Suicide

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Don’t ask me why I’m doing this. An absence of anything to bash on about I guess. So I thought I’d peruse the global news stands and link the interesting stuff back here. I’m such a martyr for the cause, I know.

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As if we didn’t have enough to get our biopsychosocial teeth into lately - this latest event gives us opportunity to debate that ever popular yet seldom reconciled issue: Euthanasia.

This week the GMC has determined to suspend Dr Iain Kerr for 6 months following his decision to prescribe to an elderly woman who died from an overdose of prescribed tablets (Temazepam, anti-histamines and painkillers). Dr Kerr had (re)prescribed the Temazepam only three days after a failed overdose suicide attempt. She died 11 days later from a second overdose. The woman was 87.

Dr Kerr said he gave Patient A the sleeping pills as an “insurance policy”.

He told the hearing in Manchester: “She said ‘Give me something that I can take if things get too bad’ and I said yes.” [source]

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Pro suicide sites

Our old friend in the check shirt is back on the BBC website: -

Whenever he appears, you know it’s a mental health issue they’re reporting. This time it’s pro-suicide websites. Researchers from Bristol, Oxford and Manchester universities have found that pro-suicide sites are frequently thrown up by a web search for suicide-related information:-

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Ok, I don’t mean this is “goodbye”.

An article in the Telegraph today caught my eye reporting on suicide in kids. The first thing that I notice, probably displaying my unfortunate mental health cynicism was the expert opinion of;

Dr Dylan Griffiths, an adolescent psychiatrist at the Priory Ticehurst House Hospital, explains that it is often down to the interplay between our internal and external worlds, the point where our internal circuitry is affected by external triggers.

Kind of astute. Suicide occurs where the external real world doesn’t mix well with the inner egocentric world. Or, there’s an incompatibility between life and existing in it.

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Thanks to everyone who offered advice in my last post. Was seen last week by a whole host of people – some said hospital was what I needed (and suggested detention if I “couldn’t go voluntarily), others weren’t sure and some said hospital would be the wrong place for me. So I was “offered” a voluntary admission although allowed to stay home if I chose not to go.

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Hi would really really appreciate any help or advice that anyone could offer on how to avoid being detained under MHA.

I’ve been “ill” (altho that doesn’t seem like the right word) for the past 11mths with PTSD and depression and have felt suicidal to a greater or lesser extent for alot of that time. Things get a little better then MUCH worse and it seems like I’m heading towards worse.

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Hi i have an interview next month, for my nursing diploma, i have wanted this for so many yrs. I have suffered bouts of depression for yrs, due to a bad childhood, but always worked through them, and carried on working. But last year i had a personal tragedy, the worst thing that could happen to a mother, i stayed strong for couple of months but then cracked. had a breakdown and tried suicide. I have never felt this feeling of despair ever in 40yrs of life. A monster took over me, i am now in therapy and feeling much better, i now look forward to the future again. I have been in college doing a-levels in all this trauma, so i know i can do it, i am so determined, i just had a flash of weakness. Anyway what i want to know, does my doctor have to give all my details like the suicide, as i am so ashamed now. I know OH have to look up records, but to what extent, and should i wait till it comes up to explain, or discuss it in the interview. Please help i am really worried, because i have done so much to get this far.

Thanks Calligas

Similar posts can be found here:

Mental Nurse - Help Wanted and also here.

I`m not exactly sure, I think it was the early `70`s, when natural gas came online. Prior to that the country was reliant on coal gas. Coal gas was toxic as a consequence of which switching on the gas and putting your head in the oven was a common method of taking your own life. Nowadays, a lot of people and a whole new generation of nurses won`t remember that.

What`s my point ?. I can`t help thinking that we`re going in circles. Human beings are quite ingenious, if you deny people one option in terms of taking their own life, they will quickly conjure up another. Of course, I`m not for one moment suggesting that we give up on managing the risk of suicide. I`m simply suggesting the time has come to think a little more smartly about it.

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Maria needs help. Remember that.

So after a few weeks of Crisis In The Community she turns up in the police cells after shouting and screaming in the street. Just boyfriend trouble but it spilled out and the neighbours got involved and there’s a touch of arson and a bit of self harm….anyway upshot is, she’s in the cells and then gets assessed and ends up voluntarily on the ward. Boyfriend wants nothing to do with her now. Its over, he’s had enough. Remember that.

Maria makes friends quite quickly on the ward. This makes staff suspicious. Read the rest of this entry »

OldSchoolBaby has dropped enough hints in the comments on the previous post to embarrass me into putting up a post. Being an acute ward nurse he is unused to the slow steady pace suited to the needs of care in the real world……its all dash, rush and adrenalin for him in the artificial environment of the ward. Still horses for courses. This is a pretty bleak post again so be warned…….I promise to be a bit more upbeat next time.

A second post on the subject of service user death. This one is a bit more selfish than the last, preoccupied as it is with how managers (at least mine at the time) didn’t care about the people they employed.

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Please please tell me this is a joke:

Safe clothes & blankets for suicidal inmates in jails and prisons.

Link found on Mental Illness Casually.

Though looking again it makes some of my ideas look a bit more palatable. I was considering special velcro soled shoes and velcro carpets at the exits ?

“What should I do next ?”

The question came up while trying to convince my partner that the Muppet Show had hidden depths, it does. Trying to make me stop talking about Muppets the issue of Mental Nurse was raised. I asked the above question.

“Do something serious”

Was the suggestion. I was shocked. Serious ? More serious than the cynic’s guide to job adverts or the psychiatric hotline.

“Write about something that affected you deeply.”

This did not sound good.

“You mean ..?”

I said.

“Yes.”

So here it is. A brief snippet of my worst shift ever and a little about the effect nursing had on me. I strongly suggest you don’t read it.

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I’m almost over the shame of forgetting about my dead patient. I’ll just need to make sure it never happens again.

I was reading Stupidity Costs Lives from Bloom. It reminded me of my introduction to stupidity in the work place. The following tale involve Ethel & Doris. While both Ethel & Doris were psychiatric inpatients neither of them were incapable of rational thought. Both were more than capable of understanding cause and effect and using common sense.

Well you would have thought so.

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BBC NEWS | Scotland | Scottish suicide toll revealed

The latest figures show that people in Scotland are twice as the latest figures show that people in Scotland are twice as likely to kill themselves as in the rest of UK.

Why are people so much more likely to kill themselves in Scotland. Is it due to the longer winters. Or down to rubbish diets leading to more suicidal babies being born ?

Babies weighing 2kg or less were more than twice as likely to commit suicide as adults than those weighing between 3.25kg and 3.75kg, according to the findings published in The Lancet medical journal.

Or maybe even teenage mothers ?

Children born to mothers under 19 years old were also more than twice as likely to commit suicide as those born to women aged 20 to 29.

In England suicide rates under labour were the lowest since 1973.

Adult suicide rates are the lowest they have been for 30 years, according to new government figures.

Unless you live in Blackpool where the rate is twice the national average.

Luckily the courts are there to help the distressed

A woman who has attempted suicide four times has been banned from jumping into rivers, canals or onto railway lines.

That will stop her !

23 March 2005

This weeks nursing times takes about a thousand words to say that criminalising the mentally distressed is a controversial decision.

Arch Gen Psychiatry — Abstract: Smoking and the Risk of Suicidal Behavior: A Prospective Study of a Community Sample, March 2005, Breslau et al. 62 (3): 328

Current daily smoking, but not past smoking, predicted the subsequent occurrence of suicidal thoughts or attempt, independent of prior depression and substance use disorders

Of course from the looks of this you might end up dead by your own hand before ling cancer becomes a problem. Every cloud, silver lining.