they have a specific plan on how to commit suicide?
Do they intend to carry out the plan?
The more frequent and intense the suicide ideation, and the more specific the plan is, the higher the risk the individual is going to commit suicide.

 

3. Take Action.

Explore other options other than suicide.
Talk about their reasons to live vs. to die. Highlight what there is to live for.
If possible, remove their means of committing suicide (e.g. pesticides).
Sign a no-suicide contract.
Don’t assume that they will get better without help or that they will seek help on their own.

 

4. Get Help.

Make an appointment with a medical health professional (GP, Psychiatrist, Psychologist or Counsellor) and offer to go along.
If the risk is imminent, go to the Emergency Room (UM or HUKM). Private hospitals in Malaysia do not handle suicide emergency cases.

 

5. Self-Care

It is emotionally draining to provide care for someone who is suffering from mental health problems, and/or suicidal.
You can only give as much care as you are cared for. Find someone to talk things over with.

Strength is not in bearing the burden alone, but in bearing the burden together. For yourself and for your loved one.

My Safety Plan

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Safety plan

If you sometimes struggle with suicidal thoughts, complete the form below. When you are feeling suicidal, follow the plan one step at a time until you are safe. 

Feeling suicidal is the result of experiencing extreme pain, and not having the resources to cope. 

We therefore need to reduce pain and increase coping resources. With support and time, these thoughts will usually pass. When they pass, you can put energy into sorting out problems that have contributed to you feeling so badly. The hopelessness you may feel now will not last forever. It is important to reach out for help and support.


 Keep the plan where you can easily find it when you’ll need it.


If I still feel suicidal and out of control:
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I need help now !

You can call Befrienders Malaysia at +603-795 68145 . Their phone lines are manned 24/7 by trained volunteers who are ready to listen to your story and to support you in your darker moments. You can also call the dedicated mental health hotline Talian HEAL 15555 to talk to a counsellor anytime from 8am to 12 midnight.
If you need emergency help, please go to the Emergency Room of any public hospital or call 999 if you cannot go there safely.
References
American Foundation for Suicide Prevention. Risk factors and warning signs. Retrieved 26 September 2016, from https://afsp.org/about-suicide/risk-factors-and-warning-signs/
Aishvarya, Maiam, Oei & Subramaniam. (2014). Suicide attempts in Malaysia from the Year 1969 to 2011. The Scientific World Journal, 2014, 1-13. http://dx.doi.org/10.1155/2014/718367
Armitage, C.J., Panagioti, M., Abdul Rahim, W., Rowe, R. & O’Connor, R.C. (2015). Completed suicides and self-harm in Malaysia: A systematic review. General Hospital Psychiatry, 27, 153 - 165.
Institute of Public Health, Ministry of Health. (2011). National Health Morbidity Survey 2011 — non-communicable diseases-- Volume 2. Retrieved from http://www.iku.gov.my/images/IKU/Document/REPORT/NHMS2011-VolumeII.pdf.
Maniam, T. (1995). Suicide and undetermined violent deaths in Malaysia, 1966-1990: Evidence for the misclassification of suicide statistics. Asia-Pacific journal of public health, 8(3), 181-185.
Maniam, T. H. B. A., Chinna, K., Lim, C. H., Kadir, A. B., Nurashikin, I., Salina, A. A., & Mariapun, J. (2013). Suicide prevention program for at-risk groups: pointers from an epidemiological study. Preventive medicine, 57, S45-S46.
Maniam, T., Marhani, M., Firdaus, M., Kadir, A. B., Mazni, M. J., Azizul, A., ... & Jasvindar, K. (2014). Risk factors for suicidal ideation, plans and attempts in Malaysia—Results of an epidemiological survey. Comprehensive psychiatry, 55, S121-S125.
Ministry of Health. (2005). Malaysia’s Health. Retrieved from http://www.moh.gov.my/images/gallery/publications/mh/MalaysiaHealth2005.pdf
National Suicide Registry Malaysia. (2010). National Suicide Registry Malaysia Annual Report for 2009. Retrieved from http://www.crc.gov.my/wp-content/uploads/documents/report/NSRM_report_2009.pdf.
Sane. How to help when someone is suicidal. Retrieved 26 September 2016, from https://www.sane.org/mental-health-and-illness/facts-and-guides/sane-steps-how-to-help-when-someone-is-suicidal

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