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Published on: Sep 11, 2021
3 minute read
By: Second Medic Expert

What Should You Do If Someone Tells You They Are Thinking About Suicide?

What should you do if someone tells you they are thinking about suicide?

First, remember that suicide is almost always an impulsive decision, and it can be prevented if the person gets immediate treatment. Second, don't leave the person alone. Keep them talking, let them know you care about them and give them someone to call for help. Third, try not to make any promises to the person as they will most likely break those as well. Fourth, encourage them to seek outside professional help such as a hotline or psychiatric hospitalization-inpatient program which usually requires a referral from a physician who knows the individual well enough to feel comfortable making this recommendation.

Fifth and last but not least important- remember that everyone has good days and bad days! Sometimes things just seem impossible when you.

If someone tells you they are thinking about suicide, it's very important to understand that most suicidal people think about dying and not actually doing it. Suicide is a plan and the person with the plan is thinking through how they will do this. This means we can increase their safety by showing we care and taking practical steps to manage risk. For every "I want to kill myself" statement, there might be an underlying message of significant despair or hopelessness up for your interpretation which you need to pay attention to as these may lead you to a productive dialogue where hope can be reignited.

Being calm and reassuring and providing an emergency contact and encouraging them to call should be your first response. This may not work though so it's important you have other follow-up steps in place.

1) Educate yourself about this situation so that you know how best to help the person in crisis, talk with a specialist if necessary.

2) Avoid aggressive or hostile reactions, instead, try being empathetic while not dismissing their feelings because suicidal thoughts are always a sign of extreme emotional distress.

3) Let the person know they can trust you to listen without judgment before gradually guiding them towards professional help - offer reassurance that treatment is only temporary but necessary for their wellbeing

Suicidal thoughts may come from a sudden, strong feeling of despair and hopelessness. It can be as if an instant storm has been dumped on your head, drenching you with the cold, dark water of death. You might feel as if no one will ever or could ever understand how bad it seems to you right now. All this weight feels so heavy and out of control, that suicide starts to seem like a way out. But there is hope!

Acknowledge the person's feelings by telling them "I'm sorry that you're going through this". Trying to say their name to get their attention and then ask them how they are doing.

If the person is at imminent risk, call Emergency. Seek medical attention or go to a hospital for self-care services. Offer to stay with them or call for help if they refuse both options. Speak calmly and clearly, listen to their troubles without judgment, be patient and understanding. Let them know you want to help and that they are not alone through these challenges (or tell them anything else comforting). If they seem like they'll be OK on their own but could use some nonjudgmental support later that day or tomorrow, offer to take care of them then. If you're feeling intimidated by this situation (thinking "I can't do this!"), please remember that this person came

One of the most dangerous situations is when a suicidal person points a gun at themselves while they are sitting in front of you. In that situation, get on your knees and then slowly touch it from behind. By touching the gun from behind, there's no chance he will suddenly turn around and shoot before you have time to react. Tell him clearly that you're getting the bullet away from him, so he doesn't hurt anyone else. If he wants to talk about what's going on or if he shows any interest in giving up, try to listen calmly for a while without criticizing or interrupting them too much.

Listen to their thoughts and feelings without judgment or judgment. Reassure the person that you will do anything they need you to do if they continue with their suicidal thoughts.

Help them consider a way out of it by giving them a number for a hotline or a crisis line, as well as the option to call an emergency. Reach out to someone yourself who can help calm your nerves and may know what strategies might be helpful in this situation if it ever happens again.

1. Remove any objects that could be used in a suicide attempt from the person's reach, including guns, knives, razors, medications, and other potentially lethal items.

2. Calmly tell them they don't want to do it for any given reasons you can think of--because life is worth living no matter how difficult or painful various aspects may be at times because there are people who care about them and will miss them if they die by suicide.

3. Refuse to leave until someone else arrives who can talk with the person further and assess their mental state.

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Tuberculosis Symptoms and Treatment: Early Signs, Diagnosis, and Recovery

Tuberculosis (TB) is one of the oldest known infectious diseases and continues to be a major public health concern, especially in developing countries. India accounts for a significant proportion of global TB cases, despite advances in diagnosis and treatment. The good news is that tuberculosis is preventable, treatable and curable when detected early and managed properly.

Understanding tuberculosis symptoms and treatment is critical for reducing disease spread, preventing complications and achieving complete recovery.

What Is Tuberculosis?

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It primarily affects the lungs (pulmonary TB) but can also involve other parts of the body such as:

lymph nodes
bones and joints
kidneys
brain

TB spreads through the air when an infected person coughs, sneezes or speaks.

Why Tuberculosis Remains a Major Health Issue

According to the World Health Organization and ICMR data:

millions of new TB cases are reported annually
delayed diagnosis increases transmission
incomplete treatment leads to drug resistance

Early detection and treatment are key to TB control.

Common Tuberculosis Symptoms

TB symptoms often develop gradually and may be mild in the early stages, leading to delayed diagnosis.

Persistent Cough

A cough lasting more than two to three weeks is a hallmark symptom of pulmonary TB.

The cough may:

be dry or productive
worsen over time
sometimes produce blood

Fever and Night Sweats

Low-grade fever, especially in the evenings, is common.

Night sweats that soak clothing or bedding are a classic TB sign.

Unexplained Weight Loss

TB increases metabolic demand and reduces appetite, leading to significant weight loss.

Fatigue and Weakness

Persistent tiredness and reduced stamina occur due to chronic infection.

Chest Pain

Chest discomfort or pain may occur during coughing or breathing.

Symptoms of Extra-Pulmonary TB

When TB affects organs outside the lungs, symptoms depend on the site involved and may include:

swollen lymph nodes
bone or joint pain
headaches or neurological symptoms
urinary issues

Why TB Symptoms Are Often Ignored

Many TB symptoms resemble common infections or general weakness.

This leads to:

delayed medical consultation
prolonged transmission
disease progression

Awareness improves early detection.

How Tuberculosis Is Diagnosed

Diagnosis involves a combination of:

sputum tests
chest X-ray
molecular tests such as CBNAAT
blood tests and imaging for extra-pulmonary TB

Early and accurate diagnosis is essential for effective treatment.

Tuberculosis Treatment Explained

TB treatment involves a combination of antibiotics taken over a fixed duration.

Standard TB Treatment

For drug-sensitive TB, treatment typically lasts:

6 months

The regimen includes multiple antibiotics taken in phases to ensure complete bacterial clearance.

Importance of Treatment Adherence

TB bacteria are slow-growing and resilient.

Stopping treatment early can result in:

incomplete cure
relapse
drug-resistant TB

Completing the full course is essential.

Drug-Resistant TB

If TB bacteria become resistant to standard drugs, treatment becomes longer and more complex.

Drug-resistant TB requires:

specialised medications
longer treatment duration
close medical supervision

Prevention of resistance depends on correct treatment from the start.

Side Effects of TB Treatment

Some individuals may experience side effects such as:

nausea
loss of appetite
mild liver enzyme changes

Most side effects are manageable with medical guidance and do not require stopping treatment.

TB and Public Health

TB is not just an individual health issue but a community concern.

Effective TB control requires:

early diagnosis
treatment adherence
contact tracing
public awareness

India’s national TB elimination programmes focus on these strategies.

Preventing Tuberculosis

Preventive measures include:

early detection and treatment of active TB
improving nutrition and immunity
adequate ventilation in living spaces
screening close contacts

BCG vaccination offers partial protection, especially in children.

Living With and Recovering From TB

With proper treatment:

symptoms gradually improve
infection becomes non-contagious
normal life can be resumed

Regular follow-up ensures complete recovery.

When to Seek Medical Help

Consult a healthcare provider if experiencing:

cough lasting more than two weeks
unexplained weight loss
persistent fever or night sweats
blood in sputum

Early action saves lives and prevents spread.

Long-Term Outlook After TB Treatment

Most individuals who complete treatment:

recover fully
regain normal lung function
return to daily activities

Long-term complications are rare with timely care.

Conclusion

Tuberculosis symptoms and treatment must be understood clearly to combat this preventable and curable disease. Persistent cough, fever, night sweats and weight loss should never be ignored. Early diagnosis, complete treatment adherence and regular follow-up are essential for curing TB and preventing transmission. With proper medical care and public awareness, tuberculosis can be effectively controlled and eliminated as a public health threat.

References

Indian Council of Medical Research (ICMR) – Tuberculosis Epidemiology and Treatment Guidelines
World Health Organization (WHO) – Global Tuberculosis Report
National Tuberculosis Elimination Programme (NTEP) – Government of India
Lancet Infectious Diseases – TB Diagnosis and Treatment Outcomes
National Family Health Survey (NFHS-5) – Infectious Disease Indicators
Statista – Global Tuberculosis Burden and Trends

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