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FAMILY WEEKLY
The Eaater Seals you use enable
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AJP Sr- at
iL.il
AT LEAST once every minute,
il someone in the U.S. tries to
kill himself and 50 or 60 times a
day these attempts succeed.
The mounting suicide toll is more fre
quent than murder and claims more lives
than diabetes, polio, muscular dystrophy,
and multiple sclerosis combined.
However, fresh insight into the why
and how of suicide now has been pro
vided by Dr. Joseph Hirsh, associate pro
fessor of preventive and environmental
medicine at the Albert Einstein College
of Medicine in New York. From his five
year investigation of 32,000 self-inflicted
deaths, he has evolved ways to spot a
potential suicide danger signals that
may enable relatives and friends to ward
off a tragedy.
Dr. Hirsh found that three "central
features" usually are present in a suicide.
He calls them the LAD syndrome.
"L" stands for loss and loneliness. The
loss may be of a loved one, a physical
function, self-esteem, or some other pain
ful privation, real or fancied. It generally
is accompanied by a dismal feeling of
loneliness.
"A" is for aggression. "This is the
chief effective force behind suicide," says
Dr. Hirsh. Turned outward, aggression
could result in homicide; directed in
ward, it could be expressed as suicide.
"D" is for depression, which often pre
disposes a person to "put himself out of
his misery."
A combination of these three factors is
the soil in which thoughts of suicide grow.
Fortunately, many of the danger signals
can be detected.
Here is what to look for:
1. Talk or hints of intention to commit
suicide, such as, "I'd be better off dead"
or "What's the use of living?" These
14 family Weekly. April 7. MM
statements must be taken seriously. A
survey indicates four out of five people
who killed themselves previously had dis
cussed the act with relatives or their
doctors.
2. Remarks about being a "burden" or
"worthless." Especially among old people,
self-pity and constantly belittling them
selves reflect concern over loss of their
self-esteem.
3. Poorly organized living habits, per
sonal untidiness, indecisiveness, difficulty
in concentrating.
4. Refusal to take part in social and rec
reational activities.
5. Oversensitiveness, unusual timidity,
and fearfulness.
6. Lack of strong ties to family, church,
and community.
7. Loss of interest in what formerly were
pleasurable pursuits and a tendency to
mope.
8. Mental and physical sluggishness so
that the individual has to force himself
to go to work. These symptoms are exag
gerated in the morning.
9. Persistent insomnia. The person who
keeps getting up at night, pacing the
floor, and smoking may be headed for a
severe depression.
10. Lack of appetite, loss of weight, fa
tigue, stomach upsets.
11. Chronic emphasis on aches and pains
which don't seem to have any foundation
in fact.
12. Fear of being disliked or harmed.
"Everybody is out to get me.")
13. Nervousness and a tendency to react
emotionally to whatever problem arises.
14. Children who express strong, hostile,
aggressive emotions.
15. "Hidden suicides," such as the invalid
who kills himself inch by inch by refus
ing to eat properly or the man with the
weak heart who indulges in violent sports.
r
When someone is suspected of harboring suicidal
notions, relatives and friends should do all they can
to make him -feel wanted. Dr. Hirsh cautions that this
doesn't mean merely giving verbal assurances of affec
tion and regard. There must be careful attention to his
problems. Especially if he's elderly, he must be en
couraged to take an active part in family affairs. Rec
reation and hobbies should be provided. Seek his advice
to make him feel important If possible, use him as a
baby sitter, unless there are signs of senility.
Also, try not to let him live alone. Living in isola
tion is bad; mixing with people is good.
Some despondent people recover hope by turning to re
ligion, which can be a powerful and therapeutic aid. So
help the potential Buicide to join a church or at least en
courage him to talk to a minister.
A suicide attempt that fails should not be taken light
ly. Three out of four people who committed suicide
either had threatened or tried to take their own lives
at least once before. Once a person has tried suicide,
the exit of self-destruction has etched in his mind a
pathway which he is apt to follow the next time he
faces a seemingly insurmountable problem. Relatives
and doctors must be particularly watchful for a mini
mum of three months after an attempt, even though
there seems to be an improvement in behavior.
Watch out for birthdays, Christmas, and anniversaries
of a death, a divorce, or a broken engagement dates
or occasions which sharply remind a dejected person
of his unhappiness and which may trigger action.
When profound depression is observed, cajoling, argu
ing, teasing, or jollying is not only ineffective but may
intensify the feeling. And don't try to go it alone. Be
fore the LAD clues start to cluster, seek the help of
your doctor, a minister, a family agency, a psychologist,
or a psychiatrist. If the danger is great, "there's no
substitute for a psychiatric ward in a hospital," ad
vises Dr. Robert E. Lltman of the Suicide Prevention
Center in Los Angeles.. A complete reconstruction of
personality through psychiatry may be necessary.
Clearly, every community should have some organiza
tion to which the desperate and disheartened can turn.
Preventing suicide is not just the job of relatives and
doctors. "It's everybody's business," says Dr. Hirsh.
family Weekly, April 7, JW3
After studying 32,000 cases, a scientist
concludes that friends and relatives often
may ward off such tragedies if they know
the danger signals of self-destruction
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