Leaked documents say Facebook will let users livestream self-harm

Policy ignores suicide threats

Facebook will allow users to livestream attempts to self-harm because it “doesn’t want to censor or punish people in distress who are attempting suicide”, according to leaked documents.

The documents also tell moderators to ignore suicide threats when the “intention is only expressed through hashtags or emoticons” or when the proposed method is unlikely to succeed.

Any threat to kill themselves more than five days in the future can also be ignored, the files say.

https://www.theguardian.com/news/2017/may/21/facebook-users-livestream-self-harm-leaked-documents

Contagion risk

Suicide contagion is the exposure to suicide or suicidal behaviors within one’s family, one’s peer group, or through media reports of suicide and can result in an increase in suicide and suicidal behaviors.

https://www.hhs.gov/answers/mental-health-and-substance-abuse/what-does-suicide-contagion-mean/index.html?language=es

Safe and effective Ativan helps prevent suicides

Ativan (and its generic version, lorazepam) is an extremely common drug, prescribed to millions of people every year, says Asher Simon, MD, assistant professor of psychiatry at The Mount Sinai Hospital in New York City. And overall, he says, “it can be an incredibly effective and very safe medication.”

It’s in a class of drugs called benzodiazepines, which work by slowing down the central nervous system and enhancing certain chemicals in the brain to produce a calming effect. (Other well-known benzodiazepines include Valium and Xanax.) The drug is usually prescribed on a short-term basis for the treatment of anxiety, and is often helpful for people with depression.

“It lasts about four to six hours, and a lot of times it’s prescribed on an as-needed basis,” says Dr. Simon. “We might say, ‘Take one or two pills three times a day, as needed.’” The drug starts working right away, he says; that’s why they’re sometimes recommended for people who are anxious about flying on airplanes or visiting the dentist, for example.

Ativan might also be prescribed for short-term use alongside antidepressant medications. “A lot of times when someone comes in with anxiety and you start them on an antidepressant, their anxiety can get worse before it gets better,” says Dr. Simon. “So sometimes they need a couple weeks of an anti-anxiety medication to provide immediate relief, until the antidepressant kicks in.”

Because it’s a sedative, Ativan can make people dizzy and tired when they first start taking it. It can increase the risk of falls, especially in older people, and patients are warned about driving or operating heavy machinery until they know how the drug will affect them.

But Dr. Simon says that taking an extra Ativan or two would not cause slurring or serious impairment, especially for people who have been on the drug long-term and developed a tolerance to its sedating side effects. “Yes, of course you should never take more than prescribed,” he says. “But one or two additional pills is usually not a huge deal.”

Combining Ativan with alcohol or other drugs, is much more dangerous, he says—mostly because of the potential for impaired judgment and slowed breathing and heart rate. There’s less of a chance that Ativan would cause a non-suicidal person to take their own life, says Dr. Simon. “A lot of suicide comes at a time of acute anxiety, and if it treats the anxiety it can actually prevent those suicides,” he says. “It is extremely unlikely to cause suicidal thinking in and of itself.”

http://www.bostonherald.com/lifestyle/health/2017/05/chris_cornell_s_family_thinks_ativan_may_have_played_role_in_his_suicide

Benzo Buddies pushes another member over the edge

Still stuck on not believing.
« on: February 27, 2017, 08:59:21 am »

[Buddie]

This is just stupid. I’m stuck on looping that this isn’t benzos but something permanent like BPD. I have huge ruminations over how everything is useless and how I should just kill myself because I don’t wanna be what I’ve become. I don’t have psyical sxs, only that mental torture chamber. I can’t trust anything anymore, not even myself. This past week has been terrible. Only thing that helps me is ranting and whining about my life to everyone and even that is only temporary. How to trust? How am I seriously supposed to believe that this will pass? I need some proof of the fact that this is withdrawal and nothing more. The dysphoria, anhedonia, depression and anxiety are just too much to handle. I don’t wanna die, I just don’t wanna live either.

Cult member vows to die rather than take psychiatric medication

and there are some who will never make it
« on: February 14, 2017, 06:41:59 pm »

[Buddie]

like me. i am addicted to 20 mg librium and 30 mg domperidone and 15 mg mirtazapine. domperidone, for me, crosses the blood-brain barrier and i have failed quitting it twice. it works as an antipsychotic for me.

i was an alcoholic for 10 years and stopped drinking 6 months ago. i’ve fallen into depression every month since. but my current episode of depression beats all expectations. i have been depressed for 20 days and with unrelenting depression.

i met a psychiatrist today. he wants me to start lamictal and increase my benzio to 30 mg librium. my foot!

i will die depressed than take any other psychiatric medicine.

please help!

Benzo Buddies advises suicidal member NOT to call 911

Calling 911
« on: July 18, 2016, 07:54:44 am »

[Buddie]

I cant do it anymore. Not sleeping for 3 months. Hardly any windows for me. Constant excruciating mental pain all day long. Im finished. 911 is being called. I cant function, i cant do anything right now. My body is burning, i cant sleep, and i have no desire for life feeling this way. Benzos have ruined my life and I’ll never be the same. I had hope last week w some windows popping up. Its not like im not trying. I exercise everyday walking 6-8 miles perr day. Im 44 years old and my life is over. All because i took a prescription and followed everyrhing i should have. Yes i had somexrescue doses but i really tried hard. I’m at as loss right now but i know il never ever recover or be the same happy Tim i used to be. Benzos ruined a great life and a good person. I now put my future in God’s hands.
« Last Edit: July 18, 2016, 08:15:55 am by [Buddie] »

Re: Calling 911
« Reply #7 on: July 18, 2016, 03:45:13 pm »

[Buddie]

911 will only give you more med, or put you in detox.

I also do not get windows. I know what your going through. Every dose I take, everything I do, I tell myself that no matter how I feel, I am healing. I take the med to keep the levels in my body consistent, not for relief. I exercise, because I know it helps the healing, and to get a break from being so focused on the shit storm.

Keep doing what your doing. If you have questions about your taper, go to those threads. There is much wisdom inhere.

And, WITHDRAW IS LIVING HELL, no matter what. The only way to do it, is to just do it.

A good option for you would be a cognitive therapist to give you support and teach you coping skills.

IN PRAISE OF VALIUM

  • Valium much less sedating than its predecessors Miltown or Librium (Before Valium came along, millions of Americans begged their doctors for Miltown prescriptions. By 1957, a prescription for Miltown was filled an average of every second in the U.S. Suburbs became the site for Miltown parties, cocktails were named for the pill – a Miltown replaced the olive in a Miltini – and high-end jewelers designed rings with compartments to hold the “tranks.” In 1960, Swiss drug maker Hoffmann-La Roche unveiled Librium, less sedating than Miltown but just as calming. In one famous experiment, the bitter-tasting drug tamed lions and tigers at the San Diego Zoo.)
  • By the end of the 1960s, Valium was the top-selling psychotropic drug in the United States
  • Valium quickly surpassed Miltown and Librium
  • Among Valium’s biggest selling points: no bitter taste, and it was nearly impossible to overdose on (In one widely reported instance that came much later, a Reagan administration official tried to kill himself with a heavy dose of Valium but failed.)
  • In the 1970s, Valium became the most widely prescribed drug of any kind
  • Valium was everywhere: Mike Brady popped a couple on the television show “The Brady Bunch,” and the Rolling Stones composed an ode to the drug, dubbing it “Mother’s Little Helper”
  • Ten of millions of people with anxiety disorders have been able to lead normal lives due to Valium
  • Dr. Leo Sternbach a medical hero who deserves posthumous Nobel Prize in Medicine
Diazepam

Diazepam /daɪˈæzɨpæm/, first marketed as Valium /ˈvæliəm/ by Hoffmann-La Roche, is a benzodiazepine drug.

It is commonly used to treat anxiety, panic attacks, insomnia, seizures (including status epilepticus), muscle spasms (such as in tetanus cases), restless legs syndrome, alcohol withdrawal, benzodiazepine withdrawal, opiate withdrawal syndrome and Ménière’s disease. It may also be used before certain medical procedures (such as endoscopies) to reduce tension and anxiety, and in some surgical procedures to induce amnesia.

It possesses anxiolytic, anticonvulsant, hypnotic, sedative, skeletal muscle relaxant, and amnestic properties. The pharmacological action of diazepam enhances the effect of the neurotransmitter GABA by binding to the benzodiazepine site on the GABAA receptor (via the constituent chlorine atom) leading to central nervous system depression.

Adverse effects of diazepam include anterograde amnesia (especially at higher doses) and sedation, as well as paradoxical effects such as excitement, rage or worsening of seizures in epileptics. Benzodiazepines also can cause or worsen depression. Long-term effects of benzodiazepines such as diazepam include tolerance, benzodiazepine dependence and benzodiazepine withdrawal syndrome upon dose reduction. After cessation of benzodiazepines, cognitive deficits may persist for at least six months and it was suggested that longer than six months may be needed for recovery from some deficits. Diazepam also has physical dependence potential and can cause serious problems of physical dependence with long term use. Compared to other benzodiazepines, though, physical withdrawal from diazepam following long term use is usually far more mild due to its long elimination half-life. Diazepam is the drug of choice for treating benzodiazepine dependence, with its low potency, long duration of action and the availability of low-dose tablets making it ideal for gradual dose reduction and the circumvention of withdrawal symptoms.

Advantages of diazepam are a rapid onset of action and high efficacy rates, which is important for managing acute seizures, anxiety attacks and panic attacks; benzodiazepines also have a relatively low toxicity in overdose. Diazepam is a core medicine in the World Health Organization’s Essential Drugs List, which list minimum medical needs for a basic health care system. Diazepam, first synthesized by Leo Sternbach,  is used to treat a wide range of conditions, and has been one of the most frequently prescribed medications in the world since its launch in 1963.

Medical uses

Diazepam is mainly used to treat anxiety, insomnia, and symptoms of acute alcohol withdrawal. It is also used as a premedication for inducing sedation, anxiolysis or amnesia before certain medical procedures (e.g., endoscopy).

Intravenous diazepam or lorazepam are first line treatments for status epilepticus; However, lorazepam has advantages over diazepam, including a higher rate of terminating seizures and a more prolonged anticonvulsant effect. Diazepam is rarely used for the long-term treatment of epilepsy because tolerance to its anticonvulsant effects usually develops within six to 12 months of treatment, effectively rendering it useless for that purpose. Diazepam is used for the emergency treatment of eclampsia, when IV magnesium sulfate and blood pressure control measures have failed. Benzodiazepines do not have any pain-relieving properties themselves, and are generally recommended to avoid in individuals with pain.  However, benzodiazepines such as diazepam can be used for their muscle-relaxant properties to alleviate pain caused by muscle spasms and various dystonias, including blepharospasm. Tolerance often develops to the muscle relaxant effects of benzodiazepines such as diazepam. Baclofen or tizanidine is sometimes used as an alternative to diazepam.

The anticonvulsant effects of diazepam can help in the treatment of seizures due to a drug overdose or chemical toxicity as a result of exposure to sarin, VX, soman (or other organophosphate poisons; See #CANA), lindane, chloroquine, physostigmine, or pyrethroids Diazepam is sometimes used intermittently for the prophylaxis of febrile seizures caused by high fever in children and neonates under five years of age.  Long-term use of diazepam for the management of epilepsy is not recommended; however, a subgroup individuals with treatment resistant epilepsy benefit from long-term benzodiazepines and for such individuals clorazepate has been recommended due to its slower onset of tolerance to the anticonvulsant effects.

Diazepam has a broad spectrum of indications (most of which are off-label), including:

  • Treatment of neurovegetative symptoms associated with vertigo
  • Treatment of the symptoms of alcohol, opiate and benzodiazepine withdrawal
  • Short-term treatment of insomnia
  • Treatment of tetanus, together with other measures of intensive treatment
  • Adjunctive treatment of spastic muscular paresis (paraplegia/tetraplegia) caused by cerebral or spinal cord conditions such as stroke, multiple sclerosis, or spinal cord injury (long-term treatment is coupled with other rehabilitative measures)
  • Palliative treatment of stiff person syndrome
  • Pre- or postoperative sedation, anxiolysis and/or amnesia (e.g., before endoscopic or surgical procedures)
  • Treatment of complications with a hallucinogen crisis and stimulant overdoses and psychosis, such as LSD, cocaine, or methamphetamine.
  • Prophylactic treatment of oxygen toxicity during hyperbaric oxygen therapy

Dosages should be determined on an individual basis, depending upon the condition being treated, severity of symptoms, patient body weight, and any comorbid conditions the patient may have.[13]

Availability

Diazepam is marketed in over 500 brands throughout the world. It is supplied in oral, injectable, inhalation and rectal forms.

The United States military employs a specialized diazepam preparation known as CANA (Convulsive Antidote, Nerve Agent), which contains diazepam. One CANA kit is typically issued to service members, along with three Mark I NAAK kits, when operating in circumstances where chemical weapons in the form of nerve agents are considered a potential hazard. Both of these kits deliver drugs using autoinjectors. They are intended for use in “buddy aid” or “self aid” administration of the drugs in the field prior to decontamination and delivery of the patient to definitive medical care.

History

Diazepam was the second benzodiazepine invented by Dr. Leo Sternbach of Hoffmann-La Roche at the company’s Nutley, New Jersey, facility following chlordiazepoxide (Librium), which was approved for use in 1960. Released in 1963 as an improved version of Librium, diazepam became incredibly popular, helping Roche to become a pharmaceutical industry giant. It is 2.5 times more potent than its predecessor, which it quickly surpassed in terms of sales. After this initial success, other pharmaceutical companies began to introduce other benzodiazepine derivatives.

The benzodiazepines gained popularity among medical professionals as an improvement upon barbiturates, which have a comparatively narrow therapeutic index, and are far more sedating at therapeutic doses. The benzodiazepines are also far less dangerous; death rarely results from diazepam overdose, except in cases where it is consumed with large amounts of other depressants (such as alcohol or other sedatives). Benzodiazepine drugs such as diazepam initially had widespread public support, but with time the view changed to one of growing criticism and calls for restrictions on their prescription.

Diazepam was the top-selling pharmaceutical in the United States from 1969 to 1982, with peak sales in 1978 2.3 billion tablets. Diazepam, along with oxazepam, nitrazepam and temazepam, represents 82% of the benzodiazepine market in Australia. While psychiatrists continue to prescribe diazepam for the short-term relief of anxiety, neurology has taken the lead in prescribing diazepam for the palliative treatment of certain types of epilepsy and spastic activity, for example, forms of paresis. It is also the first line of defense for a rare disorder called stiff-person syndrome. In recent years, the public perception of benzodiazepines has become increasingly negative.

Recreational use

Diazepam is a drug of potential abuse and can cause serious problems of addiction and as a result is scheduled. Urgent action by national governments has been recommended to improve prescribing patterns of benzodiazepines such as diazepam. A single dose of diazepam modulates the dopamine system in similar ways to how morphine and alcohol modulate the dopaminergic pathways. Between 50 and 64% of rats will self administer diazepam. Benzodiazepines including diazepam in animal studies have been shown to increase reward-seeking behaviours by increasing impulsivity, which may suggest an increased risk of addictive behavioural patterns with usage of diazepam or other benzodiazepines. In addition, diazepam has been shown to be able to substitute for the behavioural effects of barbiturates in a primate study.  Diazepam has been found as an adulterant in heroin.

Diazepam drug misuse can occur either through recreational misuse where the drug is taken to achieve a high or when the drug is continued long term against medical advice.

Sometimes, it is used by stimulant users to “come down” and sleep and to help control the urge to binge.

A large-scale, nationwide study conducted by SAMHSA found benzodiazepines in the USA are the most frequently abused pharmaceutical, with 35% of drug-related visits to the emergency department involving benzodiazepines.

They are more commonly abused than opiate pharmaceuticals, which accounted for 32% of visits to the emergency department. Males abuse benzodiazepines as commonly as females. Of drugs used in attempted suicide, benzodiazepines are the most commonly used pharmaceutical drug, with 26% of attempted suicides involving benzodiazepines. The most commonly abused benzodiazepine is, however, alprazolam. Clonazepam is the second-most-abused benzodiazepine. Lorazepam is the third-most-abused benzodiazepine, and diazepam the fourth-most-abused benzodiazepine in the USA.

Benzodiazepines, including diazepam, nitrazepam, and flunitrazepam, account for the largest volume of forged drug prescriptions in Sweden, a total of 52% of drug forgeries being for benzodiazepines.

Diazepam was detected in 26% of cases of people suspected of driving under the influence of drugs in Sweden, and its active metabolite nordazepam was detected in 28% of cases. Other benzodiazepines and zolpidem and zopiclone also were found in high numbers. Many drivers had blood levels far exceeding the therapeutic dose range, suggesting a high degree of abuse potential for benzodiazepines and zolpidem and zopiclone. In Northern Ireland in cases where drugs were detected in samples from impaired drivers who were not impaired by alcohol, benzodiazepines were found in 87% of cases. Diazepam was the most commonly detected benzodiazepine.

Legal status

Diazepam is regulated in most countries as a prescription drug:

  • International: diazepam is a Schedule IV controlled drug under the Convention on Psychotropic Substances
  • UK: classified as a controlled drug, listed under Schedule IV, Part I (CD Benz POM) of the Misuse of Drugs Regulations 2001, allowing possession with a valid prescription. The Misuse of Drugs Act 1971 makes it illegal to possess the drug without a prescription, and for such purposes it is classified as a Class C drug. “List of Controlled Drugs”
  • Germany: classified as a prescription drug, or in high dosage as a restricted drug (Betäubungsmittelgesetz, Anhang III)
Judicial executions

The State of California offers diazepam to condemned inmates as a pre-execution sedative as part of their lethal injection program.

Veterinary uses

Diazepam is used as a short-term sedative and anxiolytic for cats and dogs, sometimes used as an appetite stimulant. It can also be used to stop seizures in dogs and cats.

Letter
Valium Saved My Life
Published: October 5, 2012

To the Editor:

Re “Valium’s Contribution to Our New Normal,” by Robin Marantz Henig (Sunday Review, Sept. 30):

After serving in the Army in Vietnam and suffering from what is now called post-traumatic stress disorder, I found that Librium, and then Valium, definitely saved my life.

Whatever negatives there may be about the use and overuse of Valium, it has saved many lives and improved the quality of millions of lives.

Its positives dramatically outweigh its negatives, and right now, there is really no adequate substitute for the psychoactive drugs.

MICHAEL J. GORMAN
Whitestone, Queens, Sept. 30, 2012