Overwhelmed by his own suicidal gesture
, Ian sputters out what he has done, aghast at how he chose to do it yet felt like it was happening without him, as if fated: "it was so easy.
first instance, the suicidal gesture
is neither seen nor contextualized.
The results indicated that 74% of these adolescents reported being under the influence of alcohol and/or other drugs at the time of the suicidal gesture
. A total of 101 attempts had been made among the 50 adolescents in this group.
People with BPD also may have a history of making recurrent suicidal gestures
In another study, 40 patients hospitalized for suicidal ideation (n = 29, 72%) or suicidal gestures
(n = 11, 28%) in a large, urban tertiary care center were evaluated for malingering by anonymous report of feigned or exaggerated symptoms.
Often they take their guilt, rage and self-hatred out on themselves through self-destructive behaviors like substance abuse (which also deadens psychic pain); promiscuous and unprotected sex; walking alone in dangerous areas at night; cutting legs, thighs, arms and pubic areas; tearing out eyebrows and hair; hustling or prostituting; or making suicidal gestures
We used a rather broad definition of self-harm, including what Motto called suicidal gestures
, in cases where intent was difficult to determine on the basis of case records.
1986]), a doctor was sued for wrongful death after his patient hanged herself following hospital admission for suicidal gestures
. She was admitted to a private room instead of a special locked room.
"Many well-meaning individuals believe that when people (especially children) exhibit suicidal gestures
or messages, they are 'attention-seeking.' Teens' 'help-seeking' through risky behavior or suicidal statements have been minimized through such euphemisms as 'she is a drama queen,' 'he just needs better limits,' or 'it's just a call for help,' as if it is normal or healthy for a teen to write in his or her English classes about morbid death wishes, or 'doodle' in a notebook startling images of death, or to inflict self-injury alongside verbal messages of hopelessness.
Barr suggested that this is a problem because correctional officers who believe an individual is faking suicidal gestures
will often fail to refer the inmate to a mental health counselor.
those who made impulsive suicidal gestures
or deliberately harmed themselves, either as a punitive gesture or to draw attention to themselves or to their plight.
We have seen adolescents from extremely pathological circumstances make relatively harmless suicidal gestures
: they nevertheless warrant full psychosocial care and follow-up.