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Anticipate complications
Watch out for complications once you know that your loved one is in distress. Be aware of any changes such as suicidal and homicidal behavior and aggression. If not showing actual destructive behavior, ask for any thoughts of death or wanting to die or to kill.
Inquiring about
presence of suicidal or homicidal thought will not push your loved one to act destructively. In fact, your loved one might be encouraged to disclose more information and to express well-kept emotions.
Remedy with Early Intervention
Early intervention requires you to first accept or acknowledge that a problem exists and
urgent need to address it. Being in denial can only make matters worse. Denial interferes in recognizing on-going problem.
Assist in addressing your loved ones pressing issues. Offer to provide some financial support or to contact appropriate government agencies. For someone in legal trouble, suggest obtaining
advice of a good lawyer.
Be available and supportive. Reassure your loved ones that you will be in their side no matter what. Let them talk about their worries and travails. Provide a listening ear. Avoid arguments and criticisms. Show empathy.
Be alert for signs of destructive behavior such as wrist slashing, overdosing, verbalizing death, agitated behavior, writing or changing a will, and giving away properties. If your loved one is in distress, clarify if one has entertained destructive thoughts.
Call for help. Because suicidal and homicidal behavior requires immediate help, further delay is a not an option. Call mental health hotline, mental health services, or emergency rooms to seek guidance and to ask for
next step. Do not hesitate to call law enforcement agencies or mental health crisis team if your loved one refuses to get help.
Educate Yourself
Knowing about
illness,
dos and don’ts, and how to best cope is a powerful way of dealing with suicide or other destructive behavior. Furthermore, education helps you get rid of misconception, self-blame, guilt, and shame.
In summary, suicide, like cancer, has only one goal – death. It has caused agony, sleepless nights, and oceans of tears for those who are left behind. However, despite its deadly intentions, suicide is also a cry for help. Fortunately, simple steps such as
CARE approach make suicide surmountable.

Dr. Rayel, author of First Aid to Mental Illness, is a clinician, a forensic and geriatric expert, and a speaker. As an advocate of first aid for mental health, he has established seminars and workshops on the subject. He can be reached at www.drrayel.com.