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the beauty of fate is no one knows
-
IP addresses are NOT logged in this forum so there's no point asking. Please note that this forum is full of homophobes, racists, lunatics, schizophrenics & absolute nut jobs with a smattering of geniuses, Chinese chauvinists, Moderate Muslims and last but not least a couple of "know-it-alls" constantly sprouting their dubious wisdom. If you believe that content generated by unsavory characters might cause you offense PLEASE LEAVE NOW! Sammyboy Admin and Staff are not responsible for your hurt feelings should you choose to read any of the content here. The OTHER forum is HERE so please stop asking.
I AM SHIT by @nayr69sg
- Thread starter nayr69sg
- Start date
- Joined
- Feb 14, 2019
- Messages
- 505
- Points
- 28
I know one heart doctor whom I'm grateful. He went to volunteer to a third world country. Maybe you can explore this to make you feel better. When you can't feel fulfilled with money. Try giving your skill away to those who need it. You'll have no idea how grateful the misfortune are.
I gave $50 to an auntie outside hospital. I don't feel satisfied but I am grateful I can help.
I gave $50 to an auntie outside hospital. I don't feel satisfied but I am grateful I can help.
- Joined
- Sep 22, 2008
- Messages
- 80,587
- Points
- 113
Hell no. But i have seen patients who did liver transplant and their quality of life was just unbearable. I think dr should explain the benefit of the treatment. If it's just going in and out of hospitals after, it's just not worth it.
I do not subscribe to religion. I refuse to be subjugated and influenced by priests who have their own intention in life.
- Joined
- Aug 7, 2008
- Messages
- 1,295
- Points
- 113
@nayr69sg
@bigcockman
@plzhelpme
Good day,
Before you guys do anything that cannot be reversed,
hope this helps :
Depression is the most common cause of disability in the world. Chances are high that you or someone you know will experience a period when depression gets in the way of work, social life or family life. Nearly two in three people with depression will experience severe effects.
As a psychiatrist specializing in behavioral neuroscience, I help patients who suffer from mood disorders. Many have “treatment-resistant” depression and are on a nearly constant search for relief.
There have been some exciting developments in treating depression recently, particularly new rapid-acting antidepressants. But it’s important to understand that these medications aren’t cure-alls.
The new treatments for depression promise to relieve distressing symptoms, including suicidal thinking, faster than any previous treatment. They include ketamine, an anesthetic that is also abused as a street drug, and a derivative of ketamine called esketamine. These drugs have been shown to help relieve symptoms of depression within hours, but each dose only works for a few days. They also carry risks, including the potential for drug abuse.
With the coronavirus pandemic taking a toll on mental health, patients are looking for fast relief. Medication can help, but to effectively treat depression long term, with its mix of biological, psychological, social and cultural components, requires more than just drugs.
Biological treatments at the time seem frightening today. They included insulin coma therapy and primitive, frequently misused versions of a modern lifesaving procedure – electroconvulsive therapy.
In the middle of the 20th century, medicines that affected behavior were discovered. The first medicines were sedatives and antipsychotic medicines. Chlorpromazine, marketed as “Thorazine,” led the way in the 1950s. In 1951, imipramine was discovered and would become one of the first antidepressants. The “blockbuster” antidepressant Prozac, a selective serotonin reuptake inhibitor, or SSRI, was approved in 1987.
It’s been over 30 years since we’ve seen a novel class of antidepressant medicine. That’s one reason rapid-acting antidepressants are exciting.
Brain cells called neurons are chemically controlled by two opposing messenger molecules, glutamate and gamma-amino-butyric acid (GABA). Glutamate works like a gas pedal and GABA is the brake. They tell the neurons to speed up or slow down.
Rapid-acting medicines for depression decrease the action of glutamate, the gas pedal.
Other treatments have been developed to rebalance GABA. A neurosteroid called allopregnanolone affects GABA and applies the brake. Both allopregnanolone and esketamine have federal approval for treatment of depression, allopregnanolone for postpartum depression and esketamine for major depressive disorder and suicidal thinking.
Several years before, the medical community experienced similar excitement over Vivitrol to treat opioid addiction. Vivitrol is a monthly injected form of naltrexone, an opioid-blocking medicine.
Clinical trials are executed in a highly controlled and clean environment, while the real world can be highly uncontrolled and very messy. Without risk reduction, education and psychosocial treatment, the potential risks of medications like Vivitrol can be magnified. Vivitrol can help reduce relapses, but isn’t a panacea on its own. The National Institute on Drug Abuse recommends integrated treatment for addiction.
Treating depression may be similar. Medication and psychological support together work better than either on its own.
Providing a more effective option for patients who don’t respond to a first or second antidepressant may turn that STAR-D message on its head. However, when dealing with an illness that is affected by external stress like trauma and loss, treatment is more likely to succeed with both medication and psychological support.
A real-world treatment approach called the biopsychosocial paradigm accounts for the wide range of relevant biological, psychological and social components of mental illnesses. The patient and physician work together to process the patient’s problematic experiences, thoughts and feelings.
A hyperfocus on novel drugs may overlook the importance of addressing and monitoring all those components, which could mean problems surface in the future. Medications like opiates or other substances that provide rapid relief of physical or psychological pain can also be physically and psychologically addictive, and novel rapid-acting antidepressants can have the same risks.
Rapid-acting antidepressants can be powerful tools for treating major depression when used with other forms of therapy, but are they the answer? Not so fast.
@bigcockman
@plzhelpme
Good day,
Before you guys do anything that cannot be reversed,
hope this helps :
Depression is the most common cause of disability in the world. Chances are high that you or someone you know will experience a period when depression gets in the way of work, social life or family life. Nearly two in three people with depression will experience severe effects.
As a psychiatrist specializing in behavioral neuroscience, I help patients who suffer from mood disorders. Many have “treatment-resistant” depression and are on a nearly constant search for relief.
There have been some exciting developments in treating depression recently, particularly new rapid-acting antidepressants. But it’s important to understand that these medications aren’t cure-alls.
The new treatments for depression promise to relieve distressing symptoms, including suicidal thinking, faster than any previous treatment. They include ketamine, an anesthetic that is also abused as a street drug, and a derivative of ketamine called esketamine. These drugs have been shown to help relieve symptoms of depression within hours, but each dose only works for a few days. They also carry risks, including the potential for drug abuse.
With the coronavirus pandemic taking a toll on mental health, patients are looking for fast relief. Medication can help, but to effectively treat depression long term, with its mix of biological, psychological, social and cultural components, requires more than just drugs.
Depression medications have evolved
The early history of depression treatments focused on the psychological components of illness. The goal in the early 20th century was for a patient to understand unconscious urges established during childhood.Biological treatments at the time seem frightening today. They included insulin coma therapy and primitive, frequently misused versions of a modern lifesaving procedure – electroconvulsive therapy.
In the middle of the 20th century, medicines that affected behavior were discovered. The first medicines were sedatives and antipsychotic medicines. Chlorpromazine, marketed as “Thorazine,” led the way in the 1950s. In 1951, imipramine was discovered and would become one of the first antidepressants. The “blockbuster” antidepressant Prozac, a selective serotonin reuptake inhibitor, or SSRI, was approved in 1987.
It’s been over 30 years since we’ve seen a novel class of antidepressant medicine. That’s one reason rapid-acting antidepressants are exciting.
What depression looks like inside the brain
Medical treatments for depression affect certain processing cells in the brain area above your eyes and under your forehead. This area, called the prefrontal cortex, processes complex information including emotional expressions and social behavior.Brain cells called neurons are chemically controlled by two opposing messenger molecules, glutamate and gamma-amino-butyric acid (GABA). Glutamate works like a gas pedal and GABA is the brake. They tell the neurons to speed up or slow down.
Rapid-acting medicines for depression decrease the action of glutamate, the gas pedal.
Other treatments have been developed to rebalance GABA. A neurosteroid called allopregnanolone affects GABA and applies the brake. Both allopregnanolone and esketamine have federal approval for treatment of depression, allopregnanolone for postpartum depression and esketamine for major depressive disorder and suicidal thinking.
Not so fast
Around 2016-2017, young psychiatrists like myself were rushing to implement these novel antidepressant treatments. Our training supervisors said, “not so fast.” They explained why we should wait to see how studies of the new drugs turn out.Several years before, the medical community experienced similar excitement over Vivitrol to treat opioid addiction. Vivitrol is a monthly injected form of naltrexone, an opioid-blocking medicine.
Clinical trials are executed in a highly controlled and clean environment, while the real world can be highly uncontrolled and very messy. Without risk reduction, education and psychosocial treatment, the potential risks of medications like Vivitrol can be magnified. Vivitrol can help reduce relapses, but isn’t a panacea on its own. The National Institute on Drug Abuse recommends integrated treatment for addiction.
Treating depression may be similar. Medication and psychological support together work better than either on its own.
The risks
In depression, the more treatments a person tries that don’t work, the less likely that person is to have success with the next treatment option. This was a main message of the largest clinical trial studying depression medications, the National Institutes of Health-directed STAR-D study, completed in 2006.Providing a more effective option for patients who don’t respond to a first or second antidepressant may turn that STAR-D message on its head. However, when dealing with an illness that is affected by external stress like trauma and loss, treatment is more likely to succeed with both medication and psychological support.
A real-world treatment approach called the biopsychosocial paradigm accounts for the wide range of relevant biological, psychological and social components of mental illnesses. The patient and physician work together to process the patient’s problematic experiences, thoughts and feelings.
A hyperfocus on novel drugs may overlook the importance of addressing and monitoring all those components, which could mean problems surface in the future. Medications like opiates or other substances that provide rapid relief of physical or psychological pain can also be physically and psychologically addictive, and novel rapid-acting antidepressants can have the same risks.
Rapid-acting antidepressants can be powerful tools for treating major depression when used with other forms of therapy, but are they the answer? Not so fast.
- Joined
- Sep 22, 2008
- Messages
- 80,587
- Points
- 113
Forget about medication for depression.
Just look at the positive things in life.
It is impossible to be depressed in a society eith unemployment benefit. You can bounce back compared to Asian society with zero benefit.
Just look at the positive things in life.
It is impossible to be depressed in a society eith unemployment benefit. You can bounce back compared to Asian society with zero benefit.
Avoid people. I find it helps.
Abstract
Background: Suicide is one of the commonest causes of death worldwide and has a
great public health effect. The cause of suicide is found to be multi-factorial in which
biological, psychological, social and environmental factors act together. The choice of
method depends on the accessibility and availability of the means on the spot at the time
of act. Objective: To find out the choice of ligature material used by the victims, type of
hanging in relation to the point of suspension and other related factors. Materials and
method: This retrospective observational study summarizes the post mortem
examinations on 187 cases of suicide by hanging during January 2012 to December
2013 in the Department of Forensic Medicine, Sir Salimullah Medical College and
Mitford Hospital, Dhaka, Bangladesh. Ligature material used by the victim was noted
from the available forensic reports. Results: The current study is done to find out the
commonly used material in cases of hanging. Male (63%) outnumbered females (37%)
in committing suicide by hanging. Most commonly used ligature material was rope
(28%) followed by ‘orna’/’dupatta’ (22%). The nature of ligature material was soft in
68% cases while hard material was used in 5% cases. The position of knot was observed
on left side of neck in 63% cases followed by right side in 21% cases. The commonly
used ligature was a rope with guider, and ceiling fan and tree branches as the point of
suspension. Conclusion: Rope is frequently used for domestic purposes and thus it is
also the most commonly used ligature material. Social, cultural and economic values
must be strengthened to reduce incidence of suicide.
Key words: Suicide; hanging; ligature mark; ligature material.
Delta Med Col J. Jul 2019;7(2):66-7
Background: Suicide is one of the commonest causes of death worldwide and has a
great public health effect. The cause of suicide is found to be multi-factorial in which
biological, psychological, social and environmental factors act together. The choice of
method depends on the accessibility and availability of the means on the spot at the time
of act. Objective: To find out the choice of ligature material used by the victims, type of
hanging in relation to the point of suspension and other related factors. Materials and
method: This retrospective observational study summarizes the post mortem
examinations on 187 cases of suicide by hanging during January 2012 to December
2013 in the Department of Forensic Medicine, Sir Salimullah Medical College and
Mitford Hospital, Dhaka, Bangladesh. Ligature material used by the victim was noted
from the available forensic reports. Results: The current study is done to find out the
commonly used material in cases of hanging. Male (63%) outnumbered females (37%)
in committing suicide by hanging. Most commonly used ligature material was rope
(28%) followed by ‘orna’/’dupatta’ (22%). The nature of ligature material was soft in
68% cases while hard material was used in 5% cases. The position of knot was observed
on left side of neck in 63% cases followed by right side in 21% cases. The commonly
used ligature was a rope with guider, and ceiling fan and tree branches as the point of
suspension. Conclusion: Rope is frequently used for domestic purposes and thus it is
also the most commonly used ligature material. Social, cultural and economic values
must be strengthened to reduce incidence of suicide.
Key words: Suicide; hanging; ligature mark; ligature material.
Delta Med Col J. Jul 2019;7(2):66-7
Abstract
The hanging mark is the most relevant feature of hanging and its characteristics are well known in the literature. Most of the time, the ligature material is not available during autopsy examination in hanging. Hence, the features of the ligature material are not submitted to systematic analysis. However, the type and position of the knot plays an important role in the mechanism of death and autopsy findings in hanging. Out of the total hanging deaths, complete hanging was seen in 67.7% of the cases, but a typical hanging was noted in only 10.2% of the cases. The commonest type of ligature material used for ligation around the neck was nylon rope followed by odhni and jute rope. The fixed knot was noted in 64.6% of the cases and a running (slip) in 21.3% of the cases. The commonest position of the knot was at nape of the neck, followed by the left side of the neck at mastoid process. The number of turns/loops of a ligature around the neck was one turn in 72.4% and two in 25.2% the hanging deaths. Most victims committed suicide by hanging in their homes, and the commonest ligature points were trees, flowed by beams and ceiling hook/fans.The internet is very helpful.
30 years ago I wanted to commit suicide the only way I could do it was to jump from a building but it was too scary for me.
I think hanging is a more realistic method. I can do it at home in familiar surroundings.
30 years ago I wanted to commit suicide the only way I could do it was to jump from a building but it was too scary for me.
I think hanging is a more realistic method. I can do it at home in familiar surroundings.
- Joined
- Jul 10, 2008
- Messages
- 64,816
- Points
- 113
Very unpleasant for the person that finds you. The most peaceful way is to induce hypothermia. Drink loads of alcohol and then just walk out, lightly clothed into a Canadian winter.
- Joined
- Sep 11, 2010
- Messages
- 38,233
- Points
- 113
Find an open ice road and get on it. And pray that Liam Neeson will come along in his Kenworth and run you over.
- Joined
- Sep 22, 2008
- Messages
- 80,587
- Points
- 113
Wot a waste of good whisky
- Joined
- Sep 22, 2008
- Messages
- 80,587
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- 113
Go to a war zone. Like Afghanistan. Fight alongside the northern alliance.
The best is to die in my sleep. But thats not my call. The Creator decides how and when u kick the bucket. If u think by committing suicide the best way, u will regret in ur next life. By then its too late to regret. Remember, theres a reason why we are born into this cruel world. Let ur soul do the searching....
- Joined
- Sep 22, 2008
- Messages
- 80,587
- Points
- 113
Death as most who experienced it, is very pleasant. But not all. Some had a very unpleasant experience.
Dont disappoint ur ancestors lah. Turtles can live to a ripeful age. Why so fast farewell?
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