STRESS AND ANXIETY:

AWARENESS AND
PREVENTION THE DYNAMICS
OF SUICIDALITY
JONATHAN E ARENDAIN, MATGC
PhD in Clinical/Counseling Psychology ATENEO de DAVAO UNIVERSITY
A QUICK SURVEY
Which face comes closest how you feel
This day?
A QUICK SURVEY
YOUR LOVE?
A QUICK SURVEY
YOUR WORK/ACADEMIC LIFE?
A QUICK SURVEY
LIFE AS A WHOLE?
WELL BEING…
LIFE AS A WHOLE?
WELL BEING…
For ALL is an IMPORTANT concern of everyone

LIFE AS A WHOLE?
 WELL BEING IS IMPORTANT
• It is a positive outcome that is meaningful for
people and for many sectors of society
because it tells us that people perceive that
their lives are going well.
• It integrates mental health (mind) and
Physical health (body) in resulting more holistic
approaches to disease prevention and health
promotion.
Positive well-being, state of Good Mental
Health
 MILLENNIAL AND THE GENERATION
ZIN AN ERA OF STRESS & DISTRESS

Characteristically Prone to distress due to:

• Grew-up with Social media
 Overgeneralizing- everything will not
turn out well
 Catastrophizing- disastrous things will
happen
 Personalizing- all things are always
attributed to self
 Mental Filter – attention to negative
details instead of seeing the whole
thing
 Kitchen sinking – throwing all kinds of
events or misdeeds on oneself or of
another person
 DEPRESSION IS A SERIOUS ILLNESS

Just like diabetes or heart disease.

 MENTAL HEALTH ASSOCIATION
MH
CONCERNS 2007

RISKS DIAGNOSED DSM- V

SUICIDE

• SCHIZOPHRENIA PREVENTION IS
NEEDED
• DEPRESSION
• HALLUCINATION
• STRESS
• ETC
 WHAT IS DEPRESSION?

Mild, brief depression Sadness,

hopelessness, and
pessimism are
Can be normal and
common human
adaptive
experiences
 MAJOR DEPRESSION/ CLINICAL DEPRESSION

Diagnostic criteria for major

depressive disorder
o Person exhibits more symptoms
than are required for mild, brief
depression
o Symptoms are more persistent
 RED FLAGS: WARNING SIGNS

Suicidal Thoughts • Duration is an important

consideration
Loss of interests • These warning signs are not really
Sadness a concern if they only last a day
of two, but if they last longer
Sleep Problems than two weeks or so, it can be
a red flag for depression
Changes an Appetite
Anger and Irritability
Loss of Energy
 SUICIDE… HOW TO PREVENT FROM
HAPPENING

RISK FACTORS INCREASE LIKELIHOOD

• History of Depression
• History of Mental Illness Suicide risk Suicide ranks
• Alcohol and Drug Abuse History significant factor among the top
in all types of ten leading
• Family History of Suicide/Violence depression causes of death
• Physical Illness
• Feeling Alone
 SUICIDE… AN ISSUE TO BE ADDRESSED
• Suicide is a huge but largely preventable public health problem
(WHO, 2007)

• It is estimated that worldwide about 1.2 million people die by

suicide each year, one death every 4 sec ( and one attempt
every 3 sec.)

• The majority of suicides (85% in the world occur in low and

middle income countries (Krug t al., 2002)

• Globally, nearly 60% of the suicide deaths are among young

adults in their productive years of life. This is a distinct change, as
earlier, more suicides were recorded among the early (WHO-
SEARO, 2006)
 SUICIDE IN THE PHILIPPINES
• The increasing incidence of • On August 29, an unidentified
suicide in the Philippines raise woman jumped in front of an
serious public health concerns, incoming train at the LRT 1 Pasay
particularly issues involving EDSA station (“ Suicide at EDSA
mental health. Recent news Station,” 2012; “LRT Driver Faces
both in print and television have Raps,” 2012)
reported incidence of suicide
among Filipinos.
 SUICIDE IN THE PHILIPPINES
• Dr. Wang stressed that suicide • Thus, there is an urgent call for a
must be considered a public more consistent data in order to
health issue rather than a mere comprehend better suicide
event to be treated as a police behavior, and establish
case. assessment and prevention
strategies in the Philippines.
 • Communities play a critical role in
OUR ROLE… suicide prevention. They can
provide social support to
vulnerable individuals and engage
in follow-up care, fight stigma and
How may WE help? support those bereaved suicide.
 ISSUES AT SCHOOL

SYMPTOMS: Depression
• Peer Pressure • Anxiety
• Lack of Focus • Relationship Issues
• Lack of Acceptance • Romantic Issues
• Adjustment Issue • Failing Grades
• Social Awkwardness

Results in Cutting
 ISSUES AT WORK

SYMPTOMS: Depression
• Stress • Unsupported Boss/Supervisor
• Burnout • Low Moral
• Compassion Fatigue • Toxic Environment
• Lack of Promotion • Skipped Factor Promotion
 WARNING SIGNS FOR SUICIDE

Immediate Risk Serious Risk

• Threatening to kill or hurt
oneself
• Drastic mood changes,
wanting to go to heaven,
peaceful place
• Showing rage, experiencing
unbearable pain
 SUICIDAL INTENT

In most cases,
Indirect suicide,
there is no When present, intent was mostly
statement of direct expression through previous
suicide intent. of intent was suicide attempt
mostly through
suicide notes.
 ADVOCACY FOR SUICIDE PREVENTION
CIVIL SOCIETY ORGANIZATION
School Based
Programs Media HEALTH TALK
 Guidance and  WATCH YOUR THOUGHTS
Counseling Self-Help groups  SET GOALS
program on mental  GO OUTSIDE
health promotion,  SOCIALIZE
crisis intervention  EXERCISE
 EAT HEALTHY
 Student
 ADEQUATE SLEEP
Organization
 STOP BEING PERFECTIONIST
 School Caravans  FAITH
 ADJUSTMENT DISORDER
(DSM – V)
EMOTIONAL DISTRESS (ED) PSYCHOLOGICAL DISTRESS
similar to (PD)
• Physical
• Social
• Intellectual
• Spiritual
• Occupational
• Mental Health
 MENTAL HEALTH FIRST RESPONDER
CORE SKILLS
• E-valuate
• S-creen
• T-hink of Safety
• I-ntervene appropriately
• M-ake referral to MH
• A-sk about his/her support system
• T-ransfer to the next level of care
and
• E-ncourage continued self-care
 MENTAL
HEALTH FIRST
RESPONDER
Evaluate
Screen
Person In
Crisis
CORE SKILLS
Screen your
connections
to people
MENTAL
HEALTH FIRST
RESPONDER
Evaluate
Be Calm Screen
Person In
Crisis
CORE SKILLS
Ex: Tell me about
yourself
 You have to think
About your safety

MENTAL
Intervene
Immediately

HEALTH FIRST
RESPONDER Person In
Crisis
CORE SKILLS
 MENTAL
Don’t judge thing
HEALTH FIRST
RESPONDER Person In
Crisis
Refer to the experts

CORE SKILLS Permission

Intervene
With permission
Refer to person
In Authority
 MENTAL
HEALTH FIRST
RESPONDER Person In
Crisis
CORE SKILLS

Showing with a
Lot of Care
THANK YOU…
JONATHAN E ARENDAIN, MATGC
PhD in Clinical/Counseling Psychology ATENEO de DAVAO UNIVERSITY