Naaalala ko noon, edad walo hanggang sampung taong gulang.

Madalas ang kalaro ko ay mga babae,

Chinese garter, piko, jackstone, etc. Nang atuhan kong makipaglaro sa mga lalaki, nag-enjoy na rin ako
sa larong chicho, taguan, bangsak, patintero, ice water, langit-lupa etc. Sa tuwina’y uuwi ako sa bahay na
may sugat sa binti, sa tuhod, sa braso.. may isang pagkakataon na nakisali ako sa agawan sa pasabit sa
isang birthday party. Sa sobrang liit ko, natabunan ako at natapak-tapakan ng mga malalaking bata. Sabi
ko sa sarili ko no’n, di na ako kailanman makikipag-agawan. Umuwi akong may mga gurlis sa mukha at
sugat sa braso. Nagmamadaling maghahanap ang nanay ko ng tangkay ng saging na ipanglalanggas niya
sa aking sugat. Kakaskasin niya iyon at ipipiga ang katas sa sugat. Sobrang hapdi pero palaging bilin niya,
tiisin mo nak… ‘yan ang pinakamabisang gamot… sa una lang masakit. Tunay nga! Dalawa hanggang apat
na araw ay mamamahaw na ang sugat. Huwag ko raw takpan, hayaan ko lang na nakabilad at
nahahanginan. Minsan sinubukan kong lagyan ng band-aid kasi nakakahiya, kadiri yong sugat. Ayon!
Nagkaroon ng nana. Mas matagal na naghilom. Pinagalitan ako ni Nanay.

Nang magbina-binata na ako, natuto akong mag-motorsiklo. May ilang pagkakataon na sumemplang ako
at nagtamo ng mas malalaking sugat. Ayaw kong mag-alala si Nanay at ayaw kong pagbawalan niya ako
sa gusto ko. Itinago ko ang aking mga sugat. Iniinda ko hanggang sa magnana ang mga ito hanggang sa
maimpeksyon. Tiniis ko. Nang matuklasan na ni Nanay ang aking sugat, agad siyang naghanap ng
tangkay ng saging at ako’y kaniyang inaruga. Mabisang panglangas ng sugat ang tangkay ng saging at
walang gamut sa sugat na hindi kumikirot.

MYTH vs FACT

1. Suicidal people don’t give warning signs

2. Suicide occurs more frequently in the dark dreary days
3. Suicide is primarily a teenage problem
4. Most people leave a suicide note thatexplains the nature of their act
5. Never ask a person if he or she is suicidal as you could put the idea in his or her head.

Lesbian, Gay, Bisexual or Transgender Clients

Lesbian, gay, bisexual and transgender clients are often at risk for a multitude of physical, emotional and
social problems. These clients often have higher than average rates of depression, substance use issues,
and social and family rejection

GENERAL CONSIDERATIONS FOR SUICIDAL CLIENTS

IDENTIFYING & ASSESSING RISK

SAFETY & TREATMENT PLANNING

IS SILENCE NOT AN ACT OF VIOLENCE TOO

Tragedy and silence has the exact same address

Half-full, half-empty? It doesn’t matter. Drink that water in the cup and stop complaining

Muscle is created by repeated lifting things that have been designed to weigh us down so when your
shoulders feel heavy, stand up straight, lift your chin, call it exercise cause life is a gym membership with
a really complicated cancellation policy

You are still alive

Act like it

In a world where you can be anything, be kind.

Depressed people are more afraid to live than to die.

Case samples:

1. Tirona
2. Bardaje
3. Magpantay
4. Melissa

Importance of establishing safety

 Case of Manny

Role of biology and medicine

 Tirona

Psychosis and suicide

 Melissa

Previous suicide attempt, substance abuse, depressive episode, hopelessness, male sex, frequent
exacerbations and remissions – robust predictor of eventual completed suicide

Always examine and explore concrete plans. i.e. pag labas mo ng pinto nay an, anong gagawin mo?
Only the risk of suicide is determinable

Hall et al. (1999) found that 69 of 100 patients had had only fleeting
or no suicidal thoughts before they made a suicide attempt. None of
these patients reported having had a specific plan before his or her impulsive
suicide attempt.
Patients who are determined to commit suicide regard the psychiatrist
and other mental health professionals as the enemy (Resnick
2002)

Linehan Inventory, 1983

UNDERSTANDING SUICIDE
What accounts for the rise in suicide rates during adolescence and young
adulthood?
Answer
This increase parallels the rise in the incidence of mental illness. Many
of the major mental disorders have their onset in adolescence. As severe
mental disorders (depression, bipolar disorder, schizophrenia) increase
so do suicide rates. Contrary to much popular opinion, suicide is not
caused by the usual and expected stresses of adolescence! The vast majority
of young people negotiate through their teens successfully.