Who is willing to give up his precious life? What makes them prefer to give up living and run to death? The reporter found several suicide medical records from the medical records of many psychologists, and asked experts to analyze the individual and social reasons reflected in them, so as to explore various ways to prevent suicide for the public.
Interpret medical records
There are many reasons for suicide.
Medical record 1: disease torture and abandonment of life
Xiaoshi is a girl in her early twenties, but many diseases have afflicted her for several years. "The doctor said there was something wrong with my heart. I also feel that sometimes my chest feels like a big stone, which is very uncomfortable. " Xiaoshi told the doctor that she often vomited and diarrhea, and recently had an operation because of appendicitis.
In order to treat these diseases, Xiaoshi has lived in this hospital and that hospital for a period of time for many years, but the diseases of the heart and digestive system cannot be completely cured, and he is in a bad mood and even wants to die. Her parents also found the child's temper more and more eccentric. On September 8 this year, their parents took her to a district hospital in Nanning to see a psychologist. During the consultation, she also revealed the idea of suicide.
Case analysis: After more than an hour's conversation, the doctor traced back to the source and finally found the "root" of mini-history. It turned out that many years ago, the miniature schnauzer witnessed a group fight that led to death. From then on, he was afraid of many things in his life and was always in an anxious mood. This anxiety caused problems in her heart and digestive system, and the appearance of various diseases in turn affected her mood, which eventually led to serious psychological problems and even suicidal thoughts.
Shi Jie, a psychologist at the People's Hospital of the Autonomous Region, said that this is a typical example of "illness comes from the heart". This kind of patients, often because of psychological problems, have not been paid attention to, or deliberately ignored, and finally affect their health. Only by paying attention to one's mental health and not being afraid of illness and doctors can we avoid tragedies.
Judging from the cases of suicide due to illness rescued by various hospitals, these patients were in a state of anxiety and irritability for some time before committing suicide, and some even developed into depression. Doctors believe that family care and encouragement are particularly important for patients at this stage.
Medical record 2: mental illness becomes a hidden killer
In the memory of Li, director of the psychological service center of the 303 Hospital of the People's Liberation Army, a patient who committed suicide left a deep impression on him. Is a 29-year-old woman who committed suicide three times in a row in a period of time. When she was sent to the hospital for the third time, a doctor suggested asking a psychologist for consultation to confirm that the woman was suffering from depression.
Case analysis: The suicide rate of depression patients is high. There are many reasons for depression, which are not clear, and some are caused by the pressure of study and work. Some are caused by tense interpersonal relationships and low self-evaluation. Depression is characterized by depression, continuous loss of interest in life, low self-evaluation and pessimism, which are typical symptoms of depression. According to psychologists, most people with depression don't commit suicide, but most people who commit suicide are depressed.
A psychologist told reporters that there was a website in China that conducted online follow-up visits to nearly 20,000 white-collar workers and completed a health survey report. The report shows that nearly 80% of white-collar workers suffer from depression within six months, and 6% of them have reached the limit and need the help of society, enterprises and families. According to the figures revealed by the 28th International Psychological Congress in 2004, about 20% of children in China have depressive symptoms, and the proportion of middle-aged and elderly people over 55 years old suffering from depression is as high as 10%~ 15%, some of which are very serious and even commit suicide. So experts have a * * * knowledge: prevention of suicide should start with prevention of depression.
Case 3: Trapped by love, heading for a dead end
Recently, a woman in her twenties was sent to the emergency room of a hospital in Nanning. A wrist was cut by a blade. Although the wound is not deep, the woman looks very bad. The doctor inquired that the woman came from the countryside to work in Nanning. Because her boyfriend who had been in love for many years proposed to break up, many attempts to save her feelings were rejected and she had the idea of suicide.
Case analysis: Among the patients admitted by Dr. Zhao in the psychological clinic of the People's Hospital of the Autonomous Region, some people have suicidal thoughts because of emotional disputes. According to her analysis, the vast majority of these people are * * * type suicides, that is, they have been * * * by an event, which is difficult to say at the moment. In fact, their heart is not to die. Many of these people regard love as an important part of filling the emotional deficiency because of their indifferent family relations or interpersonal relationships, such as migrant workers living in different places and lacking people who care for them.
The reporter also learned from Nanning 120 Emergency Center that emotional entanglements accounted for a certain proportion in the suicide cases they contacted, and many of them were migrant workers.
expert opinion/advice
A psychological crisis intervention plan should be established.
Everyone has troubles, and life is always depressing. When bad emotions accumulate into a "pressure cooker", how to establish an outlet; When someone has suicidal thoughts, how can society lend a helping hand and pull them back from the brink of death? During the interview, experts in sociology and psychology expressed their opinions and gave many suggestions.
Sociologists such as Zhou Keda of the Institute of Sociology of Guangxi Academy of Social Sciences believe that the fast pace and pressure of modern life, coupled with the lack of time and space for in-depth communication, have caused many psychological problems. However, the development of society cannot be stopped, which requires all parties to explore how to create a warm and relaxed atmosphere. For example, business leaders should not only pay attention to corporate profits, but also pay attention to the life and psychological problems of employees. The theft of employees' homes and the death of their loved ones are special events in everyone's life. As a leader, we should pay attention to it. Enterprises can invite psychologists to give targeted lectures on work psychology according to the characteristics of their employees, such as white-collar workers or migrant workers, to alleviate psychological problems. Community and non-governmental organizations can also play a role, such as holding more activities in the community, narrowing the distance between neighbors, playing the role of "distant relatives are not as close as neighbors" and establishing a harmonious living environment.
As a professional, how to establish an intervention measure to prevent suicide that is beneficial to the public? Li, a postdoctoral fellow in applied psychology, believes that to intervene in suicide, people must first understand suicide. * * * A public-oriented intervention plan for acute psychological crisis should be established. On the one hand, we should popularize the knowledge of psychological first aid and give timely help when someone around us shows suicidal tendencies; On the other hand, it is necessary to integrate professionals and establish a professional suicide psychological intervention team. In case of sudden incidents such as suicide by jumping off a building, we can provide compulsory rescue programs for relevant departments on the spot.
Remind the public
Pay attention to the bad mood of people around you.
As the general public, what should you do when you are surrounded by colleagues, family members or friends who commit suicide? Taking the opportunity of "World Suicide Prevention Day", experts gave some concrete suggestions.
Dr. Li works in a community health service station in Nanning. She was alert to someone committing suicide and intervened in time to save a life. She recalled that once a friend of hers went to see her, and she casually asked, "What's the matter?" The other party replied, "Nothing, I've come to say goodbye to you." Her heart was "stunned" at that time. Later, the more she thought about it, the more wrong she was. She called the other party and said that she needed his help and asked him to come over in the afternoon anyway. As a result, the other party arrived as scheduled, and Dr. Li talked with him for a long time. Finally, he told her the idea of "not wanting to live". After several hours of communication, finally, the other party realized that his previous idea was stupid and gave up the idea of suicide.
"In fact, 70% of suicides have told others before they die that they want to commit suicide, and sometimes they will say goodbye or disappear forever." Shi Guangnian, director of the psychiatric department of Nanning Fifth People's Hospital, told reporters that most suicides are not sudden. Before committing suicide, there will be various signals, such as expressing the idea of dying to close people, or showing it in diaries, paintings and letters; Some emotions are obviously different from usual, restless, often crying, and acting strangely and rudely; Others fall into depression, loss of appetite, silence and insomnia; Some people also pack things for no reason, thank others, say goodbye, return borrowed items or give souvenirs. At this time, if people around you can find the signs in time, they may be able to save a life. When you hear someone say "I want to die", you must pay attention to it, take it seriously, and express your concern and understanding in time. Maybe the warmth you give can save a life.