Because our volunteers aren’t trained mental health professionals, when you talk about your diagnosis or medication, we may not always be familiar with the medical terms.

Sometimes, signs that something is wrong can be more difficult to spot. Like cheeriness which may seem fake to you. Or they may joke about their emotions, such as saying something quite alarming that is disguised as a joke. An alliance of over 1,000 public, private, voluntary, and community organisations working to prevent suicide in England. Fact: Almost everyone who attempts suicide has given some clue or warning. Don't ignore even indirect references to death or suicide. Statements like “You'll be sorry when I'm gone,”“I can't see any way out,”—no matter how casually or jokingly said—may indicate serious suicidal feelings. Suicide is a desperate attempt to escape suffering that has become unbearable. Blinded by feelings of self-loathing, hopelessness, and isolation, a suicidal person can't see any way of finding relief except through death. But despite their desire for the pain to stop, most suicidal people are deeply conflicted about ending their own lives. They wish there was an alternative to suicide, but they just can't see one. Common misconceptions about suicide Emotional support services help by listening to someone’s concerns and giving them space and time to talk through how they feel. Emotional support services aren’t the same as counselling services, but staff are trained skilled listeners.Lin FS, Lin WY, Lai CH, Chen CY, Lin CP, Lin TF, Sun WZ (June 2012). "Analgesic efficacy of tramadol/acetaminophen and propoxyphene/acetaminophen for relief of postoperative wound pain". Acta Anaesthesiologica Taiwanica. 50 (2): 49–53. doi: 10.1016/j.aat.2012.05.009. PMID 22769857. If you think their life is in danger, you can act immediately. A mental health emergency should be taken as seriously as a physical one. You’ll not be wasting anyone’s time. Emergency services and accident and emergency (A&E)

Propoxyphene was initially introduced as propoxyphene hydrochloride. Shortly before the patent on propoxyphene expired, propoxyphene napsylate form was introduced to the market. Napsylate salt (the salt of naphthalenesulfonic acid) is claimed to be less prone to non-medical use, because it is almost insoluble in water, so cannot be used for injection. Napsylate also gives lower peak blood level. [24] Because of different molecular mass, a dose of 100mg of propoxyphene napsylate is required to supply an amount of propoxyphene equivalent to that present in 65mg of propoxyphene hydrochloride.As of March 2011, all products containing the substance are withdrawn because of safety issues after a European Commission decision. [38] [39] On June 12, 2013, the Indian government suspended the manufacture, sale, and distribution of the drug under Section 26A of the 1940 Drugs and Cosmetic Act. [36] Sweden [ edit ] No hope for the future – Feelings of helplessness, hopelessness, and being trapped (“There's no way out”). Belief that things will never get better or change. Stork CM, Redd JT, Fine K, Hoffman RS (1995). "Propoxyphene-induced wide QRS complex dysrhythmia responsive to sodium bicarbonate--a case report". Journal of Toxicology. Clinical Toxicology. 33 (2): 179–83. doi: 10.3109/15563659509000470. PMID 7897759.