WEBVTT

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Thank you. everybody. It is 3 a .m. here. This

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is part two to the suicide prevention. This is

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Food for Thought, Thought to Fit Where You by

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Neogentrics. Now, last time we were talking about

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the different causes and ways that can push a

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person towards suicide and the basic statistics

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for it based off of the national averages, okay?

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Now, with that being said, we're going to pick

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up what I left off. And we're going to talk about

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treatments. Okay? There are ways to help and

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treat people who are aiming towards that or for

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whatever reason are thinking or considering such

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actions. Okay? 90 % of people who die by suicide

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have a mental disorder at the time of their deaths.

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There are biological and psychological treatments

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that can help address the underlying health issues

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that put people at risk for suicide. And I want

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to make sure I cover at least a few of these

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because I for one don't like seeing my friends

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or watching my friends die in front of me. Okay?

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At this time, there's only one medication. Clozapine.

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I think I pronounced that wrong, but God help

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me. It's been approved by the FDA for suicide

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risk reduction in patients with schizophrenia.

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Now, there is one study of mood disorder patients

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that shows that treatments with antidepressants

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and atypical... Sorry. Anti -psychotics and lithium,

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ironically, reduce death by suicide. Now, I don't

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know how much of that is actually true, but I

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mean, they've been testing it. There are meta

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-analysis of small lithium studies that show

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that suicide is reduced in patients with either

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bipolar disorder or major depression taking lithium.

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But, those findings are controversial. Just because

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you see something online and it says it helps,

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it may be a hit and miss. Whether it does work

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may only work for that one person. Keep this

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in mind, like I mentioned before in a previous

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podcast, that medicines affect everybody differently.

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There's no one medicine for everyone. If that

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was the case, we wouldn't have any problems.

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Okay? There are two proven psychotherapies for

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treating those who attempt suicide. Cognitive

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behavioral therapy. for suicide attempters, and

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dialectical behavioral therapy for patients with

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borderline personality disorder and reoccurring

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suicidal ideals, ideations, and behaviors. Clearly,

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these short -term interactive therapies make

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a difference. There are many small studies of

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various interventions. including promising short

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-term therapies. They include the family, the

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show that repeated, I'm sorry, the show that

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repeat suicide attempts are reduced under the

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treatment of condition being tested. Now, while

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these are, I guess you could say, helpful in

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treating it, they're not the only other ways.

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I mean, there is treatment for major depression,

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okay? And that is, again, one of the major. causes

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of suicide. Research shows that teaching healthcare

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professionals to recognize and treat depression

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is an effective way to reduce suicide rates,

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and this has actually been proven true. They

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focus on how depression can be treated, both

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with medications and psychotherapy, which we've

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discussed before. And if the depression is mild,

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the doctor may begin with psychotherapy alone

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and add medication later if the symptoms don't

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improve. So basically, by managing to get rid

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of the depression that would otherwise lead to

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it, they reduce the possibility of it happening.

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Next is medications. Many medications are available

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to treat depression, and the most common of which

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are antidepressants. Which, by the way, coffee

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is a... A depressant. It is not an accelerant.

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Just going ahead and tell you that now. It's

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not going to help you in this situation. It might

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make it worse. About 22 medications are currently

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approved by the FDA, okay? And since there is

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no accurate test to match a specific person's

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symptoms and complaints with the right medication,

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there's no way to actually know which drug will

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work best for a particular person, going back

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to what I was saying before. And the person who

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may be depressed... Should discuss with their

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doctor the medication choice and how to take

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it as well as the potential side effects sometimes

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there is The need to try a few different medications

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before finding the one that actually gives the

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best result With minimum side effects Um, when

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the optimal dose with the best medication is

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achieved, the antidepressant may take from four

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to 12 weeks to actually achieve maximum benefit.

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But I mean, it is possible for one or two symptoms

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to improve in the first few weeks. Don't get

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me wrong. There is progress. Okay. When antidepressants

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are started and when doses are increased, a few

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patients, especially children, adolescents, and

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young adults, may experience increased anxiety,

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agitation, restlessness, irritability, and anger,

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which may lead to suicidal thoughts or attempts.

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Now, these should be outlined by the doctor before

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the treatment ever begins. Picking up with the

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last piece, we're going to continue talking about

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the treatment methods. I had mentioned before

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psychotherapies. This is the next topic. Beyond

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medicines, specific types of psychotherapy have

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been proven to be effective for treating depression.

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Now, they're usually short term and they last

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from 12 to 16 weeks. Basically, formalized and

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interactive is to make the person actually do

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stuff. Sessions may take, they take place once

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or twice a week with a professional who has been

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specially trained and certified in the treatment

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that they're using. Okay. And the most common

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types of psychotherapy for depression are cognitive

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behavioral therapy, interpersonal therapy, behavioral

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activation. and cognitive behavioral analysis

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system of psychotherapy. There is clear evidence

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from research studies that combining antidepressants

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with one of these therapies is the best treatment

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for chronic depression, meaning that the patient

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has a depressive illness for two years or more.

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But most of these cases, people have managed

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to alter their mindsets and allow them to come

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out of it sooner. So, it's a rarity, but it does

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happen that people become depressed for an extended

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period of time. And with that being said, bringing

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up the different kinds of therapy, I have to...

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How do I put this in a nice way? I have to bring

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up electroconvulsive therapy. It's basically

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a last resort. Among other things. Basically,

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if the depression doesn't respond to the treatment

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or if it is very severe or if psychotic symptoms

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appear, there's an additional treatment that

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should be used. And the oldest and best studied

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is electroconvulsive therapy. It's basically

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a treatment that can be given as an out or inpatient,

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but requires anesthesia and the delivery of a

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small electrical current to the brain. And while

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I don't condone this one. it actually has been

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pretty effective uh but it does have side effects

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as you would imagine which the doctors are working

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to reduce but still i would consider this a last

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resort if it has to even happen to anybody so

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don't even recommend this to anybody a similar

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treatment is uh transmagnetic stimulation which

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is less dramatic and may not be as effective

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unfortunately Finally, for those who suffer from

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seasonal mood disorder, or SAD as some people

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call it, the doctor may suggest light therapy

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in addition to other treatments, but it beats

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the electroconvulsive therapy, which again, I

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do not recommend. Now, all these other ones,

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I put up for grabs if it's necessary, but that

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one, just no, okay? Next to last, we have the

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treatment for bipolar disorder, okay? Another

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high risk group is people with bipolar disorder,

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which is characterized by mood swings from high

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maniac to low depressed. Often with periods of

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feeling normal in between, those with bipolar

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disorder are at the greatest risk for suicide

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as they are in a depression or mixed mood state,

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making them indecisive, which is very dangerous.

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With bipolar disorder, the doctors will begin

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treatment with a mood stabilizer, such as lithium.

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I really don't like saying that. Mood stabilizing

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anticonvulsants and antipsychotics. Some of these

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words these people come up with. Anyway, the

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use of antidepressants for the depressive phase.

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of the illness is sometimes important, but there

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is no evidence that antidepressants have long

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-lasting results. Making them the best tool to

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be used for bipolar disorder. Okay? I'm having

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a very off day. It's very hard to say certain

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things. Now, last but not least, the treatment

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for alcohol and drug abuse. Now, I've covered

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a lot of different things already before on how

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to deal with this. But according to the AFSP,

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when combined with depression, bipolar disorder,

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or any mental disorder, alcohol and drug abuse

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can increase suicidal risks. When being treated,

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the patient should be completely honest about

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his or her alcohol or drug intake for the safest

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treatment and when the best chance of getting

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better. The treatment for alcohol and drug abuse

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is varied, but always include a strong psychosocial

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component. They've included a lot of different

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resources on their site, which I will not go

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into, that help with this and help people to

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recognize it. The whole point of me covering

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this is just to let you know about the different

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treatments that are available, depending on what

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it is. Okay? I'm going to take a short break,

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and I'll be right back. Something I have to go

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into here, and I don't know if I can make this

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as clear as day. If you're ever having thoughts

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of suicide, say you're a person listening and

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you're having thoughts about suicide, or maybe

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you know someone who is considering it, you need

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to find support. Bring hope to those affected

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by suicide, whether it be yourself or someone

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else. This is my attempt to do so, as with anything

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else that I do, is bring in information to those

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who need it. If you're ever having thoughts of

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suicide, it's important to contact the nearest

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health support center to your area for advice

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and help and guidance before you do anything.

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Because killing yourself doesn't just hurt you,

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it hurts everyone else around you. And it doesn't

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solve the problem. Okay? Many people have tried

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over the years to solve their problems to do

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so. And it hasn't helped anybody. If you're ever

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in a state of distress, reaching out is the first

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step to safety. Okay? Call the Suicide Prevention

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Lifeline. Okay? Or if you're a veteran, call

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the Veterans Crisis Line. And if you're not safe

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with talking to someone, you don't feel like

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talking to anybody, you can always text them.

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They're available to you 24 -7, okay? The Suicide

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Prevention Hotline is 1 -800 -273 -TALK or 1

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-800 -273 -8255. And as for veterans, the number

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is similar, but it's not the same. You dial the

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same number. 1 -800 -273 -8255. But for veterans,

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you'll press 1 on the options list. Okay? This

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is the best way to help anybody or to allow those

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who are currently in that position to seek some

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help that will actually help them. This is how

00:14:38.370 --> 00:14:40.870
you can take action and help prevent someone

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from making a mistake that they'll regret later.

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Now... Let's take a turn here and go in a different

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direction. There's four things I want to quickly

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cover. I'm not going to go too much in depth

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on them. If you want to find out more, visit

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the American Foundation for Suicide Prevention

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website. They'll have the rest of this information

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available to you. There are four categories I

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want to keep in mind. And they're willing to

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help you with just about any of them, okay? Say

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you've lost someone to suicide. Or you're worried

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someone might be at risk. Or you've made an attempt

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yourself. Or worse yet, your loved one has made

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an attempt or actually committed it. They have

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links on their website to help you with each

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one of these situations. Say you lost someone

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to suicide. You're not alone. Suicide affects

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millions each year. And thanks to their donors

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and volunteers, the American Foundation for Suicide

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Prevention is able to be there to help you. They

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have practical information for immediately after

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a loss. They have resources for loss survivors,

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how to take care of yourself, how to connect

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with other survivors. They even have things such

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as International Survivors of Suicide Loss Day,

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a survivor outreach program, and survivor support

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groups. And then they even have a program set

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aside to honor a loved one. Doing things such

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as memory funds, out of the darkness walks, and

00:16:11.049 --> 00:16:14.470
even memory quilts. I don't know how to make

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a quilt yet, but it's something I want to learn

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how to do. Just simply for that sake. What about

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when someone is at risk? If you're in that position.

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How do you talk to someone who may be struggling

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with depression or anxiety? First things first,

00:16:30.250 --> 00:16:34.179
have an honest conversation. Okay? If you think

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someone is thinking about suicide, assume you

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are the only one who will reach out. Here's how

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you talk to someone who may be struggling with

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their mental health. First things first, talk

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in private, not in public. Two, listen to their

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story. Three, tell them you care about them and

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actually mean it, okay? Don't just say it. People

00:16:55.740 --> 00:16:59.360
can tell when you're sincere. As in another podcast,

00:16:59.399 --> 00:17:02.539
I've already covered that. Four, ask directly

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if they are thinking about suicide. And then

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five, encourage them to seek treatment or to

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contact their doctor or therapist if they have

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one. And then six, avoid debating the value of

00:17:12.759 --> 00:17:16.339
life, minimizing their problems, or giving advice.

00:17:16.579 --> 00:17:20.640
Never do this. Okay? Because you might end up

00:17:20.640 --> 00:17:23.940
pushing them further over the edge. If a person

00:17:23.940 --> 00:17:26.579
says they are considering suicide, take the person

00:17:26.579 --> 00:17:30.039
seriously. Not as a joke. And stay with them.

00:17:30.220 --> 00:17:33.500
Help them remove lethal means. Don't leave anything

00:17:33.500 --> 00:17:37.039
around them that can allow them to cause harm

00:17:37.039 --> 00:17:40.079
to themselves. When you get a chance to immediately

00:17:40.079 --> 00:17:42.480
call the National Suicide Prevention Hotline,

00:17:42.559 --> 00:17:45.539
which is the number I gave earlier, or just text

00:17:45.539 --> 00:17:51.539
TALK to the number 741741, and you'll get connected

00:17:51.539 --> 00:17:54.779
to a trained crisis counselor to help you. And

00:17:54.779 --> 00:17:56.779
they're available 24 -7, like I mentioned before.

00:17:57.660 --> 00:17:59.980
And if worse comes to worse, escort them to a

00:17:59.980 --> 00:18:02.980
mental health service or an emergency room immediately.

00:18:03.460 --> 00:18:08.759
Okay? Now, on the opposite end, say you're the

00:18:08.759 --> 00:18:10.440
person who made an attempt and you're listening

00:18:10.440 --> 00:18:13.859
to this. They're able to help you after an attempt

00:18:13.859 --> 00:18:16.900
and even have voices of hope that can guide you

00:18:16.900 --> 00:18:19.539
in the right direction. There are many different

00:18:19.539 --> 00:18:24.680
ways in which you can do this. And while I don't,

00:18:24.680 --> 00:18:28.400
how do I put this? I'm not going to condone one

00:18:28.400 --> 00:18:31.420
over the other. Each one has its own purpose

00:18:31.420 --> 00:18:34.160
and each one is for a different kind of person.

00:18:34.339 --> 00:18:37.480
Okay? And like I said, I'm not going to cover

00:18:37.480 --> 00:18:42.160
these two in depth because most people aren't

00:18:42.160 --> 00:18:44.279
going to sit here and read through all of this.

00:18:45.599 --> 00:18:47.619
Basically, after an attempt, they have a guide

00:18:47.619 --> 00:18:49.319
on their site that will help you. Immediately

00:18:49.319 --> 00:18:52.259
after an attempt, they ask to help you figure

00:18:52.259 --> 00:18:54.359
out how did you even get here. They help you

00:18:54.359 --> 00:18:56.119
to interact with your family and your friends.

00:18:56.839 --> 00:18:58.960
And show you things you can do to support your

00:18:58.960 --> 00:19:02.339
recovery. Even provide you a safety plan and

00:19:02.339 --> 00:19:04.059
information for your family and friends that

00:19:04.059 --> 00:19:07.079
can help you. Along with that, like I mentioned

00:19:07.079 --> 00:19:11.140
before, they have the Voices of Hope. The Voices

00:19:11.140 --> 00:19:15.140
of Hope, if I could simplify this as simple as

00:19:15.140 --> 00:19:18.339
possible. is a series of videos featuring those

00:19:18.339 --> 00:19:21.039
who have struggled with suicide, unscripted interviews

00:19:21.039 --> 00:19:23.359
with people speaking from their own personal

00:19:23.359 --> 00:19:25.160
experiences. Now, you can choose to watch these

00:19:25.160 --> 00:19:27.900
videos or you don't have to. Again, it's up to

00:19:27.900 --> 00:19:30.319
you. But it's all for your benefit to help you

00:19:30.319 --> 00:19:33.900
prevent yourself from making the worst mistake

00:19:33.900 --> 00:19:39.039
of your life. Now, on the last note here, say

00:19:39.039 --> 00:19:41.980
your loved one has made an attempt. They offer

00:19:41.980 --> 00:19:45.140
you resources that help them with the same...

00:19:45.769 --> 00:19:48.609
issue okay when the loved one has made an attempt

00:19:48.609 --> 00:19:51.869
what to do what also the same voices of hope

00:19:51.869 --> 00:20:04.150
if needed okay suicide is not a game okay it

00:20:04.150 --> 00:20:09.009
is very serious and it should be taken as such

00:20:09.009 --> 00:20:12.569
a person's life is not something as simple as

00:20:12.569 --> 00:20:15.940
fading grass as it dries and burns up in the

00:20:15.940 --> 00:20:20.559
sunlight, okay? No one person is insignificant

00:20:20.559 --> 00:20:23.980
or more important than the other. This is a very

00:20:23.980 --> 00:20:29.640
serious topic. Anyway, thank you guys for listening.

00:20:30.400 --> 00:20:33.319
I hope you enjoy the rest of your day. God bless.
