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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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Diabetes Symptoms in Men: Early Warning Signs You Should Not Ignore

Diabetes is one of the fastest-growing health challenges worldwide, and men are particularly vulnerable to its long-term complications. In India, the burden of diabetes has increased sharply over the past two decades, driven by lifestyle changes, sedentary habits and dietary patterns. Despite this, many men remain unaware of early diabetes symptoms or delay medical consultation until complications develop.

Understanding diabetes symptoms in men is essential for early diagnosis, effective management and prevention of serious health consequences.

What Is Diabetes?

Diabetes is a chronic metabolic disorder characterised by high blood sugar levels due to:

insufficient insulin production
ineffective insulin action
or both

The most common form affecting men is type 2 diabetes, which is strongly linked to lifestyle factors.

Why Men Are at Higher Risk

Several factors increase diabetes risk in men:

higher abdominal fat accumulation
smoking and alcohol consumption
irregular eating patterns
work-related stress
lower healthcare-seeking behaviour

According to Indian Council of Medical Research data, a significant proportion of men remain undiagnosed until advanced stages.

Early Diabetes Symptoms in Men

Frequent Urination

Excess sugar in the blood causes kidneys to work harder, leading to increased urination, especially at night.

Excessive Thirst

Frequent urination leads to dehydration, causing constant thirst.

Fatigue and Weakness

Cells cannot utilise glucose efficiently, resulting in low energy levels and persistent tiredness.

Unexplained Weight Changes

Men may experience unexplained weight loss despite normal or increased appetite.

Increased Hunger

Insulin resistance prevents glucose from entering cells, triggering frequent hunger.

Diabetes Symptoms Unique or Commonly Seen in Men

Erectile Dysfunction

Diabetes damages blood vessels and nerves, leading to erectile dysfunction.

Studies show a strong association between diabetes and male sexual health problems.

Reduced Testosterone Levels

Men with diabetes often have lower testosterone, affecting libido, muscle mass and mood.

Decreased Muscle Strength

Poor glucose utilisation affects muscle health and physical stamina.

Skin and Infection-Related Symptoms

Slow-Healing Wounds

High blood sugar impairs wound healing, increasing infection risk.

Frequent Infections

Men with diabetes are more prone to:

skin infections
urinary tract infections
fungal infections

Vision and Nerve Symptoms

Blurred Vision

Fluctuating blood sugar affects eye lenses, causing blurred vision.

Tingling or Numbness

Nerve damage, known as diabetic neuropathy, causes tingling or numbness in hands and feet.

Why Diabetes Symptoms Are Often Ignored by Men

Many men dismiss symptoms as:

work-related fatigue
ageing
stress

This delay increases the risk of complications.

Long-Term Complications of Untreated Diabetes

If untreated, diabetes can lead to:

heart disease
kidney failure
nerve damage
vision loss
sexual dysfunction

According to WHO and Lancet studies, early detection significantly reduces complication risk.

Importance of Early Diagnosis

Early diagnosis allows:

better blood sugar control
lifestyle modification
prevention of organ damage

Routine screening is crucial, even in the absence of symptoms.

When Should Men Get Tested?

Men should consider testing if they:

are over 30 years old
have a family history of diabetes
are overweight
have a sedentary lifestyle
experience any warning signs

Annual screening is recommended for at-risk individuals.

Managing Diabetes After Diagnosis

Effective management includes:

healthy diet
regular physical activity
weight control
stress management
medical treatment as advised

Early management improves quality of life.

Role of Preventive Healthcare

Preventive healthcare focuses on:

early screening
lifestyle intervention
regular follow-up

According to NITI Aayog, preventive strategies are essential to control India’s diabetes burden.

Mental Health and Diabetes in Men

Diabetes can affect mental wellbeing, leading to:

stress
anxiety
depression

Addressing emotional health improves diabetes outcomes.

Breaking the Stigma Around Men’s Health

Men often avoid seeking help due to stigma.

Promoting awareness helps:

normalise health conversations
encourage timely medical care
reduce preventable complications

Conclusion

Diabetes symptoms in men often develop gradually and may go unnoticed for years. Frequent urination, fatigue, unexplained weight changes and sexual health issues should never be ignored. Early diagnosis and timely management significantly reduce the risk of serious complications and improve long-term health outcomes. Awareness, routine screening and proactive healthcare are essential steps for men to protect their health and wellbeing in an era of rising lifestyle diseases.

References

Indian Council of Medical Research (ICMR) – Diabetes Epidemiology and Risk Studies
World Health Organization (WHO) – Diabetes Prevention and Management Guidelines
National Family Health Survey (NFHS-5) – Diabetes Prevalence in Men
Lancet Diabetes & Endocrinology – Male-Specific Diabetes Outcomes
NITI Aayog – Non-Communicable Disease Prevention Reports
Statista – Global Diabetes Trends and Gender Differences

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