How
to Help Prevent a Suicide
Dr.
Bill Gaultiere
Executive
Director of New Hope
Its
4:30 am. Most people are still curled up under the covers sleeping.
Eileen, a New Hope volunteer crisis counselor is sitting by the
phone in the Tower of Hope at the Crystal Cathedral available
to help anyone who calls in. The phone rings
"Good
morning this is New Hope and my name is Eileen. How may I help
you?"
"This
is Wayne. (Not his real name.) I-I-I-Im sitting here
with a gun in my lap."
"You
have a gun Wayne?"
"Yes.
I have a gun, and, ah I want to know what God will think if I
use it on myself."
"Wait
a minute Wayne, I want to hear whats going on with you.
First, will you set the gun down and put it away in a safe place?"
"Okay."
"Tell
me whats upsetting you."
"I
want to go to be with my grandparents in heaven
."
"It
sounds like you were close to them and you miss them terribly."
"Yeah.
The gun is my grandfathers. He used to take his life after
the stock market crashed. Then my grandmother used it to take
her life. Now I want to use it to end my life. My boys will be
better off without me
."
"Oh,
I see. I hear you dont want to go on any longer, it feels
too hard. But lets talk about your boys. They need you as
much as you needed your grandparents. Isnt it possible,
just possible, that you can somehow get through this awful time
with Gods help and show the boys an example of how a man
finds inner strength during the hard times in life?"
"I
wish I could do that for them
."
"I
can tell that you really love your boys. They need you so much.
I know that with Gods help you can be the father you want
to be
Would you like to pray with me about this?"
"Yes."
"Dear
Lord, Wayne needs your help. I thank you that youre holding
him up in this tough time - right now
."
"Thank
you. I think I can make it into work this morning."
"Thatd
be good. And please call back to New Hope after you get off work.
Let us know how youre doing. I care! We care!"
"Thanks
Eileen. I will call back tonight."
"Thanks
for calling New Hope Wayne. God loves you and so do we."
New
Hope Saves Lives!
From
the portion of this phone call you can see that Wayne found New
Hope and chose life. His story, is all too common. In the United
States alone, 82 people a day commit suicide. If it werent
for New Hope it might be 83 people a day. Most every day someone
who is suicidal finds New Hope for living by calling (714) NEW-HOPE
or going online to www.NewHopeNow.org.
New
Hope has been answering the calls of people in despair since September
15th, 1968 when Dr. Robert Schuller and Arvella Schuller
started the New Hope Telephone Counseling Center to be "A
light that never goes out, an eye that is never closed, and ear
that is never shut, a heart that never grows cold." The light
has never gone out since. 24 hours a day, 365 days a year, New
Hope volunteers at the Crystal Cathedral are compelled by the
love of Jesus to help prevent suicides and to care for hurting
people.
How
do we do it? How do New Hope volunteers help the suicidal chose
life? Its a lot easier than you think. You too can help
save a life! You too can give New Hope to those who want to
end their lives. As our Pastor Jim Kok says, "90% of helping
is just showing up."
If
you know someone who is discouraged, despairing, or at risk of
suicide then go talk to that person. Ask how he or she is doing
and listen. Express your care and concern.
You
Can Prevent a Suicide!
You
can begin right now by educating yourself about suicide and how
to respond to those who are depressed or despairing. Be prepared
so that you know how to respond.
The
kind of people who are suicidal may surprise you. Its
often people who seem to have their lives together. They may be
successful, have an important job, look attractive, be full of
potential, or be surrounded by people who care about them. Yet,
they dont see or appreciate these things.
They
feel bad about themselves and their life and they cant seem
to change how they feel. Their pain has become hopeless and
unbearable for them. Ending their life seems like the only way
out. Its not. But they need our help to realize that.
Following
is a concise summary of some of the most important information
related to suicide to help you be prepared to offer your support
and hope.
Know
the Facts of Suicide
- Suicide
can be prevented. All suicidal people are ambivalent; part
of them wants to die to end the pain and part of them wants
care and help to live. In the moment of crisis they are unable
to see any other alternative to their problem besides killing
themselves.
- Warning.
Before someone attempts suicide they usually give warning of
their intentions.
- Ask!
Talking about suicide does not cause someone to be suicidal
it lets them know that you care!
- Guns.
60% of those who kill themselves do so with a firearm.
- Survivors.
Each suicide traumatizes an average of six loved ones who must
overcome suicides negative legacy. 1 out of every 59 Americans
is a survivor of suicide.
Know
the Groups at Risk of Suicide
In
an effort to stop suicides, quite a bit of research has been done.
Certain groups of people are more at risk than others.
Who
is at risk?
- Those who
have previously attempted suicide are prone to attempt
again.
- Survivors
of suicide (e.g., family and friends of suicide victims).
- Those who
have suffered a recent loss (e.g., death of loved one,
divorce, loss of job, health setback).
- Anyone
with depression (20% commit suicide which is 50% of all
suicides), alcohol dependence (10% commit suicide which
is 25% of all suicides), or schizophrenia (10% commit
suicide which is 10% of all suicides).
- People
who are socially isolated.
- The elderly,
two-thirds of which were in relatively good health. (Contrary
to popular opinion only 2-4% of suicide victims have been diagnosed
with a terminal illness.)
- Men
are over three times more likely than women to commit
suicide. (Women are over three times more likely to attempt.)
- Whites
are twice as likely as non-whites to commit suicide.
- Youth
(15-24 years of age) are 200% more likely to commit suicide
today than in the 1950s. (1 out of every 100 to 200 young
people attempt.)
Know
the Warning Signs of Suicide
People
who intend to kill themselves have mixed feelings. Because part
of them does want to live they make their desperation known directly
or indirectly.
Its
up to us to listen:
- Comments
or notes about giving up, not wanting to live, or committing
suicide.
- Withdrawal
from family, friends, and social activities.
- Loss
of interest in hobbies, work, school, etc.
- Preparation
for death by making out a will and final arrangements.
- Giving
away prized possessions.
- Preoccupied
with death and dying.
- Having
trouble eating or sleeping.
- Drastic
changes in behavior.
- Loss
of interest in personal appearance.
- Increased
use of alcohol or drugs.
- Taking
unnecessary risks.
Know
What Suicidal People Feel
Those
who are suicidal are in pain. It may be physical. Its always
emotional. And they feel that they just cant manage the
pain anymore. Good feelings dont stick around and they think
that they cant sit with the bad feelings any longer.
The
suicidal feel that they:
- Cant
stop the pain.
- Cant
make the sadness go away.
- Cant
get out of depression.
- Cant
see themselves as worthwhile.
- Cant
think clearly.
- Cant
make decisions.
- Cant
sleep, eat, or work.
- Cant
get someones attention.
- Cant
see any way out other than suicide.
Know
the Downward Spiral of Negative Self-Talk in Suicidal People
To
attempt suicide is the ultimate act of self-destruction. Every
person Ive ever talked to who was suicidal was besieged
with negative self-talk. Living with themselves made them miserable.
They were constantly attacking themselves in one way or another.
This
is what its like to live inside the head of a suicidal person:
- "Youre
incompetent (or unattractive, or too shy)."
- "Dont
apply for that job, youll never get it." (Or, "Dont
try to befriend her she doesnt care about you.)"
- "Thats
a lousy company. (Or, "You know you cant trust women.")
- "Just
be by yourself. Whod want to be with someone as miserable
as you?"
- "You
idiot! You creep! Youre worthless!"
- "Go
ahead and drink, youll be more relaxed."
- "See
how bad you make your family feel. Theyd be better off
without you."
- "Whats
the use? Your work (or marriage) doesnt matter. Why try?"
- "Why
dont you just drive across the center divider?"
-
Calm, rationale, obsessive thoughts like, "Get some pills.
Go to a hotel
."
-
"Youve thought about this long enough. Just get it
over with. Its the only way out!"
Know
How to Give New Hope to the Suicidal
If
youre concerned that someone you know is at risk then the
most important thing that you can do is talk to him or her. Express
your concern. Ask, "How are you feeling?" and listen.
Or talk to us at New Hope by calling (714) NEW-HOPE or www.NewHopeNow.org.
Were here to help you and your loved ones to choose life!
Heres
how we do it at New Hope (You can do this!):
- Relax!
Stay calm! You can help.
- Establish
rapport. (e.g., "You sound like youre in a lot
of pain. Im concerned for you.")
- Assess
the suicide risk. Ask if he or she is thinking about suicide,
has a plan of how to do it, has the means to do it, has attempted
before, has family or friends who have suicided, etc. (Some
people mistakenly think that you shouldnt ask, lest you
provoke an attempt. This is wrong. You should always ask!)
- Diffuse
the emotional crisis with empathy. Draw out and actively
listen to his or her feelings and reflect back what youre
hearing to demonstrate your care and to build a connection.
(Dont give advice. Dont ask why. Dont act
shocked. Dont be sworn to secrecy. Dont dare him
or her to do it.)
- Reinforce
reasons to live. Remind him or her of particular loved ones
who care for or who need care from the suicidal person. Focus
on positive activities or opportunities that he or she might
look forward to. Remind him or her that things will look differently
and seem more manageable tomorrow.
- Set
a contract. Have the suicidal person commit to removing
the means (give the gun away, throw away the pills, etc.) and
checking in again soon with you or someone else who cares like
a doctor, therapist, pastor, family member, friend, or a crisis
hotline like New Hope.
For
additional help for if youre concerned about someone who
is at risk of suicide or you are a survivor of suicide you can
contact the American Association of Suicidology at www.suicidology.org/things.htm
or (202) 237-2280. Or you can contact the American Foundation
for Suicide Prevention at www.grief-recovery.com/contents.html.
A helpful book to read is Suicide and the Inner Voice by
Dr. Lisa Firestone.
If
you are suicidal yourself right now, then please call (714) NEW-HOPE,
another hotline, or a local pastor or counselor. Dont keep
quite! Get help!
*
Portions of this article are edited versions of information provided
by the American Association of Suicidology or Dr. Lisa Firestone.
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