Suicide is the act of intentionally taking your own life. Suicide is best understood not so much as a movement toward death as it is a movement away from something and that something is always the same: intolerable emotion, unendurable pain or unacceptable anguish. Reduce the level of suffering and the individual will choose to live.
Suicidal feelings can range from being preoccupied by abstract thoughts about ending your life, or feeling that people would be better off without you, to thinking about methods of suicide, or making clear plans to take your own life.
If you are feeling suicidal, you might be scared or confused by these feelings.
But you are not alone. Many people think about suicide at some point in their lifetime.
How you might think or feel
What you may experience
– hopeless, like there is no point in living
– tearful and overwhelmed by negative thoughts
– unbearable pain that you can’t imagine ending
– useless, unwanted or unneeded by others
– desperate, as if you have no other choice
– like everyone would be better off without you
– cut off from your body or physically numb
– poor sleep with early waking
– change in appetite, weight gain or loss
– no desire to take care of yourself, for example neglecting your physical appearance
– wanting to avoid others
– self-loathing and low self-esteem
– urges to self-harm
Suicidal feelings can be overwhelming. How long these feelings last differs for everyone.
It is common to feel as if you’ll never be happy or hopeful again.
But with support from family and friends, doctors, and mental health professionals, and self-help, the majority of people who have felt suicidal go on to live fulfilling lives.
The earlier you let someone know how you’re feeling, the quicker you’ll be able to get support to overcome these feelings.
Tips for coping/ overcoming Suicidal thoughts:
Remove anything you could use to harm yourself or ask someone else to remove these for you. If you are in an unsafe location, move quickly
Tell someone how you are feeling. Telling someone else how you are feeing can help you to feel less alone and more in control.
If you are thinking of harming yourself, find self-harming coping techniques that work for you such as; holding an ice cube in your hand until it melts and focus on how cold it feels, tearing something up into hundreds of pieces.
Focus on your senses. Taking time to think about what you can smell, taste, touch, hear and see can help to ground your thoughts.
Avoid taking drugs as it can make you feel worse. If you can; get a glass of water, eat something if you are hungry, sit somewhere comfortable, and write down how you are feeling.
Get outside. If you are feeling numb, feeling the rain, sun or wind against your skin can help you to feel more connected to your body.
Make a deal with yourself that you won’t act today.
Find your reasons to live. Like;
Write down what you are looking forward to, whether it is eating your favorite meal, seeing a loved one or catching up on the next episode of a TV show.
Make plans to do something you enjoy tomorrow or in the near future. Plans don’t have to be big or expensive
Repeating to yourself that you can get past these feelings can help you regain hope and focus on getting through it. Remember that the thought about killing yourself are just thoughts and you do not have to act on them.
Spend time with people who you like and trust.
Learn from others – reading about other people who have managed difficult times can be inspirational.
Conducted a final external evaluation of the implementation of Geneva Call’s Afghanistan project. Our team developed key research questions, conducted fieldwork in Kabul, and produced a final evaluation analyzing to what extent the organization had mitigated potential impacts of the Covid-19 pandemic on the healthcare of vulnerable populations.
In response to the fall of Kabul, POMA was awarded a $10,000 grant by Choose Love. Our team coordinated with Click.af to purchase, package and distribute aid packages of food and sanitary products to vulnerable families in Kabul. Additionally, we collected and paid electricity bills for families.
During and post- the fall of Kabul, our team coordinated an emergency response to ensure the protection of hundreds of vulnerable children in and around the city. Our response included evacuating vulnerable children, families and women. We coordinated with international development agencies and governments to reunite detained children with their families in preparation for evacuation, and prevented the trafficking of young girls and young boys susceptible to radicalization through mediation. We developed a crisis contingency plan, defining immediate and future needs for child protection agencies.
Guidelines and Quality Standards on legal assistance for children in conflict with the law (CLEAR-Rights Project)
A joint project with Asylex, with our teams collaborating as psychology expert and legal expert, to elaborate on the guidelines and quality standards of legal assistance of children in conflict with the law in Europe. This report will contribute to the ‘CLEAR Rights: enhancing legal assistance for children in Europe’ project, strengthening access to quality and specialized legal aid for minors in Europe.
Training approx. 25 Seefar counsellors in Kabul on providing mental health related guidance to people who have experienced trauma. The organization works with migrants who have migrated primarily with economic motivations, not due to conflict. Our team was only able to complete the first phase of the project due to the change of regimes in Kabul.
Coping with War through God: Islamic-Based Counselling and the Promotion of Peace and Mental Health in Armed Conflicts
Princeton University & Abdul Latif Jameel Poverty Action Lab (JPAL)
Through this pilot study, we will conduct a randomized experiment in Kabul, Afghanistan, to assess the impacts of basic cognitive behavioral therapy (CBT) sessions that incorporate Islamic beliefs and are delivered by trained religious clerics. The randomized experiment will examine the role of Islamic-based counseling in helping civilians cope with the adverse psychological effects of war and fostering support for peace and reconciliation.
Developing and coordinating a training program for staff working in the Kabul office, raising awareness of workplace harassment, the psychological effects, and providing management with tools for the establishment of a complaints system.
Developing and implementing a strategic vision for over 400 employees and their areas of responsibility, performing career counselling and acting as a platform for employee concerns. Providing clinical psychological support to employees, psych education to managerial staff, and promoting the overall health and well-being of all employees.
GIZ Airport Study
GIZ (The Deutsche Gesellschaft für Internationale Zusammenarbeit)
POMA’s team has developed methods to respond to the psychological trauma post terrorist attacks throughout Afghanistan and implemented them after several traumatic events in Kabul (Wedding Incident, MSF Hospital Attack, University and School Events).
Reintegration and Repatriation of Children in detention associated with Armed Forces and Groups (ISIS and Taliban)
Strengthening rehabilitation and reintegration services within detentions and care institutions for children and women. Advocated for- and coordinated the release and reintegration of CAAFAG children and their mothers from detention centres in Afghanistan.
Provision of technical advise to a national consultant responsible for conducting a case management capacity assessment across three districts. Development and support for the implementation of a capacity building plan for CPAN and CP actors in Ghor, Afghanistan.
The feasibility study “Strengthening Women, Promoting Peace, Networking Across Countries, Enabling Education: Better Integration of Refugees and Internally Displaced Persons in Host Communities in Pakistan and Afghanistan”, a project funded by TDH Germany (10%) and the BMZ (90%), assesses in borderland geographies of Afghanistan to what extent it is possible to implement measures for improved livelihood and integrated living situations for refugees/returnees and IDPs as well as host communities over the course of five years in the provinces of Nangarhar and Paktika.
De-Escalation Training and First Psychological Care after Stressful Events Training for PME in Afghanistan
Deutsche Gesellschaft für Internationale Zusammenarbeit, GIZ
PoMA entered the project as contracted end. As such our insights, in contrast to the mid-term narrative report provided, offer an overview of implemented projects as well as the implications of the end phase of the project on the beneficiaries as well as implementing partners on the ground in Kabul and Mazar-e Sharif. To provide a deeper understanding on the implementation of project activities in the province of Balkh and Kabul, this section of the report provides an overview of general project activities and discusses challenges and limitations in the evaluation of the implementation of set targets documented.
Psychological Support and Employee Assistance Program
Conducted extensive literature searches using prominent social work and psychology databases on topics including childhood trauma, juveniles, trauma and correctional settings, policy reform, juvenile rehabilitation and laws for juveniles.
Emerging Issues in Juvenile Forensic Evaluation Practice and Policy
An examination in age-based differences in “knowledge” regarding the role of counsel, presumptions about counsel, and maturity of judgment when making decisions about whether to waive the right to counsel, funded by the National Institute of Health. Along with emerging issues for Juveniles Forensics evaluation, practices and policies.
Providing clinical support to staff members working at the Swedish Embassy in Afghanistan.
Deradicalization Committee on Countering Violent Extremism
Office of Chief Executive Impact Evaluation (CEO
Counter Violence committee Development of strategic plan for countering violence National level coordination of committee
-Supporting staff developed the committee and coordinate interventions
-Providing critical perspectives on child protection to committee including sharing research findings and collaboratively strategizing policy solutions to dilemmas of juvenile detention and protection of marginalized groups.
Impact Study and Evaluation of Office of Chief Executive Impact Evaluation (NUG Government) of Afghanistan
Office of Chief Executive Impact Evaluation (CEO)
Impact review OCE office – ministry review all of OCE office – met with all stakeholders Interviewed all ministers in Afghanistan and implemented survey and discussions to see the impact of the
The Juvenile Rehabilitation Center (JRC) project is designed to lessen chances of radicalization among the youth kept in Juvenile Rehabilitation Centers (JRCs) in Kabul. The JRC project aims to provide hands-on psychological rehabilitation and interventions and facilitate other recreational and vocational activities to both female and male youth at the JRCs with the aim of addressing psychological/mental health issues and underlying vulnerabilities which can lead to becoming part of a hostile group – including those espousing radical religious views.Leading a project for the Ministry of Justice aimed at rehabilitating and reintegrating juveniles detained in JRCs in Afghan prisons.
Mental Health Awareness Campaign in Afghanistan Leading a mental health awareness campaign on behalf of the Ministry of Public Health across Afghanistan and spanning a year with multiple messaging channels.
MHPSS Working Group – MOPH Action Against Hunger
ECHO – WHO – ACF – MoPH
https://www.who.int/ , https://moph.gov.af/en
Development of working group MHPSS Afghanistan: Preparation of SOP, Qualifications for PSS Workers, strategize for providers and stakeholders in Afghanistan
Migrants and Asylum Seekers Psychological Aid and Support
Prepare project implementation period through conducting a safety audit visit, training delivery and testing of interview tools. This includes: Support the analysis, key findings and report writing Developing the training materials
Kandahar Critical Incident Psychological Response
Resolution Support – NATO, US AirForce, Northrop Grumman
March 2020 in response to the crash of a U.S. Air force E-11A Battlefield Airborne Communications Node (BACN) aircraft in Kandahar on January 27 2020. Individual and group psychological counselling was provided to deal with grief and trauma which revealed some insight into some ongoing challenges and recommendations for personnel going forward.
Reintegration and Rehabilitation of Children Associated with Armed Forces and Groups (CAAFAG)
Attorney General Office of Afghanistan, Ministry of Juice, National Security Council, Ministry of Labor and Social Affairs
The project aimed at the rehabilitation and reintegration of minors (children under the age of 18) who were detained at the start of November 2019 by the Afghan authorities after being captured in operations against the Islamic State in Khorasan Province (ISKP)/Daesh. The children are family members of Daesh fighters and were detained after the surrender of fighters from that group.
Psycho-Social Support (PSS) interventions in Afghanistan
The core activities proposed will be to develop and conduct a needs assessment, develop PSS toolkits and training packages, and to train emergency teams on basic Psychological First Aid (PFA) principles so that they can incorporate these into their work.
Department of Defense (DoD) combatting trafficking in persons (TIP) training and awareness. PoMA provided culturally sensitive training to 500+ employees to ensure that TIP policies and procedures are implemented.