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that could indicate a need to see a medical

or mental health professional. These

early warning signs include:

1. Confused thinking or problems

concentrating

2. Extreme mood changes

3. Avoiding friends and social activities

4. Changes in sleeping habits

5. Multiple physical ailments without

obvious causes

6. Thinking about suicide

7. Inability to handle daily activities

8. Eating or sleeping too much or too

little

9. Abusing alcohol, drugs, or tobacco

10. Fighting more with friends and

family

11. Considering harming yourself or

others

12. Feeling fatigued with low or no

energy

13. Feeling apathetic

14. Feeling hopeless or helpless

15. Feeling sad or irritable for long

periods of time

16. Experiencing excessive amounts of

anger, anxiety, confusion, fear, forgetfulness,

and worry

17. Experiencing extreme mood swings

that negatively impact relationships

18. Experiencing unexplained physical

pain

19. Hearing voices or having delusional

thoughts

21. Withdrawing from other people

and social activities

22. Being unable to do your daily tasks

Feeling Suicidal?

What does it mean to

feel suicidal?

Thoughts of suicide can happen in the context of .mental illness, but

they can also be triggeredby stressors that exceed the capacity of

currently available coping strategies. You are not alone in experiencing

thoughts of suicide. And as hard as it can be to talk about it, silence only

makes it worse.. The current COVID-19 pandemic has led to unprecedented

changes in most people's lives. But there are things that can help.

Suicidal Ideation

Suicidal ideation is the psychiatric term used for thoughts about suicide.

Those kinds of thoughts can show up in a few different ways such as:

1. not wanting to live, but not really thinking about dying

2. feeling like you'd be better off dead, but not thinking about doing

anything to speed that along (also known as passive suicidal ideation)

3. thinking about specifics of how to kill yourself, e.g. how, when, and

where (active suicidal ideation)

Once you get to the point of active suicidal ideation and thinking of specifics,

it's really important to get help.

Where to get help

There are a few different avenues for getting help.

Fanily/friends

These people can offer emotional support, but they may not know how to

deal with suicidality.

Online resources & apps

There are websites and apps that allow you to create safety plans. These

probably won't be enough on their own if you're really in crisis. You'll find

ideas on our website as we have Find a therapist page.

Crisis lines/chats

These are manned by trained volunteers.

Mental health professionals

This may be your treatment team, your GP, Thearpist or the

hospital emergency department.

Feb 2022 Issue 1 Mental Balance 11

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