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The authors Catharina Gillsjö and Mia Berglund are responsible for the study conception and design. Data collection was performed by Catharina Gillsjö, Kristina Nässén, and Mia Berglund. Analysis and the first draft of the manuscript was conducted by Catharina Gillsjö and Mia Berglund and critically revised for important intellectual content of Kristina Nässén. All authors commented on previous version of the manuscript, read, and approved the final manuscript. Corresponding author Do you spiral into crushing depression or tend to isolate yourself at the slightest mistake you feel you have made in your interactions with people? These are practical tools to help someone to navigate suicidal feelings and urges for example, removing objects that could be used for suicide or self-harm.
We must treat suicides with the same urgency that we treat any other major killer and take determined action that reflects the changes and progress that we all want to see in society. When we think about depression we think that it only affects the person who is suffering from depression, unfortunately this is not the case. Depression can affect a person’s family as well as their friends and it can also affect their employment. Lohman MC, Whiteman KL, Greenberg RL, Bruce ML (2017) Incorporating persistent pain in phenotypic frailty measurement and prediction of adverse health outcomes. J Gerontol A Biol Sci Med Sci 72:216–222. https://doi.org/10.1093/gerona/glw212 This study followed the principles in the Declaration of Helsinki ( 2016). The study was approved by the Regional Ethical Review Board in Gothenburg (814–13). Informed consentPaskins Z, Sanders T, Hassell AB (2013) What influences patients with osteoarthritis to consult their GP about their symptoms? a narrative review. BMC Family Pract 14:195–195. https://doi.org/10.1186/1471-2296-14-195 Collis D, Waterfield J (2015) The understanding of pain by older adults who consider themselves to have aged successfully. Musculoskelet Care 13:19–30. https://doi.org/10.1002/msc.1083 Vadivelu N, Urman RD, Hines RL (eds) (2011) Essentials of pain management, 1st edn. Springer, New York. https://doi.org/10.1007/978-0-387-87579-8
By bringing data together, we can identify concerning trends and respond at a much faster pace. We’ve been working with OHID – the division in my department – to trial a national suspected suicide surveillance system. We know that the causes of suicide are complex and intertwined but the data does show that there are some areas where we can have a big impact.Patel KV, Guralnik JM, Dansie EJ, Turk DC (2013) Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and Aging Trends Study. PAIN® 154:2649–2657. https://doi.org/10.1016/j.pain.2013.07.029 And on that Monday it was the first thing I thought about when I opened my eyes and the last thing I thought about when I closed my eyes. Nothing can prepare for you for the loss of a loved one. I’ve been hosting surgeries in my own constituency for over 12 years, and often people come to see me when they feel they have nowhere else to turn.
Todres L, Galvin KT, Dahlberg K (2014) ‘‘Caring for insiderness’’: phenomenologically informed insights that can guide practice. Int J Qual Stud Health Well-Being 9:21421 They are more likely to emerge when people are alone or perhaps late at night and we hear from our charity partners that their helplines are often busiest between the hours of 9pm and midnight. Life with long-term pain requires ways of dealing with the inevitable pain: “it never ends…there is nothing you can do about it.” In the endurance and distraction from pain there is a tendency to resign, capitulate and incorporate the pain into the process of aging “You become used to the pain.” The older adults’ bodies are worn out to various extents: “I think I take it easy. It doesn’t become better if one whines and becomes grouchy, the body is worn out.” The older adults suffer in silence and adjust their daily lives to be able to endure and distract themselves from the pain. They try to find comfortable positions to alleviate the pain. They also avoid movements: “It feels a little better if I don’t move the legs when I sit still; it’s when I move that it hurts.” Another way is to lie down to alleviate and endure the pain: “I feel no pain when I sleep.” The avoidance of activities and movements in fear of increased level of pain leads to a sedentary lifestyle.Makris UE, Abrams RC, Gurland B, Reid M (2014) Management of persistent pain in the older patient: a clinical review. JAMA 312:825–837. https://doi.org/10.1001/jama.2014.9405 Practice being assertive frequently, in small ways, to get started. Reach out to someone every other day. Send a text or call family and friends, ask someone to coffee, or let a friend know that you need a shoulder to cry on. You could say, "Hey, I need to be around other people tonight. Would you be up for a Netflix binge?" The ability for you to recognize your need, and build up the courage and skills to actually reach out is a huge part of finding support and getting through a tough time. Smith TO, Dainty JR, Williamson E, Martin KR (2019) Association between musculoskeletal pain with social isolation and loneliness: analysis of the English Longitudinal Study of Ageing. Br J Pain 13:82–90. https://doi.org/10.1177/2049463718802868 Men in the lowest socioeconomic groups, who live in some of the most deprived areas, are up to 10 times more at risk of suicide than those in the highest socioeconomic groups, in other words those living in the most affluent areas.
The dark cloud of suicide means that too much potential has gone unfilled and that there are too many families that have been left incomplete.Rottenberg Y, Jacobs JM, Stessman J (2015) Prevalence of pain with advancing age brief report. J Am Med Dir Assoc 16:264.e261–264.e265. https://doi.org/10.1016/j.jamda.2014.12.006
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