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The author:(作者)aaapublished in(发表于) 2014/8/14 8:18:41 Shanghai civil suicide prevention coalition in the making was granted in 11 years
Morning news reporter Chen Li Peng Xiaoling
Depression is like a black hole, an inattentive people would be sucked in. Amused by all the world's United States film star Robin Williams failed to amuse themselves, and on Monday, he who committed suicide because of severe depression. Throughout the world, many fans on the screen bring joy comedy master, like Charlie Chaplin, "Mr Bean," and caught, Jim Carrey, etc, were all influenced by depression problems. In a tribute to Williams's friends, someone left this text: "the loneliest people most cordial, the saddest man of the most brilliant, it is because they don't want others to suffer the same hardships. ”
Noteworthy is that in real life, like Robin Williams, wearing a mask of happiness "smiling depression" patients is also increasing. While in Shanghai, will soon begin a psychological crisis intervention network throughout the city, made up of digestion, psychology, psychiatry and other Shanghai folk suicide prevention coalition has finally, after 11 years in the making has a legal status, but experts said: "the road of suicide intervention and is bad. ”
Why BREW 11 years?
Avoiding talk of "suicide" was finally approved
Minhang district, an office building, and financing for Dan Huaihai Shanghai folk busied themselves suicide prevention coalition. Next month, 4th Shanghai civil suicide prevention Alliance will be "psychological crisis intervention Center in Shanghai" sign appeared. Next Thursday, 11 fighting in the front line of suicide prevention experts in Shanghai will be the first time in public on behalf of the Organization's governing together, including Gastroenterology experts from Yan Chai Hospital, Cancer Hospital on respiratory medicine specialist, National Taiwan Normal University and East China Normal University psychology professor and renowned psychiatric experts in Shanghai.
Aren't suicide intervention and prevention? Many people may ask Dan Huaihai question. In response, Dan Huaihai full of confidence, "it can intervene, the survey showed, most suicides occur there is a certain sign of nearly 90% suicides can be rescued through integrated interventions. If who commit suicide have a mental disorder, his suicide was not sudden, from mental disorders, suicide attempts and suicide to appear successful, there are many links, early intervention to prevent suicide success rate is higher. ”
It's hard to imagine the civilian suicide prevention Coalition, took 11 years in the making. As the Union's leader, since 2003, Dan Huaihai began to study suicidal behaviour, he is also engaged in a number of the earliest clinical doctors in suicide intervention, "returned in 2003 when the World Health Organization established the first world suicide prevention day, when I feel the responsibility to do this. ”
So, Dan Huaihai and some experts have been working in the expert on suicide in Shanghai every year, including psychiatrists, psychologists launched a suicide prevention Conference, training in crisis intervention workers, participate in individual General Hospital's emergency rescue, providing consultation services in general hospitals.
For 11 years, Dan Huaihai and several other experts has been committed to promoting the establishment of civil suicide intervention organization, it is regrettable that, social inertia to avoid the topic. Most were impressed by an expert is, eight or nine years ago, the Metro was once the highest risk for suicide, experts consultations immediately and the Metro, hope in the frequent suicide site hanging on the line rescue hotline efforts repeatedly rejected.
Civil society organizations approved of the suicide prevention is even more difficult. 11 applications for many stranded, dystocia, and took off again. The good news is that just recently, the Agency finally got listed "pass".
However, in the end, the civilian suicide prevention Coalition, still does not appear "suicide" this sensitive word, but rather to "psychological crisis intervention Center," showed up. "A lot of people said to me, if there were some suicide intervention, approval is more difficult. "But Dan Huaihai stressed that" our Center or do commit suicide intervention. "The reporter noted that the experts for new appearances of psychological crisis intervention Center named" new ". It may also reflect a suicide prevention expert's voice, "expect more of the people we're starting a new life with the help of, and suicide intervention can have some new breakthroughs in Shanghai. ”
Intervention what are the difficulties?
"Stigma" into therapeutic stumbling block
In fact, Shanghai is also in a number of areas to promote suicide prevention. In addition to the freshmen's psychological crisis intervention Center, a public service years ago, Shanghai's first 24-hour crisis intervention hotline "hope hotline 24" show. Suicide prevention experts puzzled, but is, find hard to help depressed patients are in a passive position, "lived quietly in patients with depression, even quietly left. ”
Bad mood, temper, and his wife sleep in separate beds, 2 years ago, when Mr replaced by these unusual, his wife at one point thought he had an affair. After some checking, Tu found that he is actually suffering from depression.
After graduating from prestigious universities, Mr James to successfully enter a foreign company. Swamped with work, combined with economic pressures faced by buyers, Mr James was nervous every day. Slowly, begins with himself, he finds himself sensitive and fragile, and some very small things in the eyes of ordinary people, is likely to make him unconscious sprout some strange ideas, "when the subway every morning and evening peak, looking at people and people in the Metro jammed cheek to back-to-back, I would instantly think the world turns to grey, fuzzy all around. ”
In order to treat depression, Mr James start the medication. However, his high self esteem, in order to avoid the attention of his colleagues note that each are put into cuffs and then quietly brought into the bathroom to eat, "I'm afraid that people may look at me strangely. ”
In the view of experts, patients and their families, "stigma", is a treatment in patients with a large "stumbling blocks", and "a lot of people ' heart catches a cold ', it is hard to find, but inadvertently dragged into the ' heart of cancer '. ”
Suicide prevention is still passive are confused by many suicide prevention experts. Since she took the "hope 24 hotline" volunteers later, Xu Wei (pseudonym) special attention to social news, once saw someone killed himself, curiously pity, "have some recourse if they know the community, might not go this way. ”
However, many patients with depression are both perfectionists, your negative stuff that's not willing to let others know, and have long been used to show success, lots of stress is one shoulder; they also own privacy very seriously, not only does not tell family members and friends, are unwilling to accept charity for help. "Some patients with depression were called into the hotline, said the first sentence is, ' I want to find someone to talk to. ' "Hotline volunteer Luo Weiping said that occasionally someone will in turn emotionally in the process or out of control, just hung up the phone, in accordance with professional ethics, volunteers cannot easily call-back to the past," then listen came by phone ' toot, ' blind sound, and know that the other side is extremely painful, that helpless feeling too uncomfortable. ”
Potential patients have many?
Wary of white collar "smiling depression"
And as the pace of life, and life stress increases, more and more people in order to hide their depression status, the workplace plays a smile "masked man", has also become a new suicide intervention difficult.
"I'm gone, you helped me take care of toto (dog's name), as well as MOM and dad. "Ivy League graduate, Lujiazui, home work in reputable financial institutions, my husband is also considerate, but six months ago, triumphantly 36 years old (a pseudonym) wrote such a simple message, jump from District 25-floor balcony in the middle. Few people know, that shiny "gold-collar" is in fact one has known years of pain in patients with depression.
"She could be really tired. "Triumphantly after the death of cousin to recall who was in the eyes of family and relatives is the perfect girl's cousin, said. A few months before the incident, triumphantly is too busy because of work, finally pregnant with babies at 3 months of miscarriages, it was a great blow to her. However, the competitive swirl didn't tell anyone, but in the form of annual leave quiet rest at home for quite some time, and then will open regular hours and overtime.
扬扬 's illness, her husband is aware of it. Prior to the suicide, triumphantly called my husband having dinner with friends, watching the elaborate make-up after her talk at the dinner table, my husband suddenly very sad, "she hurt so deep inside, pretending to be happy, lively and cheerful, always show their best side to others. "Raised her husband that only late at night, she would reveal, their lives too splintered, feeling very tired, very tired.
They "laugh" was too tired. "Some white-collar workers, working out of job or company needs, Hei nu lip color. But if there is no conversion work and life roles in a timely manner, suppressed for too long, in the face of human relationships, friendship, family, love is a piece of ' poker face ', and finally was getting no joy, anger, so that it is easy to become depressed. "The Taiwan suicide prevention Association Secretary-General, Shanghai" hope 24 hotline, "said Lin, Kun-hui, academic Director.
[New ideas]
Psychological crisis intervention Center wants consultations with General Hospital Emergency Department services
Early intervention for suicide attempters
Freshmen's psychological crisis intervention Center can make a breakthrough? Let more people be born again?
Psychological pressures also need medicine for the heart
On Thursday, experts would plan suicide prevention network in the near future, the Council for the first time of the breach. In Dan Huaihai earlier is already has a blueprint: the intervention of visible suicide attempters.
Patient to end his own life over and over again, doctors will again and again, they pulled back from death. Doctors save lives for success and pleasure, and patients get back to reality and pain. In the emergency room, often staged such a "tug of life." Many patients in the hospital have been medical first aid, but because of the lack of "psychological first aid", there is no unlock the heart.
Dan Huaihai pointed out that most lack a psychiatric doctor in a hospital. An attempted suicide officer was sent to the emergency room, foot went broke and broken up, as back home will jump from, why jump off a bridge, emergency doctor can do about that. In addition, doctors who have received training in clinical psychological assessment or treatment is less than 1%, and when there's a suicide emergency incident, many hospitals without doctors to participate in intervention.
Early intervention in high-risk groups
If emergency psychological intervention in emergency psychological first aid in suicide attemptors are able to work as part of an integrated hospital and emergency suicide can be at high risk for early intervention. Dan Huaihai once and eight General Hospital Emergency Department joined forces for intervention in 112 cases of attempted suicide, there were 64 cases (57.1%), was rushed to General Hospital Emergency Department, hospital emergency departments ability to assess mental illness suicide attempters, attempted suicide intervention is very important. 95 (84.8%) through comprehensive interventions such as medication and psychotherapy, had successfully removed the psychological crisis, short-term follow-up after 3 months without a suicide Act, made certain intervention effect.
Dan Huaihai blueprint, wants to build a team on standby for emergency psychological assistance in suicide attemptors of service teams. Meanwhile, with a number of General Hospital Emergency Department jointly set up a consultation service, when suicide attempters admitted to General Hospital Emergency Department, and professionals involved in the assessment and follow-up.
(Original title: intervention network in Shanghai "the smiling depression" BREW tragedy)
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