How to Coach Yourself and Others Empowering Coaching And Crisis Interventions | Page 153
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Thoughts and Emotions
Thoughts of suicide
Loneliness - lack of support from family and friends
Rejection, feeling marginalized
Deep sadness or guilt
Unable to see beyond a narrow focus
Daydreaming
Anxiety and stress
Helplessness
Loss of self-worth
Additionally, the Surgeon General's Call to Action on Suicide identifies the following risk factors:
Previous suicide attempt
Mental disorders - particularly mood disorders such as depression and bipolar disorder
Co-occurring mental and alcohol and substance abuse disorders
Family history of suicide
Personal history of abuse-physical, sexual, emotional, victimization
Hopelessness
Impulsive and/or aggressive tendencies
Barriers to accessing mental health treatment
Relational, social, work, or financial loss
Physical illness
Easy access to lethal methods, especially guns
Unwillingness to seek help because of stigma attached to mental and substance abuse disorders and/or
suicidal thoughts
Influence of significant people - family members, celebrities, peers who have died by suicide - both
through direct personal contact or media representations
Cultural and religious beliefs - for instance, the belief that suicide is a noble resolution of a personal
dilemma
Local epidemics of suicide that have a contagious influence
Isolation, a felling of being cut off from other people
Of course, in most cases these situations do not lead to suicide. But, generally, the more signs a person
displays, the higher the risk of suicide.
Risk Factors for Jail Setting
Individuals who are psychotic in a jail setting are also at increased risk for self injurious behaviors and suicide
attempts. The psychotic individual is also at increased risk of being harmed by other inmates due to the
perception of the individual with mental illness as vulnerable or bizarre.
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