Understanding deat and dying

Topics: Suicide, Death, Parasuicide Pages: 20 (6103 words) Published: December 2, 2013
Department of Social Work and Social Administration &
Department of Sociology



Identification of deliberate self-harm and steps of suicide4 Categorization of suicide7
Statistics on suicide cases and DSH in Hong Kong7
Factors that affect the probability of committing suicide8
Effect of suicide on surrounding people8
Acceptance of Death9
5-Stages of loss and grief9
Different types of acceptance towards death10
Fears of death10
Factors that facilitate acceptance towards death11
Differences between suicide and acceptance of death15
Adolescent suicide17
Effect of suicide on surrounding people19
Fear of death20
Suicide Situation in Hong Kong21
Personal reflection24

Suicide has become a severe problem in Hong Kong. It is estimated that there are 1008 suicide deaths with a rate of 13.6 per 100000 in 2012 in Hong Kong (Coroner’s Court, 2011). This is higher than that of the most developed countries. For instance, the suicide rate of the US is 11.1 per 100000, while Australia and the UK have a suicide rate of 10.55 and 6.45 per 100000 respectively (WHO, 2012). The situation is even worse when attempted suicides are also taken into consideration. The number of people who try to commit a suicide is even higher (10 to 20 times approximately). According to HKJC Centre for Suicide Research and Prevention of HKU (2010), the overall attempted suicide rate in 2003 is about 40 per 100000. Based on these facts, a consensus has been reached that more attention shall be paid to this issue and further research shall be needed. Our project tries to analyze the causes of committing suicide, compare it with the acceptance of death and giving some suggestion on further study and social work that aims at preventing suicide. Through the multi-media production, it also tries to convey the message that committing suicide is not accepting death but a way to escape from the reality instead. We hope that this project can help the suicidal people think more about the meaning of suicide and death and eventually prevent them from doing so. This report aims at showing all aspects of our project, and the following parts of this report will be literature review, methodology used in the video production, further discussion of this topic and conclusion.

Identification of deliberate self-harm and steps of suicide
Both deliberate self-harm (DSH) and suicide mean that one hurt himself deliberately. But the action and purposes behind are actually different for the two. Therefore, it is crucial to distinguish these two behaviors in order to look into suicide more deeply and correctly (Consoli, et al., 2013).

Deliberate self-harm (DSH) refers to the behavior that one hurt themselves purposely without the idea of ending their own lives. It was suggested that DSH is a way for to release the negative emotions suppressed in the heart (Sadia, et al., 2007). It is just a way for the one to feel a sense of relax through this action, instead of a way to terminate life.

Suicide is actually another case. Suicidal behavior means the act that one try to kill oneself intentionally. The behavior can be further divided into 4 parts - suicide ideation, suicide planning, suicide attempt (non-suicidal behavior) and suicide (termination of life) (Kessler, et al., 1999; Shek & Yu, 2012). The probability of transition between stages was investigated by Kessler, et al, in 1999. Transition from ideation to plan, from planning to suicide attempt and from ideation to unplanned suicide attempt were found to be 34%, 72% and 26% respectively. Graphic respestation is shown below. The findings reveal the relationship between the stages and the high probability of suicide...

References: Cecilia Chan, Amy Chow. (2006). Death, Dying and Bereavement: A Hong Kong Chinese Experience. Hong Kong, HK: Hong Kong University Press.
Cheng, Q. (2012). Suicide and the Media in the Chinese Contexts. E-thesis.
Comer, R
HKJC Centre for Suicide Research and Prevention, HKU (2010). Attempted Suicide Rates (A&E Admission) by Gender. Retrieved from http://csrp.hku.hk/WEB/eng/statistics.asp?id=208.
Kessler, R.C., Borges, G., & Walters, E.E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry, 56(7).
Lee, A., Wong, S.Y., Tsang, K.K., Ho, G.S., Wong, C.W., & Cheng, F. (2009). Understanding Suicidality and Correlates among Chinese Secondary School Students in Hong Kong. Health Promot Int., 24(2).
McCurry, J
Sadia Najmi, Daniel M. Wegner, & Matthew K. Nock. (2007). Thought Suppression and Self-Injurious Thoughts and Behaviors. Behav Res Ther., 45(8).
Shek, D.T., & Yu, L
Sucide rates statics, China, Hong Kong SAR (2009). World Health Organization. Retrieved from http://www.who.int/mental_health/media/chinzhongk.pdf
Sun, C.F
World Health Organization (2000). Preventing suicide: A Resource of media professionals. Geneva: Department of Mental Health. Retrieved from http://whqlibdoc.who.int/hq/2000/WHO_MNH_MBD_00.2.pdf
World Health Organization (2012)
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