I    Ideation (thinking, talking or wishing about suicide)
   S    Substance use or abuse (increased use or change in substance)
   P    Purposelessness (no sense of purpose or belonging)
   A    Anger
   T    Trapped (feeling like there is no way out)
   H    Hopelessness (there is nothing to live for, no hope or optimism)
   W   Withdrawal (from family, friends, work, school, activities, hobbies)
   A    Anxiety (restlessness, irritability, agitation, changes in sleep pattern)
   R    Recklessness (high risk-taking behavior)
   M    Mood disturbance (dramatic changes in mood)

SAD PERSONS: The score is calculated from ten yes/no questions, with points given for each affirmative answer as follows:

   S    Male sex → 1
   A    Age <19 or >45 years → 1
   D    Depression or hopelessness → 2
   P    Previous suicidal attempts or psychiatric care → 1
   E    Excessive ethanol or drug use → 1
   R    Rational thinking loss (psychotic or organic illness) → 2
   S    Single, widowed or divorced → 1
   O    Organized or serious attempt → 2
   N    No social support → 1
   S    Stated future intent (determined to repeat or ambivalent) → 2

This score is then mapped onto a risk assessment scale as follows:

   0-5:  May be safe to discharge (depending upon circumstances)
   6-8:  Probably requires psychiatric consultation
   8-13:  Probably requires hospital admission

Hope this helps!

That suicide is painless
It brings on many changes
And I can take or leave it if I please.

The game of life is hard to play
I’m gonna to lose it anyway
The losing card I’ll someday lay
So this is all I have to say…

That suicide is painless
It brings on many changes
And I can take or leave it if I please.

The sword of time will pierce our skins
It doesn’t hurt when it begins
But as it works its way on in
The pain grows stronger, watch it grin.

And suicide is painless
It brings on many changes
and I can take or leave it if I please.

A brave man once requested me
To answer questions that are the key,
“Is it to be or not to be?”
and I replied “oh why ask me?”

And suicide is painless
It brings on many changes
and I can take or leave it if I please.

And you can do the same thing if you please…

False. People who want to kill themselves are “suicidal” only for a limited period of time. During this time they either move beyond it, get help or die.

2   If someone tried to kill themselves once, there is a much smaller chance that they will try again.

False. As many as 80% of all completed suicides occurred after previous attempts. This is especially true for young people.

3   Suicidal people clearly want to die.

False. Ambivalence is a marked feature of a suicidal person. Many don’t want to die, but simply want a way to escape an unbearable situation.

4   It is a bad idea to ask people if they are suicidal. Talking about suicide might give them the idea that they should kill themselves.

False. People might think it’s safer not to talk about suicide with someone considering it. On the contrary, talking will help them deal with some of the heavy issues involved and diffuse the tension. A willingness to listen shows that people care and are willing to help.

5   If a depressed or suicidal person feels better it usually means that the problem has passed.

False. If someone who has been depressed or suicidal suddenly seems happier, don’t assume that the danger has passed. A person, having decided to kill themselves, may feel “better” or feel a sense of relief having made the decision. Also, a severely depressed person may lack the energy to put their suicidal thoughts into action. Once they regain their energies, they may well go ahead and do it.

6   Young men are at the highest risk of killing themselves.

False. Males between the ages of 18 and 24 are in the group with the highest growth rate of suicide, but older men are actually at the highest risk of killing themselves.

7   People who talk about killing themselves will never do it. It’s a way of letting off steam. Those who kill themselves don’t normally talk about it. They just go ahead and do it.

False. Most people either talk about it or do something to indicate that they are going to kill themselves. There is no need to blame yourself if you didn’t see it coming. If you are worried about someone you know, make sure you read all about the warning signs of suicide. Look for the signs you may see before a suicide attempt, and also find out what you could do to help.

“Dear Mom, I love you with all my heart. I just wasn’t meant for this world! I hope I can find a place of peace and happiness, a place I am child enough to live, yet man enough to survive. I love you! I hope you can truly believe me. Maybe on my journey I’ll find Jesus. Pray for me mom. Pray I will find happiness. I hurt so bad inside! I want it all to go away. I want a new beginning. I am not afraid to die mom. I’m just so afraid of tomorrow!

To all my friends and loved ones, I ask of you one last favor: don’t let my spirit die. Remember me for the laughs and the good times, the thrills we all had together. I hope I made a place in all your hearts and touched each and every one of you in a special way. I have chosen to die, but I haven’t chosen to be forgotten. I must find a new world, a world of peace and happiness. I want you all to know I am not afraid to die, only to quit living. I’ll miss you.”

“The survival of the fittest. Adios Unfit.”

“I’m going to put myself to sleep now for a bit longer than usual. Call the time eternity.”

“I have no family and no friends, very little food, no viable job and very poor future prospects. I have therefore decided that there is no further point in continuing my life. It is my intention to drive to a secluded area, near my home, feed the car exhaust into the car, take some sleeping pills and use the remaining gas in the car to end my life.”

“I’m not sure why I’m writing this. I went online to look up information on suicide: statistics, methods and all that stuff. I was raised in a family where I went to church every Sunday and was taught the importance of faith and God in our lives. It doesn’t matter. It doesn’t help me. I got hurt… bad… when I was a child. I was hurt in a way that no person, no little child should be hurt. I think about suicide on a daily basis… sometimes it’s all that I can think about. I’ve been hospitalized for attempts before. I’ve been put on medications to help the depression… the mental disorders that doctors are so quick to diagnose. I’m sick of it all. Why should I bother trying anymore? I’m not even afraid of dying. I’m not afraid of pain. I just want to leave this world. Please pray for me. I’m tired of trying.”

“Dear World, I am leaving you because I am bored. I feel I have lived long enough. I am leaving you with your worries in this sweet cesspool – good luck.”

“I have a feeling I shall go mad. I cannot go on longer in these terrible times. I shan’t recover this time. I hear voices and cannot concentrate on my work. I have fought against it but cannot fight any longer.”

“I must end it. There’s no hope left. I’ll be at peace.”

“If I can’t see my daughter here, I will see her from above…”

“I’m trying to watch TV but I don’t know what I’m watching. It’s so lonely here. I want to sleep but it just won’t come. I’m so tired of hurting and being a lone. I keep thinking about the pills in the cabinet but I’m scared. My head hurts so much from crying but if I take anything for it I’m scared I won’t stop and I would want to stop.”

“I don’t have any choice in the matter. To make everything better I have to die. I can’t make it right by living. I’m so scared I want out but oh I don’t know.”

“I’m so cold, please do something. I can’t stand this empty feeling that I’m having. My head is horrible. Stop the pounding it hurts so much. I have no control over anything in my life. I’m breaking into pieces. Somebody do something.”

“What is a few short years to live in hell. That is all I get around here. No more I will pay the bills. No more I will drive the car. No more I will wash, iron & mend any clothes. No more I will have to eat the leftover articles that was cooked the day before. This is no way to live. Either is it any way to die. Her grub I can not eat. At night I can not sleep. I married the wrong nag-nag-nag and I lost my life.”

“My kisses burn into your soul,
My touch melts upon your skin,
My eyes reflect my misery Of the darkness deep within,
I am a waste of time,
So now I shall die.”

“The time has come for me to move on. I don’t come to this decision lightly, however, but now that I’m older, I’ve finally realized that there’s a world of difference between living happily ever after and just living ever after. I may seem strong. But I’m not I’m just like anyone else. We can feel pain. We can die. And I won’t be the one to destroy anyone else’s hopes and dreams. Never again.

“I’m sacrificing myself to save the countless many who would have to die if I were to live. It’s a noble cause, I figure. A good reason to die. I like to think you’d agree.”

“So that’s it. That’s me. Leaving the world to be a better place.”

“I feel certain that I am going mad again. I feel we can’t go through another of those terrible times. And I shan’t recover this time. I begin to hear voices, and I can’t concentrate. So I am doing what seems the best thing to do. You have given me the greatest possible happiness. You have been in every way all that anyone could be. I don’t think two people could have been happier ’til this terrible disease came. I can’t fight any longer. I know that I am spoiling your life, that without me you could work. And you will I know. You see I can’t even write this properly. I can’t read. What I want to say is I owe all the happiness of my life to you. You have been entirely patient with me and incredibly good. I want to say that — everybody knows it. If anybody could have saved me it would have been you. Everything has gone from me but the certainty of your goodness. I can’t go on spoiling your life any longer. I don’t think two people could have been happier than we have been.”

“To my friends: my work is done. Why wait?”

“When all usefulness is over, when one is assured of an unavoidable and imminent death, it is the simplest of human rights to choose a quick and easy death in place of a slow and horrible one.”

“”Football season Is over. No more games. No more bombs. No more walking. No more fun. No more swimming. 67. That is 17 years past 50. 17 more than I needed or wanted. Boring. I am always bitchy. No fun for anybody. 67. You are getting greedy. Act your old age. Relax, this won’t hurt.”

“Goodbye, my friend, goodbye
My love, you are in my heart.
It was preordained we should part
And be reunited by and by.
Goodbye: no handshake to endure.
Let’s have no sadness — furrowed brow.
There’s nothing new in dying now
Though living is no newer.”

“All fled–all done, so lift me on the pyre;
The feast is over, and the lamps expire.”

…to be continued.

The sadness and pain that has accumulated over the years will never go away unless I do what I wanted to do since my early age. I’ve shed a lot of tears and I’m tired of it. This is getting unbearable. I must find a solution. Oh yeah, a full proof solution.

Listening to: Scooter – And No Matches.