A châng chuan nun hian a tibuaiin, engmah a kal dik lo ang maiin i inhria em? Nangmah chauhvin hetiang hian i awm lo va, a châng chuan heng ngaihtuahnate hi mahni intihhlum lam pawh a hawi thei a ni. Hei hi thupui buaithlak tak, sawichhiat fo a ni a, mahse tlang taka sawiho chu a pawimawh hle. Khawngaihin nangmah chauh i ni lo tih hria la, tanpuina a awm bawk.
Mahni intihhlum chu eng nge ni?
A awlsam zawngin sawi ila, mahni intihhlum hi tumruh taka mahni thihna thlentu thiltih a ni. Kum eng pawh, hnam hrang hrang, khawtlang dinhmun eng pawh a nghawng thei a ni. I nun tawp lam ngaihtuahna nasa tak i do laiin pawn lamah chuan i lang tha hle mai thei. Rock bottom i hit ang maiin i inhria mai thei. I dinhmun chu eng pawh ni se, mahni intihhlum ngaihtuahna lo lang leh ṭhin chu hlauhawma i awm tih chhinchhiahna a ni.
It is crucial to remember that if you are thinking about suicide , attempted it, emaw, chutiang avanga nunna chan tawh tu emaw i hriat chuan, khawngaihin i dinhmun eng pawh ni se tanpuina a awm tih hria ang che.
Mahni intihhlumna Warning Signs te chu engte nge ni?
Mahni intihhlum hi vaukhânna chhinchhiahna chiang tak nen a lo thleng ngai lo va; a châng chuan, a hmaa thil thleng langsar tak tak awm lovin a thleng thut thei bawk. Mahse, fimkhur tur vaukhânna chhinchhiahna tlanglawn tak tak a awm a:
- Mahni intihhlum duhna : I nun tawp duhna ngaihtuah reng.
- Thil tum inhrilhhriatna: “Thih ka duh” tih ang chi ngaihtuahna tawngkam hmanga sawi chhuah.
- Thuruk: Heng ngaihtuahna rit tak takte hi mi zawng zawng hriat loha thup.
- Inbuatsaihna: Thutiam ziah te, thil hlu tak tak pek te, hmangaih tak takte thlah te, mimal thil tihfai te, emaw, thihna thlen thei thil zirchian/ neih te.
- Thil ngaihtuah lo emaw, hlauhawm tak emaw: Mahni intihhlum ang chi thil tih duh loh zawnga inhmang .
- Withdrawal: Hmangaihte leh social circle atanga inhnukdawk.
- Phurrit ang maia inhriat: Nang tel lo chuan midangte an dam tha zawk ang tih rinna lantir, emaw, tlanbo theih loh dinhmuna tlu lut anga inhriatna.
- Mood swings: Thinrimna, lungkhamna, thinrimna, lungngaihna , a nih loh leh rilru natna nasa tak .
- Sudden calmness: Hun rei tak chhung rilru tihbuai hnua thlamuanna lo lang nghal mai.
- Depression symptoms zual zel : Mut dan inthlak danglam (mut tam lutuk emaw, mut tlem lutuk emaw) emaw, i hlim tlangpui thil tih duh lohna emaw.
Heng vaukhânna chhinchhiahnate hi i hmuh chuan ṭanpuina zawng hreh suh. A harsa mai thei, mahse chutianga i kal chuan i nunna a chhanhim thei a ni.
Mahni intihhlum Hotline te hi eng nge ni?
United States-ah chuan 988 (Suicide & Crisis Lifeline) -ah biak emaw, text emaw hmangin ṭanpuina i dawng nghal thei a ni. Anmahni hi i biak theih chuan:
- Mahni intihhlum, mahni intihhlum , a nih loh leh mi dangte tihnat ngaihtuahna tawn.
- Thil buaithlak tak, lungngaihna, a nih loh leh ni harsa tak hmang mai maia inhriatna.
- Harsatna hmachhawn nghal mai.
- I gender identity nena inzawm thila buaina , emaw transgender emaw non-binary emaw nih.
- Sum leh pai, in leh lo, a nih loh leh ei leh in lama harsatna avânga nawr luih nia inhriatna.
- Mi biak tur mamawh, emaw, mahni chauha tuar thei lo anga inhriatna.
- Hmangaih tak ngaihtuah leh thurawn zawng.
US-a 988 i biak hian trained counselor network chuan eng harsatna pawhah tanpui turin a inpeih reng a ni. Nunna atana hlauhawm emergency-ah chuan, i mamawh ṭanpuina i hmuh theih nân tualchhûng emergency service-te nên pawh an inrem thei a ni.
Sri Lanka-ah pawh support service a awm bawk. Sumithrayo (Phone: 0112692909, 0112696666, 0112682535) emaw CCCline 1333 ang chi pawl hrang hrangte chu i biak theih a ni. Heng service te hi 24/7 in a awm thin. I thlen theih nan active crisis-ah i awm a ngai lo.
Engtiang chiahin nge mahni intihhlum hi a hluar?
America ramah chuan mahni intihhlum hi thihna thlentu lian ber a ni. Kum hrang hrang a zirin:
- Kum 10-14 leh 25-34 inkar thihna thlentu lian ber pahnihna.
- Kum 15-24 inkar thihna thlentu lian ber pathumna.
- Kum 35-44 inkar thihna thlentu lian palina.
Kum 2021 khan US-ah mahni intihhlum mi 48,183 an awm a, hei hi minute 11 danah mi pakhat thihna tlukpui a ni. Heng zat hi Sri Lanka-ah pawh a langsar hle. Statistics tin hnuaiah hian mi tak tak leh an chhungte an awm tih hre reng ang che.
Tute nge mahni intihhlum hlauhawm zawk?
Tu pawh mahni intihhlum hlauhawmna an nei thei. Khawvel pum huapa mite chu hnam, sakhaw, kum thliar lovin a nghawng a ni. Set pattern a awm lo va; hlim taka lang mi emaw, lungngaihna tuar emaw, a inkar mi tu pawh a nghawng thei a ni.
Mahse, zirchianna chuan pawl thenkhat chu hlauhawm zawkah an awm thei tih a tarlang a, chung zingah chuan:
- Indigenous population, Alaska Natives te ang chi te.
- Mimal tangte.
- LGBTQIA+ khawtlang member te an ni.
- Khawtlang emaw, boruak emaw lama inhlat tak takte.
- Demographic group thenkhat (eg, non-Hispanic White mimal, US data atanga chhut).
- Mipa (mipa hi statistically chuan mahni intihhlum avanga thi an tam zawk a, hmeichhia erawh chuan an tum tam zawk).
- Ram dang atanga lo pem lut emaw, raltlan emaw.
- Mimal kum 65 chunglam te.
- Sipai veteran te an ni.
- Tharum thawhna emaw, tihduhdahna emaw tuar.
- Indona emaw, thilsiam chhiatna emaw avanga harsatna tawkte.
Mahni intihhlum chungchang sawi hian a hlauhawmna a tipung em?
Ni lo, a ni lo tak zet. Mahni intihhlum chungchang sawiho hian a hlauhawmna a tipung lo va, chu ngaihtuahna chu mi lu-ah a dah lo. Dik tak chuan mi pakhat, “Mahni intihhlum i ngaihtuah em?” tih hi nunna chhanhimna hmanrua a ni a, chu chuan puihna leh professional treatment kawngkhar a hawng thei a ni.
Engvangin nge miten mahni intihhlum hi an ngaihtuah?
Miin mahni intihhlum a ngaihtuah chhan chiang taka hriat a har khawp mai. Chuti chung pawh chuan, a chhan tam tak a awm fo va, chu chu an sawi chhuak vek thei lo mai thei. Vawi tam tak chu, mahni intihhlum hi thil chipchiar tak tak an sawi hmain a thleng thin.
Zirchianna chuan mi pakhatin a nun tihtawp a ngaihtuah theihna tur thil inang lo engemaw zat a awm tih a tarlang a:
- Tun hmaa mahni intihhlum tumna chanchin.
- Rilru hriselna dinhmun hnuaia awmte. Entirnan Depression leh Anxiety disorder te hi a ni .
- Damdawi lam dinhmun hnuaia awm, natna emaw, chak lohna emaw thlen thei, emaw, natna thihpui thei lo emaw.
- Sum leh pai, dan lam, in leh lo, hnathawhna lama harsatna awm thei.
- Mihring inkara harsatna, taksa, rilru, emaw, mipat hmeichhiatna lama tihduhdahna ang chi; emaw, ngaihsak lohna, inthiarfihlim, emaw, tihduhdahna tawn te emaw a ni thei bawk.
- Mimal inlaichinna inthlak danglamna ( inthen , inthen, emaw hmangaih tak thihna).
- Hriselcare emaw medical service emaw hmuh theih lohna.
- Cultural emaw religious ideals (context thenkhatah chuan).
- Stress nasa tak a awm.
He list hian thil awm dan tlangpui thenkhat a tarlang a, mahse a kimchang lo hle.
Mahni intihhlum hi strictly genetic a nih loh laiin, thisen chhungte chu mahni intihhlum avanga thi a nih chuan nangmah ngei pawhin mahni intihhlum duhna i neih theihna chance a sang zawk thei.
Eng rilru lam hriselna dinhmun nge mahni intihhlumna nena inzawm?
Rilru hriselna dinhmun thenkhat chuan mahni intihhlum duhna a thlen thei a ni. Chung zingah chuan:
- Lungkhamna (anxiety disorder) a awm
- Natna rei tak a awm
- Lungngaihna
- Mood disorder (Mood disorder) a awm thin
- Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
- Schizophrenia natna (Schizophrenia) natna a ni
- Substance hmansualna emaw, zu hmansualna emaw
- Thluak hliam na tak (TBI) .
I nun duhna tichhe thei thil hnuaia awm i tawk a nih chuan doctor emaw, rilru lam hriselna lama counselor emaw pan nghal rawh.
Mahni intihhlum hi ven theih a ni em?
Mahni intihhlumna avanga mi i hloh hnuah, “Hei hi venna tur thil ka ti thei ang em?” Khawtlang anga tanpui turin hmalakna tam tak kan neih laiin, mahni intihhlum hi kan veng thei ngai lo , a tawpah chuan mimal thutlukna a nih avangin.
Mahse, mi pakhatin mahni intihhlum a ngaihtuah nia i rin emaw, vaukhânna chhinchhiahna i hmuh emaw chuan, a hmaa inrawlh chuan a hlauhawmna chu nasa takin a tihhniam thei a ni. A hnuaia step te hi i ti thei ang:
- Mahni intihhlumna hlauhawmna leh vaukhânna chhinchhiahnate zir rawh.
- I ṭhiante leh i hmangaih takte rilru lama mamawh chu ngaihtuah reng ang che.
- I chhehvela mite thlawp la, ngaithla turin awm rawh.
- Miin mahni intihhlum a ngaihtuah nia i rinhlelh chuan, chu mi chungchâng chu zau tak leh lainatna nei takin inbiakna ṭan rawh.
- Hriselna lama harsatna tawk mekte chu rilru lam hriselna lama mithiamte hnen atanga tanpuina zawng turin fuih rawh.
- Nangmah emaw, mi dang emaw hlauhawm nghal a nih chuan, tualchhung emergency services (eg, 911) emaw, crisis hotline emaw call la, i chhehvela thil hlauhawm awm zawng zawng chu paih chhuak rawh.
Mimal, an hmangaih takte’n an thlawp nia inhriate chuan mahni intihhlum duhna angin thil an ti tlem hle. Amaherawhchu, mahni intihhlum chungchang sawi dawnin rorel thiam suh. Chu dinhmun chu ṭha lo takin i ngaihtuah mai thei a, mahse chutiang rilru put hmang sawi chhuah chu mahni intihhlum duhna nei tawh tu emaw tân a ṭha lo thei a ni.
Suicide Risk Assessment tih hi eng nge ni?
Hei hi doctor emaw, mental health counselor emaw-in mahni inhriatthiam lohna thlen thei i nih leh nih loh hriatna atana zawhna hrang hrang a ni. A then thum a awm a:
1. Screening: Mahni intihhlum tumna chungchangah hian a tir lamah zawhna tlemte zawh i ni ang.
2. Safety assessment: Screening-in hlauhawma i awm tih a hriat chuan hei hi a dawt leh tur a ni. Professional pakhat chuan rei vak lo inbiakna neiin i risk level a zirchiang ang a, hlauhawmna i tawk nghal em tih a hre ang. Hei hian minute 10 vel a awh tlangpui.
3. Results leh treatment: Screening leh assessment result a zirin i doctor chuan i enkawlna atana hmalakna tur dik tak chu a ruat ang.
Zirna atanga a lan dan chuan mahni intihhlum avanga thi tam tak chuan an thih hma thla engemaw zat chhung khan doctor an pan a. Risk assessment hmangin i healthcare provider chuan risk a hmu hmasa thei a, nunna chhanhim thei damdawi a pe thei bawk. He service hi tu pawhin, kum eng pawhah a awm thei.
Keimah emaw, ka hmangaih tu emaw hian mahni intihhlum kan ngaihtuah a nih chuan engtin nge ka tih ang?
Mahni intihhlum duhna i tawn emaw, i nun tawp duhna rilru pu thei dinhmun hmachhawn emaw chu rin loh takin a lungchhiatthlak thei a, a hlauhawm thei bawk. Chutiang bawkin, an hmangaih tak pakhatin mahni intihhlum duhna an neih thu emaw, an tih tum emaw a nih thu a sawi chuan, an himna ngaihtuah thûk tak chu thil awmdan pangngai a ni.
A hnuaia step te hian a pui thei ang:
- Helpline call: CCCline 1333 ang chi services te biak theih a ni.Mi pakhat nena inbiakna hian a pui thei a, harsatna i tawk emaw, ni harsa tak i tawng mai mai emaw pawh nise. Nangmah chauh i ni lo tih hre reng ang che.
- Nangmah emaw, i hriat mi emaw chu hlauhawma awm nghal a nih chuan 911 emaw, i awmna hmuna emergency services number emaw call nghal rawh.
- Safety plan siam rawh:Safety plan chu nangmah emaw, i hmangaih tak emaw harsatna karah, mahni intihhlum duhna i neih hunah pawh a tawrh theih nan hmalak dan tur list a ni. He list-ah hian nangmah chauha i tih theih thilte leh mi dangte nena i tih theih thilte pawh a tel thei a ni.
- I rintlak mi pakhat nen inbiakna nei rawh: Hei hi i ṭhian, chhungte, zirtirtu, a nih loh leh doctor a ni thei. I chhehvelah hian i mamawh ber hunah tanpuina pe thei tur mi an awm.
I awmna hmun hnai takah hian nangmah emaw, i hmangaih tak emaw him taka awm theihna tura pui turin hma i lak theih tur a awm. Thil chhiatna thlen thei tur thilte chu i paih emaw, i lock emaw tur a ni, chu chu:
- Damdawi prescription hmanga siam a ni.
- Zu emaw, thil dik lo emaw.
- Silai emaw ralthuam dang emaw. Silai a awm chuan unload la, silai chu hmun hran leh him takah dah rawh.
Chu bâkah, mahni intihhlum duhna nei mi bula awm chu a ṭangkai hle bawk. An mimal hmun zah la, mahse enkawl lohvin dah suh. Ṭanpuina leh thusawi pe tûra awm mai mai chuan danglamna nasa tak a thlen thei a ni.
Mahni intihhlum tumna chu eng nge ni?
Mahni intihhlum tumna chu mahni nunna tawp tumna neia mahni intihhlum tumna a ni a, chu chuan thihna a thlen lo.
Mahni intihhlum tumna hian i taksa leh rilru hriselnaah nghawng lian tak a nei thei a, chu chu i hman dan a zirin a ni. Entîr nân, sâng tak aṭanga zuang chuan ruh tliak emaw, chhûngril hliam emaw a thlen thei a ni. Mahni intihhlum tum hnua taksa leh rilru lama natna i tawn theih chu a hmaa i natna aiin a thuk zawk fo thei.
Chumi piah lamah chuan, i nunna lak tumna aṭanga dam khawchhuah theihna tura inrem chu rilru hahthlak tak a ni thei. I thil tum chu “hlawhchham” tia vuah tûrin thlêmna i nei mai thei. Mahse, mahni intihhlum hi beih tur target a ni lo—“hlawhtling” emaw, “hlawhtling lo” emaw anga thliar hran tur a ni ngai lo. Heng thumalte hman hian i damna tur a tikhawlo thei a ni. Chu ai chuan, mahni intihhlum tumna aṭanga damchhuak angin i inngai thei a, chu dam khawchhuahna chu “nakin hun” a awm loh nân i hrisêlna leh himna lam ngaihtuah leh tûra inthlâk danglamna angin i en thei a ni.
Tunah hian beiseina engmah hmuh emaw, thil a tha thei tih rin emaw chu i tan a harsa mai thei a, mahse mi tam tak tan chuan hun leh professional support dik tak nen chuan thil a lo tha chho zel a ni.
Physician-Assisted Suicide tih hi eng nge ni?
American Medical Association-in a sawi dan chuan, doctor-assisted suicide chu doctor-in damlo pakhatin a nun tawp theihna tura a duhthlanna tur kawng emaw, information emaw a pekna a ni. Hei hi dan anga tih theihna hmunah chuan, mimal natna hlauhawm tak nei te chuan doctor hnenah hei hi an dil thei a ni. Hei hi Sri Lanka-ah chuan dan anga tih a ni lo.
Engtin Nge Mahni Inthah Ngaihtuahnain Mahni Inthatnaah A Thawhpui?
Mahni intihhlum duhna (Suicidal ideation) tih hian ngaihtuahna, ngaihtuah, emaw, mahni nun tawp tura ruahmanna siam emaw a kawk a ni. Chûngte chu ngaihtuahna rei lo tê chauh a ni thei a, a nih loh leh ngaihtuahna inzawm tlat, chhiatna thlen thei a ni thei bawk. Ngaihtuahna chu mahni nun titawp tura hmalakna nen a inang lo nachungin, chu kawng chu a hruai thei a ni. Mahni intihhlum tumna atan tanpuina a awm tih hre reng ang che.
Mahni intihhlum duhna (Suicidal Tendencies) te hi eng nge ni?
“Mahni intihhlum duhna” tih thumal hian a hma chuan mahni intihhlum duhna emaw, thih tumna neia mahni intihhlum emaw tihpunna a sawi a. Tunah chuan he thumal hi mahni intihhlum duhna rilru put hmang sawina atan hman a ni tawh lo. Chu ai chuan, a thumal dik zawk chu “mahni intihhlum theihna” a ni.
Mahni intihhlum hi thil hlauhawm tak, thinlung ti na tak leh buaithlak tak a ni. Khawvel puma mite a nghawng a, vanduaithlak takin kan hriat aiin a hluar zawk a ni. Thil dang duhthlan tur awm lo ang maiin a lang thei a, mahse beiseina a awm reng a, tanpuina dawn theih dan pawh a awm bawk.
I hriat mi pakhatin vaukhânna chhinchhiahna a lantir tih i hmuh chuan mahni intihhlum an ngaihtuah em tih zawh chu a pawi lo. Rorelna tel lovin ngaithla rawh. Doctor emaw, mental health counselor emaw nena inbiakna nei turin fuih rawh. Nangmah emaw, i hmangaih tak emaw chu hlauhawma i awm nghal a nih chuan 911 call emaw, i hnaih ber emergency department tlawh emaw hreh suh.
Thuchah pawimawh ber (Take-Home Message) .
Tuipui ang maia nun hi han ngaihtuah teh. A châng chuan a muang a, a mawi bawk. Hun dangah chuan tuipui lian tak tak leh thlipui a tleh bawk. Chutiang hun lai chuan thawk harsa tak angin i lang mai thei. Mahse, thlipui chu chatuan atan a daih lo tih hre reng ang che.
- Nangmah chauh i ni lo: Nangmah chauh hian heng rilru natnate hi i hmachhawn lo.
- Chumi chungchâng sawi rawh: I rilrua awm chu i rintlak hnênah hrilh rawh. Hahdamna nasa tak a thlen thei a ni.
- Ṭanpuina dil hi chakna chhinchhiahna a ni: Professional support zawng hi chak lohna chhinchhiahna a ni lo; nangmah i ngaihsak tih chhinchhiahna a ni. Sri Lanka ramah chuan Sumithrayo leh CCCline (1333) ang chi service a awm a.
- Mi dangte fimkhur rawh: I ṭhian emaw, chhungte emaw harsatna i hmuh chuan sawipui la, an thusawi chu ngaithla rawh.
- Beiseina a awm: Eng ang pawhin harsa mah se, an lo tha chho thei a ni. I mamawh tanpuina leh puihna zawng rawh.
Nun hi a hlu a ni. I nun hi a hlu a ni. Khawngaihin, tanpuina dil rawh. Nirogi Lanka-a’n a rawn kensak che u a ni.
Thupui: Mahni intihhlum, rilru hriselna, tanpuina, rilru lama harsatna, lungngaihna, nunna chhanhimna, puihna line
