Railroad Suicide Prevention - Assess
Risk Factors
- Previous history
听 - Mental health disorders
听 - Serious medical conditions
听 - Drug or alcohol dependence
听 - Impulsivity
听 - Trauma
听 - Abuse
听 - Hopelessness
听
Verbal Clues
Indirect
- "I just want to stop the pain."
听 - "My family would be better off without me."
听 - "Who cares if I鈥檓 dead anyway."
听 - "I wont be around much longer."
听 - "I just want out."
听
Direct
- "I wish I were dead."
听 - "I going to commit suicide."
听 - "I鈥檓 going to end it all."
听 - "I cant go on like this."
听
Behavioral Indicators
- Previous history
听 - Owning or buying a gun
听 - Putting affairs in order
听 - Giving away possessions
听 - Sudden interest in religion
听
Other Behaviors
- Anger, aggression
听 - Sleeping too much
听 - Withdrawing
听
Situational Triggers
- Being fired
听 - A recent move
听 - Loss of any major relationship
听 - Death of a spouse, child, or friend
听 - Loss of freedom or fear of punishment
听 - Loss of financial security
听 - Fear of becoming a burden to others
听 - Harassment or bullying
听 - Feeling of being trapped or cornered