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happened more than 90 percent of suicides in the course of mental illness - the suffering that drives people involuntarily to death - but there are In Help Austria take a year almost 1,300 lives, with the declining steadily since 1987. In most cases, there are mental illnesses that cause suicide is seen as a last resort. "A person who feels mentally and physically healthy and socially embedded to some extent, is not the life," said Reinhold Farthing, medical director and head of the special mission of suicide prevention at the Christian Doppler Clinic, Salzburg.

completely negative view of the world
severe mental disorders such as depression, schizophrenia, substance dependence or personality disorders are even more than 90 percent of cases, the basis for a suicide. The most common form of such a disease is depression. "It is characterized by a completely negative view of the world," said Farthing. "Healthy people can consider what support or refute one thing. This is precisely what a depressed person is not able, he can only see the negative prospects." Linked to this end is also formed the impression, never to recover again, neither by antidepressant medication or by psychotherapy. This Sinnlosigkeitsgedanken in depressed people may lead to the consideration that it would be better to live no more.


No explanation for mental pain
According to WHO (World Health Organisation) suffers from one in five people in Throughout his life, at least once in a clinically severe depression. An acute risk of suicide is only a small percentage of those affected. "This occurs when the situation is experiencing ever tighter and the associated pain is experienced psychologically so unbearable that the idea is: I could take my life, because no matter what comes after, it can only be better than the present state "said the doctor.

addition, there is no explanation for this sharp pain, he comes out of the blue, making those affected completely clueless. "That one finds no reasons for his suffering, makes the situation hopeless," said Farthing. The fact that a suicide is final, is not clear, however many. They often want to escape from a currently perceived as intolerable situation. "The tragedy is that you can see in this situation can not, that the problems are transient, disappear again."

coupled with life crisis


sometimes occurs on a depression under a life crisis. Every person lives in the course of his life crises, such as the death of important persons or other loss experiences. In general, these difficult periods without professional help, be endured, even a way out or start to be found. Does a person but the disposition to act depressed or alcohol or use of drugs is dangerous, can lead to crises in the course of mental or physical illness, which in turn can lead to suicidal thoughts.
Depressive withdraw


For whatever reason a person is depressed: For a possible suicide, there are signs that can be perceived by the immediate environment. This is one of the sudden complete sealing off the outside world. "It may be a warning signal when a person who has always stood in the middle of life, humor, was involved in social life, quite suddenly withdrawn, unresponsive, even when active contact is taken, "says Farthing. Very often, it is also related to sleep disturbances in depressive experience how agonizing restlessness. While women affected depressed mood is most easily recognized, the men are often irritable, anxious or resistant.


Inpatient treatment

Upon detection of depression or other mental illness is the family doctor is often a key position. it is an essential mediator of specialist medical and psychotherapeutic aid. A big part of depression can be treated outpatient drugs and visits to medical doctor and psychotherapist. In cases of serious depression is the possibility of hospitalization. "This affects mainly people who have lost the ability to cope with normal daily life or in a very difficult life crisis stuck," said Farthing.


help for depressed people
In-patient treatment at the Christian Doppler Clinic, Salzburg has both beds as well as day hospital places. A stay is on average two to three weeks, the therapy method in both cases is nearly the same: A treatment team of doctors, psychotherapists and nurses take care of the patients are in addition to daily group therapy and individual talks exact physical and mental Investigations.

applies during this relatively short time it is very structured work and followed a well planned process, which only works in cooperation with the patient, said Farthing. "Ultimately, our goal is that a patient has when leaving the station, a sense of how the depression is caused by him what is going on with this disease on how the treatment goes and what it takes to be stable again be. "

Source: Maria Kapeller, derStandard.at, 18/01/2011