Railroad Suicide Prevention - Assess

Railroad Suicide Prevention Project

Risk Factors

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

 

Verbal Clues

Indirect

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

 

Direct

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

 

Behavioral Indicators

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

 

Other Behaviors

  • Anger, aggression
     
  • Sleeping too much
     
  • Withdrawing

 

Situational Triggers

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