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    • “Nothing matters anymore.”

    • “I don’t care about anything anymore.”

    • “I want to die.”

    • And any mention of suicide —

  • Writing notes or poems about suicide or death.

  • Acting compulsively.

  • Losing interest in most activities.

  • Giving away prized possessions.

  • Writing a will.

  • No sense of humor.

  • Facing a perceived “humiliating” situation.

  • Facing a perceived “failure.”

  • Feeling excessive guilt or shame.

  • Acting irrationally.

  • Being preoccupied with death or dying.

  • Behaving recklessly.

  • Irritability

  • Frequently complaining about

headaches, stomachaches, etc.

  • Neglecting personal appearance.

  • A dramatic change in personal

appearance.

  • A dramatic change in personality.

  • Performing poorly at work or in school.

  • Abusing alcohol or drugs.

  • Inability to concentrate.

The difference between adherence and compliance is that adherence implies a collaborative decision between the patient and the healthcare provider. Adherence implies a relationship where the patient and healthcare provider come to a consensus on the most appropriate treatment options for the patient.

  • CMAG, CMSA 2006

Some individuals die by suicide without showing any suicide warning signs. This may be attributed to a strong social stigma against mental illness that prevents individuals from reporting any of the suicide warning signs and often hiding their depression.79

Depression

Notes

39

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