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Ch. 8 Suicide. Dr. Ashlea Smith. Suicide Sites. Golden Gate Bridge , San Francisco , California - over 1,500 suicides Beachy Head , East Sussex , England , United Kingdom - about 500 suicides
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Ch. 8 Suicide Dr. Ashlea Smith
Suicide Sites • Golden Gate Bridge, San Francisco, California - over 1,500 suicides • Beachy Head, East Sussex, England, United Kingdom - about 500 suicides • Prince Edward Viaduct, Toronto, Ontario, Canada - over 400 suicides, but none since the completion of the Luminous Veil suicide barrier in 2003 • Eiffel Tower, Paris, France - about 350 suicides • Coronado Bridge, San Diego, California - more than 200 suicides (1972 - 2000) and many more after[1] • Rio Grande Gorge Bridge, Taos, New Mexico • Aurora Bridge, Seattle, Washington – over 230 suicides since 1932,[1] with over 50 from 1997-2007[2] • Jacques Cartier Bridge, Montreal, Quebec, Canada - over 143 suicides. Suicide barriers have been erected in 2003. • Sydney Harbour Bridge, Sydney, Australia - about 40 suicides • The Gap, New South Wales, Sydney, Australia - about 50 suicides annually • Empire State Building, New York, New York - at least 32 suicides • Tyne Bridge, Newcastle Upon Tyne - at least 20 suicides • Montreal Metro, Montreal, Quebec, Canada - over 129 suicides • Niagara Falls • Humber Bridge 195 deaths, 5 people have jumped but survived. • Mexico City Metro, Mexico City, Mexico • Cliffs of Moher, County Clare, Republic of Ireland • Vienna U-Bahn, Vienna, Austria • Main Building of The University of Texas at Austin, Austin, Texas - 9 (does not include Charles Whitman shootings) [2] • Sunshine Skyway Bridge, Tampa Bay, Florida - at least 90 suicides • Aokigahara, Mount Fuji, Japan - averages around 70 suicides per year • Clifton Suspension Bridge, Bristol, England - 127 between 1974 and 1993 plus many more before and after • Göltzschtalbrücke, Reichenbach (Vogtland), Germany • Gateway Bridge, Brisbane, Australia - suicide barriers have since been erected. • Bosphorus Bridge, Istanbul, Turkey - Pedestrians are not allowed on the bridge. • Minar-e-Pakistan, Lahore, Pakistan • Vasterbron, Stockholm, Sweden - number is not known but should exceed a few hundred. • Grafton Bridge, Auckland, New Zealand - suicide barriers have since been erected
Aurora Bridge" George Washington Memorial Bridge” Seattle, Washington
Agenda • Test scores • Attendance • Group activity • Case Study • Discussion/articles Cutting/Self mutilation/Body Modification, etc. • Power Point
Debate Both sides of the story Legal Illegal • It should be legal for doctors to help patients kill themselves “medically assisted suicide” • It should be illegal for doctors to help patients kill themselves “medically assisted suicide” • Terry Shavo, Dr. Kevorkian
What do you think about suicide? • Thoughts • Feelings • Emotions associated with this • Reasons • Stressors • Religion? • Etc.
Risk Factors • Abuse • Depression • Personality disorders • Anglo Americans • Middle age • Unemployment • Impulsive • Emotional • Moodiness • Unhappiness • Lack of self confidence • IQ above 135 • Def: intentional death, self-inflicted death, intentional, direct, and conscious effort to end life
4 types of people who Commit Suicide • Death seekers-guarantee a fatal outcome • Death initiators-feel that they are already dying • Death ignorers-another form of life “grass greener on other side” incarnation • Death darers-attention, guilt, anger, risk taking
Patterns and Stats • Austria-highest suicide rate in world • Women v. men • Methods men v. women • Native Americans 1 ½ times the national average • Divorced, no close friends
Triggers • What do you think causes someone to contemplate suicide?
What do our Models Say? • Psychodynamic-depression, anger, self hatred • Sociocultural-poor relationships, no sense of belonging, sacrifice self for others • Biological-hereditary, serotonin • What is serotonin and what disorders have you learned thus far that play off this neurotransmitter?
Suicide & Age • Children-500 a yr, 14 and under in US, stabbing, cutting, burning, overdosing, jumping from high places • After one runs away, aggression, acting out, personality changes • 6-33% thought about suicide • Adolescents-2,000 in US, 3rd cause of death • 50% have thought about it • Triggers”parents, illness, boyfriend/girlfriend • Elderly-19% over 65, ill, lose family/friends/control, 1 in 4 succeeds
Treatment • Crisis intervention • Hospitalization • Observation • Suicide contract • CBT • Drug therapy • Psychoeducation groups • Support groups • hotlines