Course of action after a suicide attempt

I thought lithium was an effective treatment for BPD, no?

That is why I am saying that they are being unintentionally selfish. There are people that do it for maximum effect, sure. But those who see no other way out, have mental issues etc... may not consider, or realise, the hurt and suffering they are potentially causing by carrying out this act.

lithium is used to treat manic depresion/bi-polar disorder not borderline personality disorder. If you've seen Girl interrupted, Winona Ryder was diagnosed with borderline personality disorder.

Trusty DSM IV

Lithium's for bipolar disorder I think. None of the personality disorders have any effective treatments at all at the moment.

Edit: Pipped again.

Soz, was getting the bi-polar thing mixed up with the personality disorder thing.
Jesus, poor guy, though...

Not 100% true, I treat my social retadedness disorder with alcohol. I've found it to be very successful.

Oxcarbazepine and fluoxetine have been shown to be quite effective. But I agree with Timmeh.

Fluoxetine - unless there have been changes in the last few years it's marginal at best. I'll look up the other one.

The combination or both. Not fluoxetine alone.

what about SSRI's being used to treat it?

Fluoxetine (prozac) is an SSRI.

They don't really work. Some people show some improvement, that's about as good as it gets.

why didn't they call it Prozac in the first place, then
trying to blind us with science, innit

THE RESPONSIBLE PARENT'S GUIDE TO HEALTHY MOOD-BOOSTERS FOR ALL THE FAMILY

what about looking at possible causes instead of throwing pills at it?

by the way, doesn't EVERYONE fulfill all the above criteria for BPD at some stage and often all at once...that's the problem with treating things that are understood as a list of symptoms when patently each case is probably unique based on circumstances and the individual...

Also, someone said earlier that there are low recurrence rates for people who fail first-time round...is that true? It isn't in my experience, as those who i've heard of who haven't been successful usually did it for effect and continue using it as that...I mean, if you REALLY meant to do it...couldn't be too hard...

NO! Masturbation makes you blind. Science tries to come up with the reasoning WHY masturbation makes you blind. Or something

even better, why not do both? There's nothing wrong with taking medication for an illness

sure thats better, but rarely the case...

Sorry. Can you say that again in Braille?

Too used to wart reading Sin?

No warts on me brokenm

@Pirulero

The personality disorders are increasingly looking as if they are caused by attachment difficulties between mother and baby, particularly in the early years. In terms of treatment that doesn't help a great deal, unfortunately. It might help prevent future cases if everyone could agree what to do about it but I don't see that happening.

If you look at the raw criteria it does seem as if most people could qualify for one or other of the PDs. The key thing is that for sufferers they are like this for most of their adult lives.

Unless you're French. Then it makes you deaf.

Fcku I didn't know Helen Keller was French!

Check out:

www.satanservice.org

and read the

How To Kill Yourself Meta Guide

Might end this thread.

That was just her accent.

@Yeti nice

definitely true, it's why anti-depressants often come with the warning that it could increase suicidal tendencies. seems like it would be contradtictive, but when someone who has no energy starts to come out of this lethargic, depressive state, they still have the same thoughts but suddenly the energy to follow through on them.


I adore the DSMIV, good bedtime reading. and the nerd side starts to reveal itself



Actually, that's quite frequently the case. Rarely will treatment only include medication and nothing else. Granted, verbal therapy doesnt always get to the cause of the problem effectively, but in the vast majority of clinical depression cases medication is only suggested after time spent with a therpist hasn't been effective.

would that that were true. There is actually very little difference between the cry for help and real attempts at suicide as ignorance of how the body works is as endemic in both groups.

One artefact of suicide studies in the UK was that in the mid-60s there was a massive decline in the number of successful suicides in the UK. This was claimed by the government of the times as an artefact of rising prosperity.

It was not.

Instead, the switch from coal gas (which was poisonous) to North sea gas (which was not) meant the tried and tested suicide route of the head in the oven no longer worked.

These days, paracetamol overdoses are a common 'cry for help' route to suicide. They make people ill and get them hospitalised. But death happens days or weeks later in escruciating pain from liver and kidney failure.

medication is often a necessary base for successful therapy. depression kinda destroys your ability to analyze and think about your situation.
it always depends on how severe the case is, as for mild depressions medication is often prescribed unnecessarily.

lots of people are afraid medication might change their personality- I think rather that depression changes your personality and meds bring you back to yourself.

ontopic:
I think there is no law how long people should be kept in psychiatry as long as they are no more danger to themselves or others. Usually they stay a couple of days to analyze the situation and look for potential solutions. if s.o. doesn't want to be get helped, then they have to release him.

I don't know about the law. But without going into too many specifics. A coworker of mine called me up and would ask what people were saying about her. I responded, "aahh, nothing". This continued until the point I had to call her and ask why she was not at work. She then asked it were normal for a German landlord to install cameras? I asked, where? Of course, in her lights. I then had to go over to her place with another coworker and after speaking with our boss (whose wife is a neurologist-in Germany all neurologists must study psychiatry as well) and tried to convince her to come with me to the hospital. The problem was that my boss said that once admitted she would be there for a minimum of three months. The problem is that the anti-psychotic medicine that she would be placed on requires this time window for the patient to acclimate to the medication and problems can result without dutiful watching. As she was a foreigner they could not release her to be overseen by a family member. Now she may have checked herself in voluntarily, but after that she had no choice but to remain. I was there during the interview or her first meeting with the psychiatrist. Quite strange, due to the language barrier. One question was what she thought, "Time flies when your having fun meant". Her explanation was spot on, but it took a few minutes of discussing before the doctor understood her. I liked his explanation of her problem. He said that everyone should think that they are a ship on a wave of emotions floating through life. Sometimes the ship is quite small and it is easy for the waves to disturb it. Other people have large boats and the waves are hardly noticed. He is just going to try and help her stabilize her boat.

That being said, the next week a group of ten medical students went there to begin a rotation and waited in the room. The physician started asking questions about why they studied medicine, where they were from and similar questions. After about twenty minutes the physician walked in and said the almost classical line, "Oh, I see you have all already met Patient XXX"

Methane is methane so that sounds not right to me. If for some bizarre reason it is, then a match will make all things equal.

Don't know Eurovol, but maybe this coincided with the required addition of an odorant such as ethyl mecaptan? Does anyone know when this became standard?

Indeed eurovol. I believe asphyxiation would occur at some point with the "head in the oven" technique

a website i came across today : http://www.thebestpageintheuniverse.net/c...u=manly_suicide title 'How to kill yourself like a man'.

Which is why in Europe the are now only sold in small packets so people are much less likely to have a killer dose in the house. IIRC, the number of deaths has decreased as a result. Doesn't stop Americans complaining about not being able to buy a jar of 500 like at home mind.

What stops them from buying a 20 or 50 tablet box at every pharmacy within walking or MVV distance? It's non-prescription. Anyone determined enough will succeed. But I suppose the same goes for salt - if you can get enough of it down it will kill you.

No one should ever use paracetamol unless they are allergic to asprirn or a young child. It is amazing how bad for you one paracetamol (acetaminophen) can damage you after having only a couple of beers. Stick to codeine.

Actually you are correct. gas made from burning coal has carbon monoxide which is poisonous. Natural Gas is methane and it is not poisonous, it just can lead to suffocation by preventing oxygen from entering your lungs.

Coal Gas had carbon monoxide in it so it was toxic.

head in the oven will only get a mix of air and gas so with straighforward North sea gas, which is not poisonous and almost pure methane, it might induce nausea and light headedness but that is all.

Coal gas, however, was a biproduct of the manufacture of coke which was produced through the heating of coal in the absence of air. Consequently, coal gas contained a lethal cocktail of methane and carbon monoxide which could kill even when mixed with air in a head in the oven scenario.

The dramatic drop in successful suicides in the UK that occasioned the switch from coal to NS gas is well attested in the psychiatric literature and has led to strategies to render all potential toxins that could be used by suicidees to be non-lethal in an attempt to save individuals from suicide.

someone tell bFarm - codeine is not an OTC drug in Germany mores the pity.

The wife complains of these symptoms quite often.

You can still die slowly from methane asphyxia or light a match to make it faster.

but all the Brits at the end of the 60s sticking their heads in ovens to die from carbon monoxide poisoning signally failed to do so with straight methane unless they lit a consolaytory cigarrette afterwards.

For asphyxia, methane is not actually necessary - a plastic bag over the head and tied to be airtight at the neck is VERY much more effective. But most suicidees miss this simple fact.

You can of course but the stats that have come out of the UK IIRC show that making HARDER for people to be usually able to get their hands on a large ammount pf paracetamol in one go has reduced the number of suicides / deaths as a result of liver / kidney failure 2 cweeks later after the "cry for help".

precisely. It was actually the switch from coal to NS gas that gave UK psychiatric authorities the heads up:

Most suicide attempts take place under a cloud of high emotion when detailed practical examination of methods is not always on the cards. Therefore making it harder to obtain the requisite tools for your suicide attempt is a very key part of an anti-suicide strategy.

Of course the opposite is true in the states: guns, hunting knives, massive packets of paracetemol etc are all readily available even to juveniles with guile.

... and in the United States more than twice as many people die by suicide than by murder. The most common method for both is firearm; again, you are much more likely to die from a self-inflicted firearm wound than by being assaulted with one.

Death Statistics

Think, if we just spent as many resources on suicide prevention as we did on murder prevention...

I love the lyrics of this song and think they are actually insightful about teenage suicide.
Violent Femmes-Kiss Off

"I take one one one cause you left me and
Two two two for my family and
3 3 3 for my heartache and
4 4 4 for my headaches and
5 5 5 for my lonely and
6 6 6 for my sorrow and
7 7 for no tomorrow and
8 8 I forget what 8 was for and
9 9 9 for a lost God and
10 10 10 10 for everything
Everything everything everything"