HELP AND RESOURCES

Where to START?

1. TALK – Often, when feeling suicidal or in moments of intense emotional pain, humans tend to withdraw, while research shows that talking to others can make a drastic difference.

   WHO CAN I TALK TO?

   • - School counselor or family doctor: A practical way to start is talking to your school counselor/psychologist or to your family doctor. If this is not a possibility or you worry about confidentiality, you can also call:
   • - SAPTEL (www.saptel.org.mx), 5259-8121 (from Mexico City), 01-800-472-7835 (from the rest of Mexico). SAPTEL is a confidential crisis intervention line that can also help you with a referral to an appropriate mental health service in your area
   • - A psychotherapist: One way of finding a psychotherapist is through referral or by calling the psychotherapy/psychoanalytic institutes and universities in your area. Sometimes post-graduate psychotherapy and psychoanalytic institutes offer low-cost therapy to people who can’t afford the price of private therapy and are interested in getting it. Psychology university departments can also provide more information about places in your area that provide these services.
   • - Carefully choose a friend, a spiritual guide—such as a priest, pastor, or rabbi—someone who is likely to listen.

2. I have an appointment to talk to a professional, NOW WHAT?
   • Congratulations, you’ve made a big step!
   • If it helps you to feel comfortable, write a list of all the things you’d like to discuss in your appointment, and don’t be embarrassed to ask questions and write them beforehand (Ask questions! As many as you’d like…).
3. FIRST APPOINTMENT
   • Your first appointment will probably be very different than other appointments, as it is likely the therapist or doctor will ask you many questions.
   • Try to answer as honestly as possible, as that will help you to get the help you need in a faster and more efficient way.
   • Ask questions!
   • If you see a therapist, a referral to see a medical professional might be something that is discussed.
   • If you see a medical professional, a referral to a see a therapist might be something that is discussed.
   • First appointments might be difficult, yet try it. If for any reason you feel uncomfortable with that person, feel free to speak up. Some people prefer to work with women, or men, or older, or younger people. This is ALL OK; feel free to ask for what you need.
4. WHAT IF I DON'T LIKE IT?

   This is very common, and it doesn’t necessarily mean it won’t work out. Often, talking about uncomfortable feelings places us in a vulnerable position. Try to discuss your feelings, including these, without quitting treatment. If after several sessions you are still feeling uncomfortable, we suggest you keep bringing it up and discuss the possibility of a referral to another provider.

• Read these steps that can help you find adequate help.
  • SAPTEL (National system of support, psychological counseling, and crisis intervention), www.saptel.org.mx
  • 5259-8121 (from Mexico City)

• 01-800-472-7835 (from the rest of Mexico)
• Línea de Intervención en Crisis (Crisis intervention line): 01800-290-00-24
• De Jóven a Joóven (Crisis intervention line for young people): 01800-713-43-53
• Emergencia Policía D.F. (Police line, Mexico City): 066
• Ambulancia Psiquiátrica en Toda la República Mexicana (Psychiatric ambulance that gives service to the whole country): 55 5503 50 98 Contacto: Dra. Patricia Díaz
• Locatel (Government program to find resources): 060
• Cruz Roja (Red Cross): 065
• Bomberos (Fire department): 068
• Escuadrón de Rescate y Urgencias Médicas (Medical ambulances): (55) 5722-8805
• Centros de Salud Mental (CECOSAM) (One type of government psychiatric services through health centers): 5062 2311
• Instituto Nacional de Neurología y Neurocirugía (Mexico - National Institute of Neurology and Neurosurgery): 56-06-38-22, Urgencias: ext. 1058
• Hospital Psiquiátrico Fray Bernardino Álvarez (Psychiatric Hospital ‘Fray Bernardino Álvarez): 55-73-03-87
• Instituto Nacional de Psiquiatría (National Institute of Psychiatry): 56-55-74-72
• Hospital Psiquiátrico Infantil Juan N. Navarro (Children’s Psychiatric Hospital ‘Juan N. Navarro’): 55-73-48-66 y 55-73-48-44
• Teléfonos de Emergencia en Toda la República Mexicana (Emergency phone numbers in all the country): http://www.vidabipolar.com/dls/tels_emer_profeco.pdf
• Directorio de Psiquiátras en México (Psychiatric directory in Mexico): http://www.psiquiatria-mexico.com
• Secretaría de Salud : SAP (Servicios de Atención Psiquiátrica) (Ministry of Health: Psychiatric Attention Services): http://www.sap.salud.gob.mx

Vive Con Vida Mental Health Professionals Directory : In the future, mental health professionals will be able to register their information and users will find a link to these numbers.

• Some Educational Institutions in Mexico City:
• Universidad Iberoamericana, Dpto. de Psicología (Iberoamericana University, Psychology Department): http://www.iberopsicologia.mx
• UNAM, School of Psychology (Mexico National University, School of Psychology): http://www.psicologia.unam.mx
• Centro ELEIA, Actividades Psicológicas, Atención Psicológica (ELEIA, Psychological Activities, Psycological Services): http://www.centroeleia.edu.mx/ayuda-psicologica-df-atencion-psicologica
• APM, Asociación Psicoanalítica Mexicana, AC (Mexican Psychoanalytic Association): http://asociacionpsicoanaliticamexicana.org

SPM, Sociedad Psicoanalítica de México (Mexican Psychoanalytic Society): http://spm.mx/home/

WEB RESOURCES

• Social Media Presence
• Find Us on Facebook
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Some Online Articles – Mexico

• ‘Bienestar 180’ (Online Health Magazine in Mexico) Articles:
• “Causas Más Comunes de Suicidio en México” (Most Common Suicide Causes in Mexico): http://bienestar.salud180.com/causas-mas-comunes-de-suicidio-en-mexico
• “Suicidios Son Más Comunes los Miércoles” (Suicides are Most Common on Wednesdays): http://www.salud180.com/salud-z/suicidios-son-mas-frecuentes-los-miercoles

“Bullying Provoca 109 Suicidios en el 2010” (Bullying Provokes 109 Suicides in 2010): http://www.salud180.com/jovenes/bullying-provoca-109-suicidios-en-el-2010

“Depresion y Suicidio en Mexico”, Subsecretaría de Prevencion y Promoción de la Salud (Depression and Suicide in Mexico, Mexico – Government agency that promotes health and illness prevention): http://www.spps.gob.mx/

“INEGI: Intentos de Suicidio y Suicidios” (National Institute of Statistics, Geography, and Informatics: Suicide Attempts and Suicides): http://www.inegi.org.mx/

“La Salud Mental en México”, Secretaría de Salud (Mental Health in Mexico, Ministry of Health):http://www.salud.gob.mx/

“En Aumento, la Tasa de Suicidios en México: Inegi”, Periodico La Jornada, Septiembre 10, 2015 (Suicide Rates are Rising in Mexico, La Jornada Newspaper, September 10, 2015): http://www.jornada.unam.mx/

“De 20 a 24 Años, la Edad Con Mayor Número de Suicidios en México”, Periódico Excelsior, Septiembre 9, 2014 (People aged 20 to 24 years old have the highest suicide rates in Meixco, Excelsior Newspaper, September 9, 2014): http://www.excelsior.com.mx/nacional/2014/09/09/980767

“Opinión: El Suicidio es en México es un Problema de Salud Pública”, CNN México, Septiemebre 11, 2014 (Opinion: Suicide in Mexico is a Public Health Problem, CNN Mexico): http://mexico.cnn.com/

“La Tasa de Suicidios en México Aumentó 114 Por Ciento: Inegi”, El Financiero, Septiembre 9, 2014 (Suicide Rates in Mexico are 114% Higher, El Financiero Newspaper, September 9, 2014): http://www.elfinanciero.com.mx/sociedad/la-tasa-de-suicidios-en-mexico-aumento-114-por-ciento-inegi.html

• Web and Phone Resources in Spanish (not from Mexico):
• Medline Plus, Suicidality: https://www.nlm.nih.gov/
• National Suicide Prevention Lifeline Spanish Line: 1-888-628-9454, http://www.suicidepreventionlifeline.org
• Aperturas Psicoanalíticas – Revista Internacional de Psicoanálisis Gratis (Aperturas Psicoanalíticas, Free International Psychoanalysis Magazine): http://www.aperturas.org
• NAMI (National Alliance for Mental Illness, in Spanish): http://espanol.nami.org

Organizacion Mundial de la Salud (World Health Organization, in Spanish): http://www.who.int/es/

• Web Resources in English
• US National Suicide Prevention Lifeline : 1-800-273-TALK http://www.suicidepreventionlifeline.org
• Medline Plus, Suicidality: http://www.nimh.nih.gov/
• Mind Your Mind: Canadian Mental Awareness Website for Young People: http://mindyourmind.ca
• American Association for Suicide Prevention : http://www.afsp.org/
• Psychology Today Therapist Directory in U.S. and Canada: https://therapists.psychologytoday.com/rms/
• Half Of US : MTV mental health initiative in the US for young people: http://www.halfofus.com
• Metanoia.org : suicide awareness website http://www.metanoia.org/suicide/
• IASP: International Association for Suicide Prevention (IASP): https://www.iasp.info
• Hope Line (in US): Online Crisis Network http://hopeline.com
• Teen Mental Health : Psycho-education and mental illness awareness for teenagers http://teenmentalhealth.org
• World Health Organization: http://www.who.int/en/
• Xperiment , a safe place for youth to learn about the effects of drugs, an initiative of the Canadian Centre on Substance Abuse: http://www.xperiment.ca/
• Mind Your Mind: Interactive games (English and French): http://mindyourmind.ca/Interactives

Mind Your Mind: Interviews: http://mindyourmind.ca/interviews

• Testimonials
• NAMI Latino Testimonies Video (Spanish): https://www2.nami.org

• About Mexico
• Mexico is a large country with a total area of 1,964,375 square kilometers, and a population of approximately 120,286,655 as of July 2014.
• Mexico is constitutionally organized as a federation with 31 states and the Federal District where Mexico City is located.
• Location: North America, bordering the Caribbean Sea and the Gulf of Mexico, between Belize and the U.S. and bordering the North Pacific Ocean, between Guatemala and the U.S.
• Ethnic groups: Mestizo (Amerindian-Spanish): 62%, predominantly Amerindian 21%, Amerindian 7%, other (mostly European) 10%
• Languages: Spanish only 92.7%, Spanish and indigenous 5.7%, indigenous only 0.8%, unspecified: 0.8%
  • Religion: Roman Catholic: 82.7%, other Christian: 8%, other: 1.9%, none: 4.7%, unspecified 2.7%
    • Age structure:
    • 0-14 years: 27.59%
    • 15-24: 17.9%
    • 25-54: 40.55%
    • 55-64: 7.19%
• Over 65: 6.77%
• Urban population: 79.2% of total population
• Literacy (age 15 and over can read and write): 95.1%
• The Federal District is home to approximately 21 million people.
• The federal government has always maintained centralization, which has had some effect in the evolution of the Mexican health system.

• Significant mental health system facts in Mexico
• Mental health services are still limited and underutilized in Mexico.
• Mental health access for the Mexican population has improved considerably compared to the first half of the past century, yet with rapid population growth there is also a shortage of registered mental health practitioners, with the poor having less access to medical and psychological services, and thus, less access to psycho-pharmacotherapy as well.
• In 1976, there were only 507 psychiatrists in Mexico, and most of them practiced in the largest cities.
• By 2005 there were 1451 psychiatrists registered with the National Board of Psychiatrists, but during that time the population has more than doubled, and still leaves a grossly inadequate number of providers (between 1.5 and 2.7 psychiatrists per 100,000 inhabitants in Mexico in 2004).
• In 2004, the IMSS (Mexican Institute of Social Security), the largest health care provider covering 42,993,343 beneficiaries in that same year, employed only 244 psychiatrists.
• By 2005 there was less than 1 psychiatric nurse per 100,000 people.
• Between 1993-1998 there were between 1546 and 1600 psychologists working in the health care sector (30), and it is not clear in what capacity psychologists are functioning.
• Mexicans often do not realize that psychologists belong in the health field; they are often not taken seriously as health professionals.
• Most of these mental health care providers (i.e., psychologists, psychiatrists) work in large cities, and it can take more than a day’s journey for people in rural areas to travel to a place where they can receive mental health care.
• Centralization of services in Mexico has been linked to an increase in “rural-urban” (migration from rural to urban areas) and international migration, particularly illegal immigration to the U.S.
• Immigrants’ family members living in Mexico, who are often the people with less access to health services, show higher levels of stress and depression.
• The cultural and linguistic gaps between those needing services and those providing services (caregivers) create challenging barriers to obtaining treatment.
• Given that mental health services and insurance coverage are relatively new in Mexico and that this country has a shortage of mental health resources, it is unclear exactly how many people with mental illness are getting treatment and how many people who commit suicide have an untreated psychiatric disorder.
• Seguro Popular includes within its services the diagnosis and treatment for mental health disorders.
• The recent changes in the Mexican health system present an enormous opportunity for new government investments in the mental health infrastructure, through outreach programs and mental health awareness program, resulting in expanded mental health services for the Mexican population.
• The vast majority of Mexicans have never before had access to mental health services: up to 58% of men and 68% have reported that they do not believe in the efficacy of mental health treatments.
• Mexico is vast, and its population of more than 100 million inhabitants is growing rapidly. The population doubled by 1981 and is estimated to double again by 2020 (11). This increase has resulted in deficient educational and employment opportunities and increased risk for addiction and mental health problems, particularly in young people.

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• CDC: Centers for Disease Control and Prevention (2013). External cause of injury mortality matrix for ICD-10. Retrieved from: http://www.cdc.gov/nchs/data/ice/icd10_transcode.pdf
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• Comisión Nacional de Protección Social en Salud: Seguro Popular. (2010). Cobertura médica del Seguro Popluar. Retrieved from: http://www.seguro-popular.salud.gob.mx/index.php?option=com_content&view=article&id=275&Itemid=291
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• CONAPRA: Consejo Nacional para la Prevención de Accidentes. (2013). Perfil nacional de los Estados Unidos Mexicanos. Retrieved from: http://conapra.salud.gob.mx/Interior/Documentos/Observatorio/Perfil_lesiones2013.pdf
• CUCS: Centro Universitario de Ciencias de la Salud de la Universidad de Guadalajara. (2012). El suicidio es la segunda causa de muerte en México. Retrieved from: http:www.cucs.udg.mx/principal/noticias/archivo-de-noticias/el-suicidio-es-la-segunda-causa-de-muerte-en-m-xico
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• Depression and Related Affective Disorders Association: DRADA (2007). Facts about Teenage Depression. Retrieved from: http://www.bpkids.org/site/PageServer?pagename=fact_sheet
• Dixon, P.G., McDonald, A.N., Scheitlin, K.N., Stapleton, J.E., Allen, J.S., Carter, W.M., . . . Roberts, J.B. (2007). Effects of temperature variation on suicide in five U.S. counties, 1991-2001. International Journal of Biometeorology, 51, 395-403. doi:10.1007/s00484-006-0081-4
• Fingerhut, L.A. & Warner, M. (2006). The ICD-10 injury mortality diagnosis matrix. Injury Prevention, 12(1), 24-29. doi:10.1136/ip.2005.009076
• Frenk, J. (2006). Bridging the divide: Global lessons from evidence-based health policy in Mexico. The Lancet, 368(9539), 954-961. doi:10.1016/S0140-6736(06)69376-8
• Frenk, J., González-Pier, E., Gómez-Dantés, O., Lezana, M.A., & Knaul, F.M. (2006). Comprehensive reform to improve health system performance in Mexico. The Lancet, 368(9546), 1524-1534. doi:10.1016/S0140-6736(06)69564-0
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