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Sad man

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Sad man

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As helpers, it is important that we assess suicide risk with all of our clients. This can be one of the most impactful things we do as a helper for clients who will receive or are receiving psychosocial interventions. Before assessing suicidal behaviour, it is important to understand the different terms and concepts related to suicide. This is because the types of suicidal behaviour determine what kind of response will be most helpful and appropriate.

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Suicide is the act of deliberately killing oneself.

Suicidal behaviour refers to a range of behaviors that include suicidal thoughts (or ideation), planning for suicide, attempting suicide, and dying by suicide.

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Suicide is the act of deliberately killing oneself.

Suicidal behaviour refers to a range of behaviors that include suicidal thoughts (or ideation), planning for suicide, attempting suicide, and dying by suicide.

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It is important to assess suicidal behaviour before the person acts. If we do not ask a person directly about suicide, we may miss the chance to support someone in need. By asking the people we are supporting about suicide we can find ways to help them.

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Suicidal ideation is a person’s thoughts of suicide. These may be thoughts about wishing to be dead, such as someone thinking “I wish I would go to sleep and not wake up” , or, these may be more current thoughts of suicide, such as “I want to die today” or “I can’t live any longer, I am going to kill myself”.

Suicidal intent refers to when a person has an intention to end their life.

Suicide plan is a plan to take one’s life, which may include when and/or how a person intends to die by suicide. For example, a person might plan to die on a particular day or date, in the morning, by swallowing pesticides.

Access to means of suicide refers to having tools or materials available to end one’s life. For example, firearms, pesticides, medications (prescribed or over-the-counter) or ropes may be means of suicide. Access to means of suicide may be different depending on one’s location and culture.

Suicide attempt is defined as “an intentional self-inflicted poisoning or injury with the intention to die.” This means any behavior where a person does something to themselves (self-inflicted) and that person’s goal is to end their own life. For example, if a person overdoses on prescribed medication with the intention to die, they experience vomiting, and survive, this would still be defined as a suicide attempt. All suicide attempts, whether or not they cause injury, should be treated as seriously as suicide attempts that do cause injury.

Self-harm, also referred to as non-suicidal self-harm or self-injury, is a broader term defined as “intentionally self-inflicted poisoning or injury, which may or may not have a fatal intent or outcome.”

Non-suicidal self-injury means that a person is trying to hurt themselves but may not have the goal of killing themselves. These behaviors can still result in the person dying. For example, a person may die from blood loss after cutting themselves, even if they did not intend to die.

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Suicidal intent refers to when a person has an intention to end their life.

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Learning Exercise:

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Learning Exercise:

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This course will help you to understand the different terms and concepts related to suicide. It will describe ways you can speak with people about suicide, important things to consider when assessing for suicidal behaviours, and how best to respond if a person is at risk of suicide. The course also addresses common myths about suicide.

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