Railroad Suicide Prevention - Assess

Railroad Suicide Prevention Project

Risk Factors

  • Previous history
    Ìý
  • Mental health disorders
    Ìý
  • Serious medical conditions
    Ìý
  • Drug or alcohol dependence
    Ìý
  • Impulsivity
    Ìý
  • Trauma
    Ìý
  • Abuse
    Ìý
  • Hopelessness

Ìý

Verbal Clues

Indirect

  • "I just want to stop the pain."
    Ìý
  • "My family would be better off without me."
    Ìý
  • "Who cares if I’m dead anyway."
    Ìý
  • "I wont be around much longer."
    Ìý
  • "I just want out."

Ìý

Direct

  • "I wish I were dead."
    Ìý
  • "I going to commit suicide."
    Ìý
  • "I’m going to end it all."
    Ìý
  • "I cant go on like this."

Ìý

Behavioral Indicators

  • Previous history
    Ìý
  • Owning or buying a gun
    Ìý
  • Putting affairs in order
    Ìý
  • Giving away possessions
    Ìý
  • Sudden interest in religion

Ìý

Other Behaviors

  • Anger, aggression
    Ìý
  • Sleeping too much
    Ìý
  • Withdrawing

Ìý

Situational Triggers

  • Being fired
    Ìý
  • A recent move
    Ìý
  • Loss of any major relationship
    Ìý
  • Death of a spouse, child, or friend
    Ìý
  • Loss of freedom or fear of punishment
    Ìý
  • Loss of financial security
    Ìý
  • Fear of becoming a burden to others
    Ìý
  • Harassment or bullying
    Ìý
  • Feeling of being trapped or cornered