Rsearch by Dr. Chua - Is Depression Associated with Suicide?

Dr Chua further explains that stressors contribute to suicide are loss of a loved one through divorce, death or break-up of a relationship; interpersonal or family conflicts. School problems, financial dilemma, family violence are stressors that aggravate the situation because they lesson the much-needed support responses to an adolescent crisis.

My suspicion on media displaying acts of suicide can also contribute to suicide ideation. Dr. Chua agrees that television, newspaper or radio coverage of suicide (or exposure to a recent suicide or suicide attempt in the community) can serve as a trigger for vulnerable adolescents to act on suicidal thoughts and plans. This is what is termed as "cluster suicides."

Our children do not readily talk about their suicidal thoughts. They feel relief when a confidant or a medical professional brings up the subject matter to them. Dr Chua adds that : When this comes up, it is best to ask questions in a nonjudgemental, non-threatening and direct manner, like, "Have you thought of suicide?" "Are you thinking about suicide now?" "Do you have a plan for doing it?" If answer is affirmative, "What is your plan for committing suicide?" A positive response indicates the need for more professional questioning and assessment of risk factors, and the plan of counseling or therapy is based on the degree of risk.

Here are some points raised by Dr. Chua.

* Is depression associated with suicide?

Clinical evidences show that depression is very strongly associated with suicide. The symptoms and signs include depressive mood, reduced interest or pleasure, isolation from family and friends, weight loss when not dieting, or weight gain, insomnia or hypersomnia (sleeping a lot), fatigue, diminished ability to think or concentrate, indecisiveness, irritability, unusually argumentative and temperamental behavior, hyperactivity, delinquency, school failure, repeated accidents or injuries, sexual acting out, etc.

* What can friends and family members do?

Family members and friends, who notice signs of depression and/or suspect suicidal tendency should show understanding and compassion without anger or condescension to the individual in distress. They should reassure the person that his/her current emotional condition is temporary and treatable. They should suggest professional help but this should be done without intimidation or coercion. A "no-suicide" contract, where the adolescent pledges not to attempt self-destruction, is often helpful but cannot be totally and solely relied upon.