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Suicide Prevention

People sat in a group supporting each other

North Lincolnshire suicide prevention

Warning signs

Suicide prevention starts with recognising the warning signs and taking them seriously. Common warning signs include:

  • Talking about wanting to die or to kill oneself
  • Looking for a way to kill oneself
  • Talking about feeling hopeless or having no purpose
  • Talking about feeling trapped or being in unbearable pain
  • Talking about being a burden to others
  • Increasing the use of alcohol or drugs
  • Acting anxious, agitated, or reckless
  • Sleeping too little or too much
  • Withdrawing or feeling isolated
  • Showing rage or talking about seeking revenge
  • Displaying extreme mood swings.
Man sat on the stairs with his head lowered looking unhappy

These warning signs can indicate that a person may need help, please read the following information below to find out what to do, and where to access help.

Suicide prevention – four steps

To help anyone who comes into contact with someone they think is at risk of suicide.

If you meet someone who presents a risk of suicide it’s best to talk to the person to find out their plans and intentions, then signpost to relevant support. See Guidance on the use of language.

  • Just listen, don’t judge: Just listening is one of the most helpful things you can do. Avoid the temptation to try and change the subject or to list all of the ‘positives’ in the person’s life. Just listen and try and see things from their point of view.
  • Ask directly about suicide: This enables them to take stock and can also diffuse a situation.  (See guidance on the Use of Language section)
  • Encourage them to talk openly with someone close to them about their feelings: Only do this if you think it is appropriate (e.g., if they mention family members or friends during conversation).
  • Stay calm and supportive: Just telling them you see their struggle can be an important help.
  • Ask if they have a plan for how they want to hurt themselves: It can be difficult to ask this question, but it is also very important to enquire about their immediate and future plans.
  • Be mindful of your own wellbeing: Talk to someone you trust about how it has made you feel.

If the person has a specific plan and the means to carry out that plan and take their own life, then they need urgent help – please refer to page 3 for list of services under ‘URGENT ’.

If you think they are not in immediate danger, but could still benefit from some support for low mood, anxiety or depression then talk to them about the support highlighted on Step 3.

Where to signpost – support for all ages

Urgent If someone is in immediate danger or has harmed themselves, call 999 and ask for an ambulance or take them to A&E. If you need help fast but don’t think it is a 999 emergency, call 111 or make an urgent appointment with a GP.
Crisis support If they need immediate mental health support, encourage them to ring Samaritans 116 123, open 24/7 or North Lincolnshire Single Point of Access: advice line for routine and urgent referrals and enquiries TEL: 08000150211 The individual can also text Shout on 85258.
North Lincolnshire Mental Health Support
  • North Lincolnshire Mind offer mental and emotional wellbeing support including individual 1-1 support, Wellness recovery action planning (WRAP), group and peer support sessions. Printers Yard , Fenton Street, Scunthorpe DN15 6QX. Tel: 01724 279 500 Email: support@nlmind.org The Haven – North Lincolnshire MIND Support for people aged 16+ during evenings and weekends Tel: 01724 279500 (4pm to 12 midnight)
Other Mental Health Helpline
North Lincolnshire
Support Groups and Activities
Bereavement

Grieving when someone dies by suicide can be incredibly difficult and support is available:

Help with other issues
  • For help or advice on some of the issues people might be struggling with (such as money, health, family breakdown, loneliness, housing, care, legal, work issues and more) visit www.northlincs.gov.uk/people-health-and-care
 
Urgent If someone is in immediate danger or has harmed themselves, call 999 and ask for an ambulance or take them to A&E. If you need help fast but don’t think it is a 999 emergency, call 111 or make an urgent appointment with a GP.
Crisis support If they need immediate mental health support, encourage them to ring Samaritans 116 123, open 24/7 or North Lincolnshire Single Point of Access: advice line for routine and urgent referrals and enquiries TEL: 08000150211 The individual can also text Shout on 85258.
North Lincolnshire Mental Health Support
  • Adult mental health service – RDASH provide a range of mental health support, including crisis support. In a mental health crisis, they can be called on 03000 216000 Free number for this same line is 0800 015 0211.
  • NHS North Lincs Talking Therapies provides talking therapies to adults who are experiencing common mental health problems such as depression, stress or anxiety. You can contact the service by contacting NHS North Lincs Talking Therapies on 03000 216 165 or by completing online referral form. iapt.rdash.nhs.uk. You can also visit their website which contains a range of self-help guidance at iapt.rdash.nhs.uk
Other Mental Health Helpline
North Lincolnshire
Support Groups and Activities
Bereavement

Grieving when someone dies by suicide can be incredibly difficult and support is available:

Help with other issues
  • For help or advice on some of the issues people might be struggling with (such as money, health, family breakdown, loneliness, housing, care, legal, work issues and more) visit www.northlincs.gov.uk/people-health-and-care
 
Urgent If someone is in immediate danger or has harmed themselves, call 999 and ask for an ambulance or take them to A&E. If you need help fast but don’t think it is a 999 emergency, call 111 or make an urgent appointment with a GP.
Crisis support If they need immediate mental health support, encourage them to ring Samaritans 116 123, open 24/7 or North Lincolnshire Single Point of Access: advice line for routine and urgent referrals and enquiries TEL: 08000150211 The individual can also text Shout on 85258.
North Lincolnshire Mental Health Support
Other Mental Health Helpline
North Lincolnshire
Support Groups and Activities
Bereavement
Help with other issues
  • For help or advice on some of the issues people might be struggling with (such as money, health, family breakdown, loneliness, housing, care, legal, work issues and more) visit www.northlincs.gov.uk/people-health-and-care

Talk Suicide Training

  • FREE 20-minute online suicide prevention training
  • Learn how to spot suicide warning signs and have a conversation with someone you’re worried about www.talksuicide.co.uk

Minded – eLearning to support healthy minds

  • www.minded.org.uk is a free mental health education resource for people who work with or support children, young people, adults and older adults.

Making Every Contact Count (MECC) eLearning

  • To understand public health and the factors that impact on a person’s health and wellbeing.
  • It focuses on how asking questions and listening effectively.
  • A ‘MECC interaction’ takes a matter of minutes and is not intended to add to existing busy workloads, rather it is structured to fit into and complement existing engagement approaches.
  • Making Every Contact Count – eLearning for healthcare (e-lfh.org.uk)

R;pple

R;pple provides hope and encouragement to keep safe at your most vulnerable point. If you are worried about someone in your household looking up harmful materials online e.g., methods of self-harm – you can download the free R;pple tool which will redirect away from harmful online searches to offer the right support.

Stay Alive

The Stay Alive app is a pocket suicide prevention resource for the UK, packed full of useful information to help you stay safe. You can use it if you are having thoughts of suicide or if you are concerned about someone else who may be considering suicide.
The app includes a safety plan, customisable reasons for living, and a life box where you can store photos that are important to you.

Hub of hope

The Hub of Hope is the UK’s leading mental health support database. It is provided by national mental health charity, Chasing the Stigma, and brings local, national, peer, community, charity, private and NHS mental health support and services together in one place for the first time.

Live Well North Lincolnshire – Supporting people to live their best life.

Live Well North Lincolnshire is a one-stop place for residents and visitors to find a wide range of organisations; support groups, community groups, events and activities that can help improve their health and wellbeing.

The information hub is a joint initiative between North Lincolnshire Council, the Humber and North Yorkshire Health and Care Partnership and other partners from across the public, voluntary and community sector with an interest in improving community wellbeing in North Lincolnshire.

Chilypep

Chilypep (the Children and Young People’s Empowerment Project) is a charity dedicated to raising the voice of children and young people, giving them the platform to shape their world and stay connected. We work with all young people in Sheffield, Barnsley, South Yorkshire and Beyond.

Chilypep also provide a range of resources on their website, including advice and support for children and young people bereaved by suicide.

Five Ways to Wellbeing

During challenging times, it is really important that we try to look after ourselves and those around us.

This includes our physical health and just as importantly, our mental wellbeing. Good mental wellbeing helps us to maintain our physical health and to make the most from life.

It is important that we take time to do things that are good for our mental wellbeing, below are some suggestions.

Five ways to wellbeing is a way of making sure our minds and bodies remain healthy while we stay safe:

circle split into segments containing the 5 ways to wellbeing including be active, take notice, give, connect and keep learning

Being active and getting out in the fresh air is proven to support our wellbeing, participating in regular physical activity is associated with lower rates of depression and anxiety across all age groups. Running, cycling and walking are great ways of keeping your body moving and North Lincolnshire offers a range of top-quality green spaces and parks, cycle networks and walking paths to explore.

Five ways to good mental wellbeing

  • Go for a walk or run
  • Step outside
  • Cycle
  • Play a game
  • Garden
  • Dance
  • Swim
  • Exercising makes you feel good
  • Most importantly, discover a physical activity you enjoy and that suits your level of mobility and fitness
  • If possible, try to exercise (increase your heart rate) for 30 minutes per day.

Five ways to good wellbeing – links within North Lincolnshire

There is strong evidence indicating that feeling close to, and valued by, other people is a fundamental human need and one that contributes to us functioning well in the world. Social relationships and feeling ‘connected,’ with others is critical for promoting wellbeing and for acting as a buffer against mental ill health for people of all ages. This could involve something as simple as setting a regular monthly catch up date with friends or family, calling in on a neighbour once a week for a cup of tea, or becoming more involved and engaged in the community by volunteering or joining a local activity group.

Five ways to good mental wellbeing

  • Connect with the people around you
  • With family, friends, colleagues and neighbours
  • At home, work, school or in your local community
  • Think of these as the cornerstones of your life and invest time in developing them
  •  Building these connections will support and enrich you every day.

Five ways to good mental wellbeing – links within North Lincolnshire

Taking notice means taking the time to pause to see the beauty around us, when on daily exercise this could be taking notice of nature, flowers, birdsong; it could be taking notice of the messages of support that people have displayed in their windows, or taking notice of other people that we see. Instead of rushing by, take the time to look and realise what you see. Some of the support we rely on may have changed at the moment and it’s important we take notice of our own wellbeing to make sure we stay well. It is important to remember that there is still support available to people who need it.

Five ways to good mental wellbeing

  • Be curious.
  • Catch sight of the beautiful.
  • Remark on the unusual.
  • Notice the changing seasons.
  • Savour the moment, whether you are walking to work, eating lunch or talking to friends.
  • Be aware of the world around you and what you are feeling.
  • Reflecting on your experiences will help you appreciate what matters to you.

Five ways to good mental wellbeing – links within North Lincolnshire

Learning new skills, or rediscovering an old one, can make us feel more confident as well as be enjoyable. You could get creative with things you may have in your cupboards such as paints or knitting needles – it could be as simple as taking time to complete a crossword or word search, anything that encourages you to take time out and use your mind.

Five ways to good mental wellbeing

  • Try something new.
  • Rediscover an old interest.
  • Sign up for that course.
  • Take on a different responsibility at work.
  • Fix a bike.
  • Learn to play an instrument or how to cook your favourite food.
  • Set a challenge you enjoy achieving. Learning new things will make you more confident as well as being fun.

Five ways to good mental wellbeing – links within North Lincolnshire

Doing something nice for a friend, a neighbour or a family member can make you feel great. Just simply saying thank you or even being more involved in community and social participation through volunteering your time can be incredibly rewarding and helps to develop an enhanced sense of wellbeing.

Five ways to good mental wellbeing

  • Do something nice for a friend, or a stranger.
  • Thank someone.
  • Smile.
  • Volunteer your time.
  • Join a community group.
  • Look out, as well as in.
  • Seeing yourself, and your happiness, as linked to the wider community can be incredibly rewarding and creates connections with the people around you

Five ways to good mental wellbeing – links within North Lincolnshire

Resolve unresolved problems

Problems such as debt, relationships and bereavement can make people feel alone and seriously affect people’s mental health and wellbeing. There is help available. Go to the People, Health and Care pages on the council website see what’s available in your area.

Life is for Everyone: A framework for the prevention of suicide, early indicators and risk for suicide – Spotting the signs

Risk factors for suicide

  1.  Mental health difficulties
  2.  Gender – male
  3.  Family discord, violence or abuse
  4.  Family history of suicide
  5.  Alcohol or other substance abuse
  6.  Social or geographical isolation
  7.  Financial stress
  8.  Bereavement
  9.  Prior suicide attempt
  10.  Experience Domestic Abuse
  11.  Long Term Conditions
  12.  Chronic or acute pain
  13.  Veteran
  14.  LGBTQIA+

Tipping Point

  • Relationship breakdown
  • Loss of status or Respect
  • Debilitating physical illness or accident
  • Death or suicide of relative or friend
  • Suicide of someone famous or member of peer group
  • Argument at home
  • Being abused or bullied
  • Media report on suicide or suicide methods.

Anxiety

  • Hopelessness
  • Feeling trapped – like there’s no way out
  • Increasing alcohol or drug use
  • Withdrawing from friends, family or society
  • No reason for living, no sense of purpose in life
  • Uncharacteristic or impaired judgement or behaviour.

Imminent Risk

  • They have expressed intent to die
  • They have a suicide plan in mind
  • They have access to lethal means
  • They are displaying impulsive, aggressive or anti-social behaviour.
two women talking and drinking coffee

Life is for everyone: Signposting

Risk factors for suicide signposting

  1. North Lincolnshire Mind
  2. One for the lads 
  3. BlueDoor Tel: 0800 197 4787
  4. Together Service Tel: 01482 240133
  5. We Are With You-Adult Substance Misuse Service  or North Lincolnshire Delta Substance Misuse Service (up to 19 years of age) Tel: 01724 298 528
  6. North Lincs Council Community Hub
  7. Citizens Advice Bureau
  8. NL Bereavement Support Service – Email:bereavementsupport@northlincs.gov.uk
  9. Together Service Tel:01482 240133
  10. Visit your GP
  11. Connect Health – Via GP referral
  12. Armed Forces Hub: Email: armed.forces@northlincs.gov.uk
  13. Scunthorpe LGBTQ Society meet every Sunday 1-3pm at The BlackDoor at Britannia

Warning signs – Signposting

Tipping Point – Signposting

Imminent risk – Signposting

woman being comforted by another woman in a support group

Guidance on the use of language

It is important that we feel confident to talk about suicide in a caring and compassionate way. A key element of having these conversations is being able to discuss suicide (or suicide intent) in ways that avoid the stigmatising phrases which have evolved over time.

This is not just about being politically correct or avoiding causing offence; it’s about saving lives. Being conscious of the language choices you make and talking openly, honestly and sensitively about suicide is the key to reducing the stigma which may prevent an individual from seeking help.

The following guidance can help you to choose your words with greater care.

Avoid:

  • Reinforcing stereotypes, prejudice or discrimination against people with mental illness and suicide ideation.
  • Defining an individual by any diagnosis they have.
  • Anything that implies mental illness makes people fragile, violent or unpredictable.

Careful choice of language can also enable us to have positive and caring conversations, choosing the right words is just as important as avoiding the wrong ones.

Do:

  • Be direct – discussing suicide does not cause or increase suicidal thoughts, nor does it make an individual act on them. It can, however, help them to feel less scared and isolated.
  • Be hopeful. People can and do recover from suicide ideation.
  • Encourage help-seeking.
 
Avoid Say Why
  • Commit/committed suicide.
  • Died by suicide.
  • Lost their life to suicide.
  • Took their own life.
“Commit” implies a sin or crime which reinforces stigma and implies that suicide is selfish and a personal choice.
  • Successful suicide.
  • Completed suicide.
  • Died by suicide.
  • Fatal suicide attempt.
The terms “successful” and “completed” suggest that the tragic outcomes of suicide are an achievement or something positive.
  • Failed suicide attempt.
  • Unsuccessful suicide attempt.
  • Suicide attempt.
  • Survived a suicide attempt.
  • Non-fatal suicide attempt.
“Failed” and “Unsuccessful” imply that the opposite would be a positive or
desired outcome.
  • [NAME] is suicidal.
  • [NAME] is thinking of suicide.
  • [NAME] is feeling suicidal.
  • [NAME] is experiencing suicidal thoughts/ feelings.
Try not to define an individual by their experience with suicide. A person is more than their suicidal thought/experiences.
  • Cry for help.
We must take suicide attempts seriously. “Cry for help” dismisses the intense emotional distress that someone may be feeling.
  • [NAME] is feeling suicidal because of…
  • [NAME] took their own life because…
The reasons for someone thinking of taking their own life are usually very complex. Speculation regarding a person’s intentions is unhelpful and adds to feelings of shame and stigma felt by the individual
  • Epidemic/skyrocketing.
  • Rising.
  • Increasing.

These terms can spark panic and make suicide seem inevitable or more common than it is.

Using less emotionally charged words can avoid causing panic or a sense of
doom/hopelessness.

  • He’s suicidal.
  • They’re a schizophrenic.
  • She’s bipolar.
  • The mentally ill.
  • <Substance> addicts.
  • He is facing suicide/thinking of suicide/experiencing suicidal thoughts.
  • They have schizophrenia/are living with schizophrenia.
  • People with mental illness.
  • People addicted to <substance>.

Putting the condition before the person reduces someone’s identity to their diagnosis—people aren’t their illness; they have an illness.

People-first language shows respect for the individual, reinforcing the fact that their condition does not define them.

  • You’re not going to do anything silly are you?
  • Are you thinking of ending it all?
  • You’re not going to top yourself, are you?
  • Are you having thoughts of suicide?
  • Are you feeling suicidal?
  • Have you been thinking about killing yourself?

You want to show that you are not going to dismiss or make fun of how they are feeling but instead you are prepared to talk about it and take it seriously.

Try to ask open questions and not ones that require just a yes or no answer.

It’s important to be direct. Using the word suicide shows others that you are ok with them talking about suicidal feelings and that you are there to listen.

  • The important thing to remember is that you are doing your best to offer a listening ear and support someone struggling with suicidal thoughts. Don’t avoid conversations because you are concerned that you may say the wrong thing. This conversation may stop someone taking their life.
  • In addition to trying to say the right words remember to physically show you are listening to them too. Try to find a place to talk where you won’t be disturbed, put your phone away so you can engage with the person fully, try not to cut short the conversation to rush off to another meeting. Remember to take time for yourself after offering support to someone who is thinking about suicide. You may need time to process the conversation you have had about suicide.