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    Warning Signs of Suicide

    September 13, 2012

    Although there are no official national statistics on attempted suicide (e.g., non-fatal actions) it is generally estimated that there are 25 attempts for each death by suicide. The vast majority of individuals who are suicidal often display cues and warning signs. Here is an easy to remember Mnemonic for warning signs of suicide: IS PATH WARM?

    IS PATH WARM?

    I Ideation
    S Substance Abuse

    P Purposelessness
    A Anxiety
    T Trapped
    H Hopelessness

    W Withdrawal
    A Anger
    R Recklessness
    M Mood Changes

    Ideation: Expressed or communicated ideation – threatening to hurt or kill self, or talking of wanting to hurt or
    kill self; looking for ways to kill self; talking or writing about death, dying or suicide

    Substance Abuse: Increased substance (alcohol or drug) use

    Purposelessness: No reason for living; no sense of purpose in life

    Anxiety: Anxiety, agitation, unable to sleep or sleeping all the time

    Trapped: Feeling trapped (like there’s no way out)

    Hopelessness: Hopelessness

    Withdrawal: Withdrawal from friends, family and society

    Anger: Rage, uncontrolled anger, seeking revenge

    Recklessness: Acting reckless or engaging in risk activities, seemingly without thinking

    Mood Change: Dramatic mood changes

    These warning signs were derived as a consensus from a meeting of internationally – renowned clinical researches held under the auspices of the AAS in Wellesley, MA in November 2003.

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