How do you know if someone is a real threat to kill themselves. There are a number of lists of warning signs and as a first step take a look at them. If you think there is cause to worry try to involve a professional.
What I want to share with you is a short hand way to look at how much a threat someone really is. It does not substitute in any way for professional assessment, but may give you a starting place. It is based on the work of a man named Gavin deBecker who wrote a book many years ago about threat and fear. Although he doesnt apply it to suicide I have used it many times with people I thought were at risks and I am convinced it helps you to think through the situation more clearly.
1. Justificaton. What kind of justification does the person think he has for his actions? How strongly does he feel? Is he ambivalent in any way?
2. Alternatives. Does he see any options? Is this the only way he sees to "solve" the problem?
3. Consequences. What does he see as the consequences of his actions. Does he truly see it as "deliverence?'
4. Ability. Does he have the ability to do what he says. Are the "tools" he needs at his disposal? Does he have means and the ability to use them?
If the answer to all these questions is in the affirmative then indeed you have a high risk situation and need to act to save a life. Do what you can, but dont try to do it all alone. Get professional help.
Monday, August 3, 2009
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