While this solution worked wonders for me, it did little for the service user who would tend to be passed around a range of services and sometimes be sent off to a placement miles from home. One whiff of suicide and I could free myself from any anxiety around being responsible for them by packing them off to A&E or calling in the crisis team to take them off me. ![]() It was in the CMHT that I started to pick up the idea that suicide was someone else’s business. Very often the conversation ended with them hanging up because they were so frustrated with me, me calling an ambulance to go to their house and sometimes both. I then took on all the responsibility for keeping then alive and got panicky when they couldn’t assure me they would be alright. We had someone who phoned around once a week to say they had lined up their tablets on the table and were going to take them all. My big introduction to working with suicidal people came when I started doing duty in the Community Mental Health Team. Do excuse the arrogance and I’m sure there are better ideas out there which I’m eager to hear. What I do find is that having these tools and ways of thinking in my head makes me more confident and capable of working with someone who is telling you they want to die. Now I’m not suggesting that this is THE way to work with people who are suicidal, I’m not even saying that it works. As someone who has been responsible for some awful responses in my career I thought I’d share some ideas around working with suicide. There are lots of people speaking about never having had any training in this area, and lots of service users saying that the response they have had has been awful. So its suicide prevention week (or month or day, depending what hashtag is being used at the time) and there is much talk of how to help people who feel suicidal. Take them with a pinch of salt, but I hope they’re useful to you. These are things I wish I’d been more aware of when I first qualified and was working with people whose words overwhelmed and frightened me. Relationships are probably the most important thing we have in the work of mental health but if you firmly believe someone won’t be alive the next day, it doesn’t really matter what the quality of your relationship is after that. ![]() I’ve called ambulances for people who had phoned me to say goodbye and it ruined our relationship. I think it is likely that using some of the tools described here could seriously damage your relationship with people. I think this makes perfect sense but I’d also suggest that anyone thinking “I’m going to hold back a bit so that I can be helpful next time they’re suicidal” might want to think about what it is that is making them doubt the conviction of the person saying they are going to die. They might put people off seeking help in future. In the past, some of the criticisms that have been directed against this piece of writing is that some of the approaches can be a bit harsh. Most importantly, you’re likely to stay a lot calmer in your interactions with people. If you only have a hammer then that is what you will probably use, but if you have a range of tools in your box, you can feel a bit more comfortable trying different approaches. It is by no means all the answers for working with people who have periods where they don’t want to live, but I’m mindful that when I first qualified I knew absolutely nothing. Odorless, tasteless, water soluble, and without antidote, 1080 blocks cellular metabolism, leading to a quick yet painful death.I first wrote this 5 years ago. Compound 1080 (ingested or inhaled) As an animal poison, compound 1080 proved a little too effective: The bodies of creatures killed with 1080 remain poisonous for up to a year. You remain conscious – and in excruciating pain – until you slip into a coma and expire.ġ0. ![]() Amatoxin (ingested) Derived from the death cap family of mushrooms, amatoxin destroys your liver and kidneys over several days. Strychnine (ingested or inhaled) A common pesticide, strychnine isn’t as toxic as other poisons on our list, but it gets style points for causing one of the most horrific deaths of all: Every muscle in your body spasms violently until you die from exhaustion.ĩ. However, inhaled mercury vapor (the metal starts turning to a gas at room temp) attacks the brain and lungs, shutting down the central nervous system.Ĩ. Mercury (inhaled) Low levels of mercury are not especially toxic to adults.
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