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Suicidal behaviour
My sister who is 36yrs who is unmarried suffering from schizophrenia she is taking medicines from 7yrs. She had multiple partner in past no one of them her boyfriend. She is trying to suicide due to schizophrenia or guilt feelings dont know. No one know except me about her past relationship. I dont judge her I want to try to save her life cause she tries to suicide multiple times she tries to suicide by burn, trying to hang her self,by cutting nerves. by taking overdose of medicines. I checked her phone when she was burn i got her chat's videos i informed her doctor at that time but I m not getting family support on increasing medicine if she needed may I need to Inform my parents about her past cause I know very well due to her physical requirements are not fulfilled she tries to do suicide due to her desires when she sees a happy couple she behaves strange. When she was admitted in hsptl she says I want to marry immediately may I need to Inform my family or it's interfere on her life
Answers (5)
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Your dedication to keeping your sister safe during such highly lethal suicide attempts (burning, hanging, cutting, and overdosing) is incredibly crucial.
In a patient with a 7-year history of schizophrenia, suicidal behavior is a critical emergency. It is often driven by active command hallucinations, severe depressive episodes (post-schizophrenic depression), or profound feelings of isolation, guilt, and unfulfilled life desires. While her past relationships or longings to get married play a significant psychological role, severe and repeated suicide attempts are primarily driven by acute clinical distress from her underlying psychiatric condition.
Next Steps
Immediate Psychiatric Re-evaluation: Take your sister to her treating psychiatrist urgently. Because she has resorted to multiple highly lethal means, a medication review, optimization of antipsychotics, or consideration of electroconvulsive therapy (ECT) to rapidly bring down suicidal intent is required.
Prioritize Clinical Treatment Over Revealing Her Secrets: Do not rush to inform your parents about her past relationships or intimate life right now. Adding family conflict or exposing her secrets will drastically increase her psychological distress, guilt, and immediate suicide risk. Focus strictly on her medical management first.
Strict Caregiver Alliance: Talk to the doctor yourself about the family's resistance to increasing medication. Let the psychiatrist explain the life-saving necessity of medication optimization directly to the rest of the family to get them on board.
Health Tips
A patient with a history of multiple high-lethality attempts cannot be left unsupervised under any circumstances.
Complete Environmental Safety: Remove all sharp objects, ropes, ropes/cloth lines, matchboxes, lighters, and toxic household chemicals from her reach.
Supervise All Medications: Keep all her prescription pills under strict lock and key. Administer every single dose directly to ensure she does not stockpile them for a future overdose attempt.
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Please inform family
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Hi, best inform family members and with their support get her proper treatment
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Dr. Mohit Bansal
Psychiatrist
6 yrs exp
Faridkot
This need more detailed conversation with the patient to evaluate and treat the patient
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.