Anxiety
Ken Robbins, MD, a clinical
professor of psychiatry at the University of Wisconsin, in Madison,
notes that about half of depressed people have "melancholic depression,"
and are listless, fatigued, and have a loss of appetite.
The other half have "agitated depression." Anxiety is the main symptom, says Dr. Robbins, but these people may also experience restlessness, difficulty sleeping, and trouble focusing.
"People who are agitated are more at risk for suicide because anxiety is so uncomfortable," says Dr. Robbins.
The other half have "agitated depression." Anxiety is the main symptom, says Dr. Robbins, but these people may also experience restlessness, difficulty sleeping, and trouble focusing.
"People who are agitated are more at risk for suicide because anxiety is so uncomfortable," says Dr. Robbins.
Buying a firearm
One of the loudest and clearest
warning signs is buying a gun. Access to a firearm in the home
significantly increases the risk of a suicide—by up to 10 times,
according to a 2008 article in the New England Journal of Medicine. Guns account for less than 10% of all suicide attempts, but those involving guns are far more likely to be fatal.
"Two to one, men complete suicide more often than women," says Dr. Robbins. "And it's largely because of the method they choose, not because of the intent that they have. Men tend to use firearms; women tend to take overdoses."
"Two to one, men complete suicide more often than women," says Dr. Robbins. "And it's largely because of the method they choose, not because of the intent that they have. Men tend to use firearms; women tend to take overdoses."
Health problems
Although most people think
teens are at higher risk of suicide than others in the population, it's
actually people 65 and older who are at greatest risk. The elderly
accounted for 16% of suicides in 2004, according to the National
Institute of Mental Health.
Depression isn't a normal part of aging, but a chronic health condition, a loss of independence, or problems with vision or hearing can increase the risk.
Depression isn't a normal part of aging, but a chronic health condition, a loss of independence, or problems with vision or hearing can increase the risk.
Internet searches
Signs that someone is
considering suicide may also show up on a computer. For instance, a
Web-browser history may show that a person has been researching suicide
and ways to kill himself, Dr. Clayton says. "With a teen, especially,
parents should be monitoring Facebook or MySpace," she adds.
Asking about suicidal impulses does not "put ideas" in a person's head, says Dr. Robbins. If you're concerned about suicide, you need to ask the person about it directly. If the person has access to guns, medications, or other items that could be used for self-harm, get rid of them. Most importantly, you should contact a health professional.
Asking about suicidal impulses does not "put ideas" in a person's head, says Dr. Robbins. If you're concerned about suicide, you need to ask the person about it directly. If the person has access to guns, medications, or other items that could be used for self-harm, get rid of them. Most importantly, you should contact a health professional.
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