Monday, 21 May 2012

Trauma, PTSD and Suicide


Research conducted on South African suicide trends indicates that attempted or committed suicide among young children is increasing. Suicide statistics in South Africa reveal devastating findings, at any rate, “one suicide is committed every hour and 20 more unsuccessful attempts are made in the same time span, and one third of all non-fatal attempts were recorded among children” (www.iol.co.za).
Research conducted on suicide among school children in South Africa indicates that up to 7.8 % had attempted suicide, and about 4% have disclosed thoughts of suicide with close friends, family members and including counsellors. Children may possibly assume that death is reversible and may not take death seriously. Data has also confirmed that children generally overdose on household poison, while on the other hand, adults may take on a more destructive approach (www.iol.co.za).
Below are statistics of suicidal behavior patterns reported in South Africa;
·     “Nearly five times more males than females commit suicide.
·     Suicides occur in the younger age groups (15-34 years old).
·     Up to 8 000 South Africans commit suicide annually.
·    The youngest suicide fatality in 2001 was 10 years old, but more fatal suicides occurred in the 15-19 age group.
·    Firearms, hanging and poison ingestion were found to be the most common methods of suicide in South Africa.
·     According to the World Health Organization, in South Africa hanging accounted for 36,2 percent, followed closely by shooting (35 percent), poisoning (9,8 percent), gassing (6,5 percent) and burning (4,1 percent).
·     Among victims, those aged 10-34 mainly used hanging, 25-29 used poison, burning and jumping, 30-34 used firearms, and 40-44 opted for gassing.”
                                       
Substantial evidence points out that a traumatic event such as child abuse may potentially increase the possibilities of an individual committing suicide. Trauma is defined as an event that is a characterized as life-threatening or an event that jeopardizes the physical or emotional well-being of an individual. Such events may eventually lead to Post Traumatic Stress Disorder, (PTSD). The trauma associated with child abuse can carry on for a life time, hence, developing a greater risk of anxiety, depression and suicide. (www.ptsd.va.gov/  professional/pages/ptsd-suicide.asp)
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Analyzing the relation between trauma, PTSD, and suicide is a vital significance in understanding the reality of suicide. Research validates that there is a strong correlation between trauma and suicidal behaviors. For instance, studies have established that trauma victims with PTSD have a significantly higher probability of suicide, than trauma victims diagnosed with other psychiatric disorders (www.ptsd.va.gov/professional/pages/ptsd-suicide.asp).

Suicidal Individuals who have faced trauma usually appear socially withdrawn and may become depressed. Anger and impulsivity is a common response associated with PTSD, which may possibly progress into full-blown rage. This has also been shown to be a great indication for predicting suicide risk. In some reported cases, suicidal Individuals who are less capable of maintaining control over their actions may become a threat to themselves or other people (www.everydayhealth.com/ptsd-and-suicide-risk).

Among the numerous PTSD symptoms, the most frequent reported symptoms include; terrifying memories and nightmares about the traumatic event, upsetting flashbacks that may disturb an individual’s daily lifestyle. As a result, people with PTSD are predisposed to suicide as they may often feel irritable and tense with a tendency to act impulsively. Other factors that may contribute to suicide risk include depression and suppressed stress instead of managing negative emotions. Severe anxiety-related symptoms can worsen PTSD such as irritability, restlessness, and agitation may enhance suicidal tendencies (www.ptsd.va. gov/professional/pages/ptsd-suicide.asp).

Suicide is very tragic and at most times it is very difficult to indicate accurately when a suicide threat may actually become an actual suicide. Therefore it’s crucial to take suicidal threats seriously. Reported cases of suicidal threats and attempts must be handled with caution.  It’s also very important to recognize PTSD symptoms, and be alert to particular signs such as emotional withdrawal in traumatized victims, especially those with alleged suicidal threats.



References


Diana Rodrigez, PTDS and Suicide Risk. February 2006. PTSD (Post Traumatic Stress Disorder) Everyday health.com. www.everydayhealth.com/ptsd-and-suicide-risk

Latoya Newman, SA’s Shocking Suicide Statistics February 2007. www.iol.co.za /sa-s-shocking-suicide-statistics.
 
William Hudenko, PhD and Tina Crenshaw, PhD. National Center for PTSD. December 2011. The Relationship Between PTSD and Suicide.

William Hudenko, PhD and Tina Crenshaw, PhD. National Center for PTSD. December 2011. The Relationship Between PTSD and Suicide. www.ptsd.va.gov/professional/pages/ptsd-suicide.asp

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