Chrunemyr's Chronicles - The adventures of a spiritual vagabond.

Jail Ministry

Responding to the Suicidal Prisoner

Suicide is among the major causes of death in jails and detention centers. It has been estimated that the suicide rate in detention and holding cells is nine times greater than in the general population.

If you spend much time at all ministering in an institutional setting, sooner or later you will be faced with someone who is suicidal. It is important to be prepared ahead of time to know how to respond.

Most suicidal people do not really want to die. They have mixed feelings about it. They are in pain, physical or emotional, and are unable to see any alternative to relieve that pain. They do not so much want to die as to stop the pain.

Most suicidal people want to be rescued.

Your job is to simply help initiate that rescue.

The most important thing you can do is just listen. Very often, the person does not want advice, and certainly not criticism, but simply to be heard and to matter.

Don't be afraid to bring up the question of suicide. Don't be afraid of planting the idea of suicide in their heads. It's already there. If you believe someone may be suicidal, ask him. He may be afraid to bring it up himself and may feel relieved that you brought it for him, especially if you did it in a gentle nonjudgmental manner.

Find out if the person has ever attempted suicide in the past. The single most reliable predictor of a suicide attempt in the future is a suicide attempt in the past. Ask the person if they have a plan or how they would go about killing themselves. The more details they have planned out, the higher the risk.

Then tell somebody. Tell the watch commander or whoever is in charge. Tell a supervisor, not just one of the guards. Don't be afraid you might be breaking a confidence, you're saving a life.

Possible Warning Signs of Suicide

  • Verbal signs   "It doesn't matter any more." "I wish I were dead."
  • Behavior Change   Such as a previously outgoing person becoming withdrawn and moody, or a cautious person taking unusual risks.
  • Signs of Depression   Anxiety, fatigue, hopelessness, helplessness, changes in eating or sleeping habits.
  • Preoccupation with Death   Themes of death in essays, poems, or artwork.
  • Previous Suicide Attempts   The single most reliable predictor of a suicide attempt in the future is a suicide attempt in the past.
  • Inability to Tolerate Praise   Or encouragement or rewards.
  • Neglect of Personal Hygiene  
  • Eating Disorders   Lack of appetite, overeating, or binging and purging.
  • Drug or Alcohol Abuse  
  • Psychosomatic Illnesses  
  • Disinterest in Previously Enjoyable Activities or Hobbies
  • Getting One's Affairs in Order   Making final arrangements or giving away prized possessions.
  • Hurting, Cutting, or Burning Oneself

Tips for Active Listening

Be Interested
Genuine concern and curiosity encourage others to speak freely.
Understand
The other person's viewpoint, assumptions, needs or belief system. Try to put yourself in his place so you can see his point of view.
Shut Up
You can't listen while you're talking. Let the othe person finish what he's trying to say. Don't interrupt unless it's necessary for clarification. Don't jump to conclusions. Don't plan your response instead of listening.
Look for the Issues
Don't get sidetracked by details. The speaker may avoid broaching the topic directly. Be patient, he may need to warm up to it first.
Look for Feelings
Sometimes the feelings rather than the facts are the main message.
Watch Yourself
Sometimes our own feelings and convictions can affect what we hear. Be aware of your own beliefs and prejudices and how your feelings react to what the speaker is saying. Don't come into the conversation with your mind already made up.
Look for Non-Verbal Messages
Learn to read body language: a shrug, a smile, gestures, facial expressions or body positions. Be aware of what your own body language is saying. Try to remain at the speaker's eye level or lower.
Pay Attention
Hearing is passive. Listening is active. It requires mental effort.
Get Feedback
Make certain you understand what is being said. Ask questions or confirm with the speaker what you have heard. But don't argue or criticize. That can put the speaker on the defensive and cause him to clam up.

Prison Ministry Links

Prison Activist Resource Center
Prison Fellowship
Abounding Love Ministries
Citizens United for Alternatives to the Death Penalty
The Pampered Prisoner
Jeff Dicks Medical Coalition (Prisoners' Medical Needs)
Aleph Institute (Jewish prison ministry)
Engaged Zen Foundation (Buddhist prison ministry)
Orthodox Prison Ministry
Catholics Against Capital Punishment
Cell Pals
Centerforce
Federal Bureau of Prisons
Attica to Abu Ghraib

Suicide, Depression, & Mental Health
Suicide Crisis Center

If You're Thinking About Suicide

Kristin Brooks Hope Center

Lifekeeper Foundation

SPANUSA

American Association of Pastoral Counselors

How to Choose a Competent Counselor

Befrienders International

Haven of Hope Sanctuary Hotline

Walkers in Darkness

American Foundation for Suicide Prevention

No Stigma

Depression Central

BPD Central

Addiction, Recovery, & 12 Steps
Substance Abuse Treatment Facility Locator

Alcoholics Anonymous

Alcoholism

Narcotics Anonymous

Substance Abuse & Mental Health Services Admin.

12 Step Cyber Cafe

The Big Book

Online Recovery

Crystal Meth Anonymous

Drug And Alcohol Abuse Detox & Treatment - Chapman House is ranked as a # 1 treatment provider. Specialized, successful methods are used to treat chemical dependency. Our Detox2day program is accomplished safely, comfortably and in complete confidence. We also treat people with addictions such as gambling and sex addiction. Chapman House; affordable treatment with lifesaving results!


Copyright © 2004 Scott Cruse