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TNM - USA EDITION - CCUPCA

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RST RESPONDER | MILITARY | LAW ENFORCEMENT | INTELLIGENCE<br />

There are people who fantasize about taking their own<br />

lives very often but they never succeed in realizing their<br />

intentions. Pre-suicidal syndrome is the psychological,<br />

psychosocial, social and psychopathological framework,<br />

responsible for the suicide risk (the substrate) that<br />

normally considers/includes chronic situations<br />

(depression, alcohol, etc.), events, general trends of the<br />

last year of life and recente triggering factors.<br />

This syndrome includes a set of identifiable and<br />

diagnosable symptoms (often also by co-workers and<br />

family members) in the period before the act that could<br />

/ should activate a support intervention:<br />

1. the narrowing of interpersonal relationships<br />

(isolation)<br />

2. the prevailing of a pessimistic view of reality;<br />

3. standardized behavior and loss of spontaneity;<br />

4 increase in self-directed aggression;<br />

5 constant presence of suicidal fantasies.<br />

Identifying pre-suicidal elements in any subject is<br />

therefore a key element to implement an effective<br />

prevention action thanks to the immediate support<br />

of the people surrounding the subject (family and<br />

co- workers) and the intervention of mental health<br />

specialists. Depressive disorders are statistically the<br />

most widespread psychopathological substratum linked<br />

to suicidal risks. More than 90 percent of people who<br />

commit suicide are depressed. The loss of interest in<br />

life (which is the core of depression) is the primary<br />

factor.<br />

Deadly thoughts, suicidal ideation or suicide attempts<br />

may frequently be present in the depressed. These<br />

thoughts vary from the belief that others would be better<br />

<strong>TNM</strong> 29

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