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    "result": {"data":{"sanityArticle":{"title":"Including dads in the perinatal conversation","_type":"article","datePublished":"7 June 2023","header":{"background":{"value":"#FFA688"},"headline":"Including dads in the perinatal conversation","text":[{"_key":"1d86570222f9","_type":"block","children":[{"_key":"9ce5e8d5569e0","_type":"span","marks":[],"text":"Families thrive when dads are included from the start as an equal partner in parenting."}],"markDefs":[],"style":"normal"}],"image":{"asset":{"_id":"image-a729bc448a328e3d26ba5e7a4f52b0494b935855-800x800-png"},"crop":null,"hotspot":null,"alt":"Dad hugging baby"}},"content":[{"_key":"658499472ff3","_type":"block","children":[{"_key":"45a98cb7adba0","_type":"span","marks":[],"text":"Dads play an essential and positive role supporting their babies and partners during pregnancy and early parenthood."}],"markDefs":[],"style":"normal"},{"_key":"60cbf32b8886","_type":"block","children":[{"_key":"43e5b71068b0","_type":"span","marks":[],"text":"Research suggests that dads often feel left out or sidelined in perinatal care conversations about mental health and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"e1a138a9c18c","_type":"block","children":[{"_key":"740aef38bbf10","_type":"span","marks":[],"text":"Many dads in our community encounter stereotypes about fatherhood and masculinity, like needing to be their family’s financial provider and emotionless ‘rock’ while their partner provides all infant care. Or that their caregiving role as the non-birthing is less important for their baby’s development and wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"da5e4f337401","_type":"block","children":[{"_key":"63fcfe9a55e40","_type":"span","marks":[],"text":"These messages and expectations often start early, for instance when dads feel unwelcome or excluded in antenatal classes or other care-related appointments. These experiences may leave dads feeling ignored, unsure of themselves and their role, and less confident or capable as they transition to parenthood."}],"markDefs":[],"style":"normal"},{"_key":"50a6c6714d51","_type":"block","children":[{"_key":"38deb6215ca90","_type":"span","marks":[],"text":"How can you help? "}],"markDefs":[],"style":"h4"},{"_key":"eab598dbe50b","_type":"block","children":[{"_key":"06adfac81dde0","_type":"span","marks":[],"text":"As a healthcare provider, you can change this by including dads in all aspects of perinatal care and support."}],"markDefs":[],"style":"normal"},{"_key":"8c5d47f206d5","_type":"block","children":[{"_key":"0a31546c2a5a0","_type":"span","marks":[],"text":"Dads need to know they are valued and respected as people, parents, partners and caregivers."}],"markDefs":[],"style":"normal"},{"_key":"6909f2234b9d","_type":"block","children":[{"_key":"a8c5842fb3600","_type":"span","marks":[],"text":"Including dads in the perinatal conversation, from planning to pregnancy and early parenthood, supports dads when they need it most - and builds a solid foundation of care for the whole family unit."}],"markDefs":[],"style":"normal"}],"sidebarTitle":"Helpful Information","sidebarPosts":[{"title":"Referring to PANDA ","_type":"article","slug":{"current":"referring-to-panda"},"header":{"image":{"asset":{"_id":"image-69fce3d1b5811670b89ee36565ddc5e1a268a5dc-4168x4168-png"},"crop":null,"hotspot":null,"alt":"Doctor helping mother"},"text":[{"_key":"bff2406d9355","_type":"block","children":[{"_key":"f3626e4a3412","_type":"span","marks":[],"text":"Find out how you can refer someone to PANDA or get practice support as a health professional."}],"markDefs":[],"style":"normal"}]}}],"modules":[{"_key":"1d1f379bce91","_type":"faqBlock","include":null,"title":"Info to help you include dads in the perinatal conversation","noNumbers":true,"text":null,"questions":[{"question":[{"_key":"45bda4cbdaff","_type":"block","children":[{"_key":"69ab613fc3bc","_type":"span","marks":[],"text":"Getting the conversation started"}],"markDefs":[],"style":"normal"}],"answer":[{"_key":"218844f4df41","_type":"block","children":[{"_key":"62365ef56ba80","_type":"span","marks":[],"text":"Provide information, advice and care to both partners, and let dads know that they’re equally important and welcome to seek support from you."}],"markDefs":[],"style":"normal"},{"_key":"a05a7402742c","_type":"block","children":[{"_key":"7e49a5fd9f710","_type":"span","marks":[],"text":"Dads are primary caregivers too: Acknowledge this and avoid using language that reinforces gender stereotypes of mum as the most important caregiver and dad as a provider, helper, or occasional babysitter."}],"markDefs":[],"style":"normal"},{"_key":"e65beea7fa2a","_type":"block","children":[{"_key":"1748007534e00","_type":"span","marks":[],"text":"When talking to dads, use words like ‘teamwork’ and ‘shared parenting’."}],"markDefs":[],"style":"normal"},{"_key":"27699df9e5df","_type":"block","children":[{"_key":"c65393b5cbd20","_type":"span","marks":[],"text":"Encourage dads to discuss their expectations, hopes and personal parenting values with you."}],"markDefs":[],"style":"normal"},{"_key":"47e9b757b7a3","_type":"block","children":[{"_key":"38c790974ca50","_type":"span","marks":[],"text":"Support dads to think about and explore ways they can negotiate shared roles and responsibilities with their partners."}],"markDefs":[],"style":"normal"},{"_key":"93be6a4a21e1","_type":"block","children":[{"_key":"cc193be855f60","_type":"span","marks":[],"text":"Ask dads about their wellbeing and safety in every appointment or interaction. See also: "},{"_key":"0673b8fca1ad","_type":"span","marks":["ee8e782dc254"],"text":"Perinatal suicide: Signs, safety and support options"}],"markDefs":[{"_key":"ee8e782dc254","_type":"link","blank":true,"document":{"_id":"b16b17d8-349b-4cb1-b010-cdb2789853d8","_type":"article","_rev":"dpQ2IysUm09sCEUZjT1L92","_createdAt":"2022-04-05T02:34:24Z","_updatedAt":"2023-12-18T00:13:42Z","categories":[{"_key":"c2d6db52b8a6","_ref":"a4331950-09cf-4e89-9803-5127aa533bc7","_type":"reference"},{"_key":"820ecacd6863","_ref":"b84de418-c2a8-4c44-b6ef-628f8a1ce593","_type":"reference"},{"_key":"a08840d9d5b3","_ref":"c4172819-1756-470d-8628-b5ffa921681e","_type":"reference"},{"_key":"9db26cc381f6","_ref":"f72ec3d7-1963-43ae-afc2-d15e54eb79a9","_type":"reference"},{"_key":"275d83b27220","_ref":"f72ed5fd-4128-46cf-b3ca-bdf1ed7b9837","_type":"reference"},{"_key":"cba53ae191b4","_ref":"f3a1efdb-0e5d-4871-83d7-1d7f66ee6107","_type":"reference"}],"content":[{"_key":"2574dfd5a3cf","_type":"block","children":[{"_key":"656fdb0af38b0","_type":"span","marks":[],"text":"Talking about suicide is brave. "}],"markDefs":[],"style":"normal"},{"_key":"550b99b86da3","_type":"block","children":[{"_key":"8ce40f1d1392","_type":"span","marks":[],"text":"It takes courage to admit to someone else that you’re feeling distressed or overwhelmed, and not coping as well as usual. Many expecting and new parents report feelings of isolation, shame and self-blame when they’re having thoughts of suicide. This can stop people from reaching out for support when they need it the most.\n\nIn Australia, suicide is a leading cause of maternal death during pregnancy and the first year after birth. Emerging research suggests fathers and non-birthing parents are also at increased risk of experiencing thoughts of suicide during the transition to parenthood.\n\nPANDA is committed to having conversations about suicide prevention and risk management in the perinatal period. It’s essential that expecting and new parents can speak openly and honestly about how they’re feeling, and access effective support to help manage distressing thoughts and feelings as soon as possible."}],"markDefs":[],"style":"normal"},{"_key":"184bdea01d1f","_type":"block","children":[{"_key":"1360c90aeb4d","_type":"span","marks":[],"text":"\n"},{"_key":"ccce7d67b699","_type":"span","marks":["strong"],"text":"Talking about suicide doesn’t increase the risk that someone will attempt to take their own life – but it can increase safety by reducing feelings of isolation and hopelessness."}],"markDefs":[],"style":"normal"},{"_key":"1b6468acf3f3","_type":"block","children":[{"_key":"d7deb96db034","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"d3308b5d16d2","_type":"block","children":[{"_key":"8f9912066314","_type":"span","marks":[],"text":"Providing space for someone to talk openly about feeling suicidal is an opportunity for:"}],"markDefs":[],"style":"normal"},{"_key":"1b9c284a3a1e","_type":"block","children":[{"_key":"0d5b79447890","_type":"span","marks":[],"text":"Connection"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4e9b95258d76","_type":"block","children":[{"_key":"e90900beb200","_type":"span","marks":[],"text":"Reassurance"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cec8c2c41029","_type":"block","children":[{"_key":"a63ede044226","_type":"span","marks":[],"text":"Safe support"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d7260d0ccb90","_type":"block","children":[{"_key":"ce718d1084cc","_type":"span","marks":[],"text":"Hope for change"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"95db960099ba","_type":"block","children":[{"_key":"40db9ceab9ce","_type":"span","marks":[],"text":"Thoughts of suicide are common during pregnancy and the first year of a baby’s life. On the PANDA Helpline, we provide over 40,000 counselling calls to expecting and new parents and their support people every year. We offer suicide prevention support in around 20% of those calls.\n\nThat’s 1 in 5 people needing support from PANDA to talk about suicide. Some people are experiencing thoughts of suicide themselves and reaching out for help. Other people want to know how they can support a loved one in distress.\n\nOur Helpline counsellors are experienced and comfortable in talking about suicide. We understand that people are often nervous about sharing frightening thoughts and feelings. Our counsellors create a caring, nonjudgmental space for you to discuss your concerns.\n"}],"markDefs":[],"style":"normal"},{"_key":"28e1964be325","_type":"block","children":[{"_key":"7951bb9f45bc0","_type":"span","marks":[],"text":"We’ll work together with you to create a personalised mental health safe plan to help manage distress, including ways to cope with thoughts of suicide."}],"markDefs":[],"style":"normal"},{"_key":"f09034cba882","_type":"button","link":{"_type":"link","blank":true,"document":{"_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"},"linkType":"internal"},"style":"box","text":"Mental Health Safe Plan"}],"datePublished":"2022-04-05","header":{"_type":"pageHeader","background":{"title":"orange60","value":"#FFA688"},"headline":"Perinatal suicide: Signs, safety and support options","image":{"_type":"imageWithAlt","asset":{"_ref":"image-7a14cddd133e5e392adb22142a9eb8266e71d153-3334x3334-png","_type":"reference"}},"text":[{"_key":"312246410162","_type":"block","children":[{"_key":"a440038e41580","_type":"span","marks":[],"text":"Thoughts of suicide are common during pregnancy and early parenthood. You don’t need to deal with them alone though – specialist help is available."}],"markDefs":[],"style":"normal"}]},"modules":[{"_key":"85b891402999","_type":"freeText","background":{"title":"beige100","value":"#EDE8E4"},"text":[{"_key":"fe6958f0e33e","_type":"block","children":[{"_key":"649ac6e077800","_type":"span","marks":["strong"],"text":"Becoming a parent can feel overwhelming"}],"markDefs":[],"style":"h4"},{"_key":"b499149665bb","_type":"block","children":[{"_key":"9e2fdf4146ad0","_type":"span","marks":[],"text":"Pregnancy and early parenthood are a time of major life change. The world as you know it may suddenly feel unfamiliar, full of unexpected events and challenges to everything from your daily routine to self-identity.\n\nOften what we imagine parenthood to be like is very different from the actual reality of the perinatal period. It can feel difficult to adapt to and accept a pregnancy or birth that doesn’t go as planned, sleepless nights, an unsettled baby, and an emerging sense of self that is often defined by how well we think we’re coping as a parent.\n\nThe urge to hide any signs of distress from other people can be strong, but may also increase a sense of shame and psychological isolation."},{"_key":"434b71fc9f92","_type":"span","marks":["strong"],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"9894939e9abb","_type":"block","children":[{"_key":"2f21f3167032","_type":"span","marks":["strong"],"text":"It’s important to share how you’re feeling with other people."},{"_key":"185335e824f9","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"56c6af90472c","_type":"block","children":[{"_key":"edd1ce19fcdf","_type":"span","marks":[],"text":"You can choose anyone that you feel safe with, someone you trust to listen and support you. For some, that might be a family member or friend. Other people feel more comfortable talking to a health professional.\n\nEven though life may feel overwhelming, you’re in control of who you trust with your story. Deciding to talk about suicide is an act of courage and hope for change. Allowing other people to support you increases safety for you and your baby."}],"markDefs":[],"style":"normal"}]},{"_key":"b3573560b9c5","_type":"faqBlock","noNumbers":true,"questions":[{"_key":"4b291bc6aeba","_type":"faq","answer":[{"_key":"c7728821b40f","_type":"block","children":[{"_key":"a83e3ff0bede0","_type":"span","marks":["strong"],"text":"Suicidal ideation"},{"_key":"81bd6c313fdf","_type":"span","marks":[],"text":" means thinking about dying by suicide. There are two types of suicidal ideation – active and passive.\n\n"},{"_key":"8b731e90a6c1","_type":"span","marks":["strong"],"text":"Active suicidal ideation "},{"_key":"ee092c655d1d","_type":"span","marks":[],"text":"means someone is thinking about dying by suicide, and may have a plan, the means, and/or intent to attempt suicide.\nIf you - or someone you’re supporting - is experiencing active thoughts of suicide or has made a suicide attempt, "},{"_key":"f206d0a0e097","_type":"span","marks":["strong"],"text":"immediate mental health support and medical treatment is crucial and may be lifesaving."},{"_key":"23ecfd30493c","_type":"span","marks":[],"text":"\nSafe Plan: Call one of the crisis services listed at the bottom of this page, or 000 if it’s an emergency.\n\n"},{"_key":"34606ed739ce","_type":"span","marks":["strong"],"text":"Passive suicidal ideation"},{"_key":"03822d7a69e7","_type":"span","marks":[],"text":" means someone is thinking about dying or death by suicide, but they don’t have any intent or plans to die by suicide. These types of suicidal thoughts can be common during pregnancy and early parenthood.\n\nIt’s important to be aware that passive thoughts of suicide thoughts are serious and can quickly and without warning become ‘active’ thoughts with a plan and intent.\n\nExamples of passive thoughts of suicide:"}],"markDefs":[],"style":"normal"},{"_key":"4bd4253f26ec","_type":"block","children":[{"_key":"406e078003ee","_type":"span","marks":[],"text":"I just want it all to end, but I’d never to do anything to hurt myself."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ecb676d232be","_type":"block","children":[{"_key":"8cc073cdfd56","_type":"span","marks":[],"text":"I wish I could go to sleep and not wake up."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b3cf9a17ffb6","_type":"block","children":[{"_key":"196283ab7ddd","_type":"span","marks":[],"text":"I’ve been having thoughts about being in an accident - like a car swerving onto the footpath, or a truck crashing into my car."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f9fa43ab5b68","_type":"block","children":[{"_key":"de533d3786a3","_type":"span","marks":[],"text":"If you or someone you care about is experiencing thoughts like these, it’s important to seek help as soon as possible. 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difficulties)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2c3e37c88138","_type":"block","children":[{"_key":"a944512194be0","_type":"span","marks":[],"text":"Grief and loss about hopes/expectations vs the reality of parenthood."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9cfc1a715d23","_type":"block","children":[{"_key":"1f55ccdec99b0","_type":"span","marks":[],"text":"Self-esteem issues: feeling inadequate, or a sense of failure (often about being a parent)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7faf37c147da","_type":"block","children":[{"_key":"8a32ee5d6fdc0","_type":"span","marks":[],"text":"Feelings of hopelessness or defeat, being ‘trapped’, utterly alone, and ashamed are common amongst people experiencing thoughts of suicide - especially if high hopes of what pregnancy and parenthood might be like do not match the reality of life with a baby."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"9936eb31823d","_type":"block","children":[{"_key":"3ddeb6a4b7be0","_type":"span","marks":[],"text":"Perinatal suicide: Risk factors"}],"markDefs":[],"style":"normal"}]},{"_key":"345bb6e3df1e","_type":"faq","answer":[{"_key":"480750f83f4e","_type":"block","children":[{"_key":"7f70b928475a0","_type":"span","marks":[],"text":"It may seem simple, but just having someone to talk to – who listens to you with curiosity, compassion, without judgement – can decrease the risk of suicidality.\n\nDuring pregnancy and early parenthood, having support people for yourself and your baby is also protective. A strong support network can include family, social contacts and perinatal health professionals.\n\nFind people you feel safe to talk with and be around. Thoughts of suicide may be easier to manage when you’re connected to people who care for you and your baby. A support network can help you look after your own physical and mental health, and emotional and social wellbeing whilst you’re caring for your baby."}],"markDefs":[],"style":"normal"},{"_key":"378795951bf3","_type":"block","children":[{"_key":"3ce3d00af5d6","_type":"span","marks":[],"text":"Your support network may include:"}],"markDefs":[],"style":"normal"},{"_key":"fc74dde25c6e","_type":"block","children":[{"_key":"1d67741d3626","_type":"span","marks":[],"text":"Your partner, family and friends."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2635b15edc16","_type":"block","children":[{"_key":"910447a4ba87","_type":"span","marks":[],"text":"Health professionals (like your midwife, GP, counsellor, child health nurse)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c3d02dc2aa90","_type":"block","children":[{"_key":"56ba1aaf0b75","_type":"span","marks":[],"text":"Peer supports (new parents’ group, online support).\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"783ba8649e50","_type":"block","children":[{"_key":"3d6207c8879d","_type":"span","marks":[],"text":"The transition from a busy work and social life to being at home by yourself with a new baby can feel isolating and overwhelming. Having loved ones around to share in caregiving responsibilities, give you a break, and have a chat to, can reduce feelings of isolation, self-doubt, and hopelessness.\n\nSometimes relationships shift when you’re having a baby, especially if people in your social network aren’t parents themselves. You may find it helpful to meet other new parents by joining a playgroup or online support group for expecting and new parents."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"ea075538d70d","_type":"block","children":[{"_key":"a8bc61f003bf0","_type":"span","marks":[],"text":"Perinatal suicide: Protective factors"}],"markDefs":[],"style":"normal"}]},{"_key":"3e71731e7f7b","_type":"faq","answer":[{"_key":"fac3de4131ef","_type":"block","children":[{"_key":"0f27b13999a20","_type":"span","marks":[],"text":"Often, there are physical changes and behavioural signs that indicate an expecting or new parent isn’t coping as well as usual and could benefit from extra support.\n\nWarning signs include, but are not limited to:"}],"markDefs":[],"style":"normal"},{"_key":"f5cc51f204a3","_type":"block","children":[{"_key":"41502e1c4c6c","_type":"span","marks":["71da5245780a"],"text":"Symptoms of anxiety and depression"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"71da5245780a","_type":"link","blank":true,"document":{"_ref":"bc33ffbe-22af-4ed5-b627-d64f7594825a","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"23bc8daa93e9","_type":"block","children":[{"_key":"0a29ec239ecb","_type":"span","marks":[],"text":"Reduced interest in personal hygiene and appearance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"258851b685d7","_type":"block","children":[{"_key":"bde305a67c12","_type":"span","marks":[],"text":"Noticeable changes to sleep and appetite/weight patterns."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d19dba64071b","_type":"block","children":[{"_key":"c46bc148c3aa","_type":"span","marks":[],"text":"Social withdrawal (partner, family, friends)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"332eea94d106","_type":"block","children":[{"_key":"f3588fd2d0b7","_type":"span","marks":[],"text":"Missing healthcare appointments (ante and postnatal care, mental health)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d908fc01eb7f","_type":"block","children":[{"_key":"3ffe5bbdf1cb","_type":"span","marks":[],"text":"Ceasing activities that were previously important (like your hobbies, playgroup)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"05cd59c1901f","_type":"block","children":[{"_key":"c61cd345930b","_type":"span","marks":[],"text":"Reckless behaviours (such as driving, conflict with others, increased alcohol and/or drug use)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fae24301d6c1","_type":"block","children":[{"_key":"a7027fd81c9f","_type":"span","marks":[],"text":"Saying goodbye to loved ones, starting to give away treasured possessions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4024ab218569","_type":"block","children":[{"_key":"1123c21205fe0","_type":"span","marks":[],"text":"You may notice other behavioural warning signs that someone isn’t coping as well as usual. Trust your senses if you think something is wrong and you feel concerned."}],"markDefs":[],"style":"normal"},{"_key":"926f58fc28db","_type":"block","children":[{"_key":"5e51ba5b09f1","_type":"span","marks":[],"text":"Below are some ways you might like to approach a conversation with the person you’re supporting. We encourage you to consider speaking with a health professional or calling a helpline for information and guidance on ways to support your loved one as well."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"c9060b7c9494","_type":"block","children":[{"_key":"bcfbd832e9890","_type":"span","marks":[],"text":"Perinatal suicide: Warning signs (non-verbal)"}],"markDefs":[],"style":"normal"}]},{"_key":"d73e22d18c69","_type":"faq","answer":[{"_key":"e3ae14ddec0a","_type":"block","children":[{"_key":"8adb0eb31f420","_type":"span","marks":[],"text":"Some expecting and new parents may talk openly that they’re thinking about suicide, but often the verbal warning signs are less direct.\n\nStatements indicating hopelessness, despair, inability to cope, feelings of inadequacy, failure, shame, or being a burden on others are often a sign that extra support is needed.\n\nIf you’ve been having thoughts like those listed below, or you hear a loved one saying these things, it may be a sign they’re feeling distressed and/or thinking about suicide:"}],"markDefs":[],"style":"normal"},{"_key":"840295f0ba6b","_type":"block","children":[{"_key":"b44358f3ecaf","_type":"span","marks":[],"text":"I’ve had enough. I can’t do this anymore."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20cebefcb3df","_type":"block","children":[{"_key":"4c7c0ea926a90","_type":"span","marks":[],"text":"I just want to escape."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2c2b7bd1c4eb","_type":"block","children":[{"_key":"52d15b479e580","_type":"span","marks":[],"text":"I feel like leaving. I wish I could disappear."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8620d8992062","_type":"block","children":[{"_key":"69a891ad808a0","_type":"span","marks":[],"text":"They wouldn’t even notice if I was gone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c1c1ce7f46b","_type":"block","children":[{"_key":"c85caf5045580","_type":"span","marks":[],"text":"I feel so broken inside. I’m damaged and I always will be."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b30eb51673c9","_type":"block","children":[{"_key":"2680f171b9860","_type":"span","marks":[],"text":"What’s the point? Things are never going to change. I give up."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6f7cf17581ad","_type":"block","children":[{"_key":"8551eb90a7620","_type":"span","marks":[],"text":"I’m such a failure at everything. I’m a terrible parent, my baby deserves better."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b772ae45cc0c","_type":"block","children":[{"_key":"0910d223313f0","_type":"span","marks":[],"text":"I have no idea what I’m doing. I feel useless at parenting."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"697169409996","_type":"block","children":[{"_key":"c6de1878e4540","_type":"span","marks":[],"text":"I feel so lonely, even though I’m never alone because I’m always with my baby. Nobody knows and nobody really cares."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d2aa3c7f8a4","_type":"block","children":[{"_key":"a7b661de673a0","_type":"span","marks":[],"text":"Everyone would be better off without me."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fa31f90bcd47","_type":"block","children":[{"_key":"68832fe888b00","_type":"span","marks":["strong"],"text":"Please know that you’re not alone, because support is available."},{"_key":"2e14eb616e11","_type":"span","marks":[],"text":" Although things may feel bleak or hopeless right now, with the right help those feelings and thoughts can and will shift. Mental health support can help you explore new ways to cope with distressing thoughts and feelings, and start feeling less isolated and defeated by life’s circumstances.\n\nRather than trying to cope by yourself, you can create positive change (and increase safety for yourself and your baby) by allowing other people to help care for you when life has rocked your foundations. This includes support people caring for someone experiencing distressing or frightening thoughts and feelings."}],"markDefs":[],"style":"normal"}],"question":[{"_key":"4765823ddf0f","_type":"block","children":[{"_key":"961e67dee5fc0","_type":"span","marks":[],"text":"Perinatal suicide: Warning signs (verbal)"}],"markDefs":[],"style":"normal"}]},{"_key":"bb4aad6a7600","_type":"faq","answer":[{"_key":"48399b71c4a8","_type":"block","children":[{"_key":"0d5c1702cdda0","_type":"span","marks":[],"text":"Having thoughts of suicide doesn’t make you a ‘bad’ or unfit parent, it simply means you’re human and having a hard time. The urge to seek help for thoughts of suicide makes you a caring, protective parent – it shows how much you care about your baby and family’s wellbeing. Seeking help is the first step towards feeling better, by looking after yourself and your baby.\n\nBecoming a parent is a major step in life, full of unknowns and new challenges. It can be difficult to cope with all the changes by yourself.\n\nIf you’re feeling overwhelmed, hopeless, and alone, telling someone else how you’re feeling can help you to "},{"_key":"24e57e234176","_type":"span","marks":["b40cc76a6a15"],"text":"cope with strong emotions"},{"_key":"38705126cedc","_type":"span","marks":[],"text":" and other sources of stress. One of the quickest paths to recovery and managing your mental health is linking in with supports.\n\nMany parents who call the PANDA Helpline report feeling afraid to admit they were having thoughts of suicide to anyone, because they were concerned about what might happen if they did.\n\nYet talking to someone who cares - having space to share distressing thoughts and feelings, and exploring potential support options - often brings relief, comfort, and genuine hope that change is possible.\n\nWhen you feel ready, we encourage you to reach out for support. You might like to talk to:"}],"markDefs":[{"_key":"b40cc76a6a15","_type":"link","blank":true,"document":{"_ref":"310776fc-166b-416c-8958-8fbbf1b695b2","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"09c88f0a6e58","_type":"block","children":[{"_key":"fe333edc12070","_type":"span","marks":[],"text":"A trusted loved one (your partner, a family member or friend)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"200f1de2e4dd","_type":"block","children":[{"_key":"864dd21a35c90","_type":"span","marks":[],"text":"One of PANDA’s Helpline telephone counsellors."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ef8517161641","_type":"block","children":[{"_key":"29d7f5ddb2ad0","_type":"span","marks":[],"text":"A health care provider (GP, social worker, psychologist, psychiatrist)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cdc570e8927a","_type":"block","children":[{"_key":"41f142dc9e73","_type":"span","marks":[],"text":"A suicide support crisis line (see contacts at the bottom of this page)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}],"question":[{"_key":"564986033acb","_type":"block","children":[{"_key":"fd6603a8a0740","_type":"span","marks":[],"text":"Seeking support for yourself"}],"markDefs":[],"style":"normal"}]},{"_key":"1d7ea1b017c5","_type":"faq","answer":[{"_key":"bf7e674de7b5","_type":"block","children":[{"_key":"e482682367020","_type":"span","marks":[],"text":"If you’re concerned a loved one is experiencing thoughts of suicide, there are some steps you can take to ensure they’re safe and supported."}],"markDefs":[],"style":"normal"},{"_key":"907ad7f5e51a","_type":"block","children":[{"_key":"298f618895970","_type":"span","marks":["strong"],"text":"Talking about thoughts of suicide"},{"_key":"4353d0e54b1a","_type":"span","marks":[],"text":"\n\nRemember, asking about suicide can increase someone’s safety by reducing feelings of isolation and shame.\n\nHaving a direct conversation and asking these questions won’t increase your loved one’s risk of acting on their thoughts. Instead, it gives you an opportunity to show how much you care, are there for them and their baby, and are willing to help them find support.\n\nHaving an open and honest conversation can also bring immense relief to the person who is feeling overwhelmed and has been trying to manage everything by themselves.\n\nAs a support person, you can provide reassurance that it’s safe to talk to you, and you’ll be there for them no matter what they’re concerned about. But don’t forget, caring for someone at risk of suicide can have an impact on your own mental health, so be sure to watch out for your own wellbeing.\n"}],"markDefs":[],"style":"normal"},{"_key":"856c1be9acb8","_type":"block","children":[{"_key":"7faaec3fab450","_type":"span","marks":["strong"],"text":"Some questions to ask your loved one include:"}],"markDefs":[],"style":"normal"},{"_key":"ea29e5e9230c","_type":"block","children":[{"_key":"0933753e937d0","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that scare you?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e1b4c78fa88d","_type":"block","children":[{"_key":"ab2788c51bcc","_type":"span","marks":[],"text":"Do you ever have thoughts or feelings that make you worry about your own or your baby's safety?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c884db225dd7","_type":"block","children":[{"_key":"8b826017356a0","_type":"span","marks":["strong"],"text":"If your loved one answers ‘yes’ or ‘maybe’ to these questions, if you feel up to it, it can be helpful to keeping exploring how they’re feeling by gently asking direct questions about suicide:"}],"markDefs":[],"style":"normal"},{"_key":"b44b60f30ee7","_type":"block","children":[{"_key":"3c31d77934de0","_type":"span","marks":[],"text":"Do you have any thoughts of suicide or hurting yourself?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"779534e41e2d","_type":"block","children":[{"_key":"3503859b29b10","_type":"span","marks":[],"text":"Have you thought about ways you might hurt yourself/take your own life?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bb9055163b11","_type":"block","children":[{"_key":"c5042e22f264","_type":"span","marks":[],"text":"Whatever their answer is, again it’s crucial that you let your loved one know that you care, and you’re there to support them. When someone is having thoughts of suicide, it can be a relief to be asked these questions, especially if any answers are received in a supportive and nonjudgmental way."}],"markDefs":[],"style":"normal"},{"_key":"e0aab08dde93","_type":"block","children":[{"_key":"fcbd739032c4","_type":"span","marks":[],"text":"Frequent reassurances may also encourage your loved one to keep sharing with you. You can also provide physical comfort like a hug, or hold their hand while you talk."}],"markDefs":[],"style":"normal"},{"_key":"0a1d860f6e77","_type":"block","children":[{"_key":"1e9d967e5f9f0","_type":"span","marks":["strong"],"text":"Safety planning questions"}],"markDefs":[],"style":"normal"},{"_key":"b7ca07d03d54","_type":"block","children":[{"_key":"216ce4d557a00","_type":"span","marks":[],"text":"What have you been doing to keep yourself and your baby safe?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9b8fa623c660","_type":"block","children":[{"_key":"d03bbc5893ce0","_type":"span","marks":[],"text":"How have you been coping with these thoughts and feelings? Has anything been helpful?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68a8d066c099","_type":"block","children":[{"_key":"067ef203b1a10","_type":"span","marks":[],"text":"What helps to stop you carrying out your thoughts or plan?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e4083954628","_type":"block","children":[{"_key":"d8cb386ffb4e0","_type":"span","marks":[],"text":"What would you do if you felt that you couldn't stop yourself from acting out your thoughts?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"17405b7dbf5c","_type":"block","children":[{"_key":"3cd9c9b0771f0","_type":"span","marks":[],"text":"At this point, you might like to tell your loved one they’re doing a great job of looking after themselves and their baby. Even if they tell you it doesn’t feel that way, reassurances that focus on their coping skills as a person and parent can be comforting and help them to focus on their existing strengths, rather than feelings like despair or shame."}],"markDefs":[],"style":"normal"},{"_key":"515682583aa5","_type":"block","children":[{"_key":"02b53c940ac90","_type":"span","marks":["strong"],"text":"Recommended safety planning steps:"}],"markDefs":[],"style":"normal"},{"_key":"5c2c6820777a","_type":"block","children":[{"_key":"a627fee2dcd3","_type":"span","marks":[],"text":"Call one of the suicide support services listed at the bottom of this page to seek advice as a support person."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3d817d0527e2","_type":"block","children":[{"_key":"a6e747ff0ef5","_type":"span","marks":[],"text":"You might like to suggest to your loved one that you call a suicide support service together (with the phone on speaker) so you can provide background emotional support whilst they speak with a crisis counsellor."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"41418cac09bc","_type":"block","children":[{"_key":"36ba11b8feaf","_type":"span","marks":[],"text":"Use "},{"_key":"d4e2a63dd627","_type":"span","marks":["fdaf789390f9"],"text":"PANDA’s Mental Health Safe Plan"},{"_key":"d6af2d0e8c1d","_type":"span","marks":[],"text":" to contact professional mental health support services via phone for guidance on what to do next."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"fdaf789390f9","_type":"link","blank":true,"document":{"_ref":"0dd44d32-f29c-4ed4-b700-c1b55dfbb570","_type":"reference"},"linkType":"internal"}],"style":"normal"},{"_key":"7b256c1fcafe","_type":"block","children":[{"_key":"4485d07c0731","_type":"span","marks":[],"text":"Encourage your loved one to see their GP or a trusted health professional (like a psychologist or psychiatrist) as soon as possible for mental health support."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a0c671ffcb64","_type":"block","children":[{"_key":"9bd3bf932d37","_type":"span","marks":[],"text":"If your loved one tells you they have a plan, remove any harmful means from the house."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2b203d0caaa9","_type":"block","children":[{"_key":"753533d52eed","_type":"span","marks":[],"text":"Ensure you or another support person can stay with your loved one and their baby, so that they are not alone with their thoughts. It’s important to do this until they are able to access professional mental health care."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d4260aaf619f","_type":"block","children":[{"_key":"87b680c7ab300","_type":"span","marks":[],"text":"It’s also vital that you look after yourself while you’re supporting someone else. This includes staying connected to your own support network, and taking breaks to look after your own mental health and wellbeing. 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"}],"markDefs":[],"style":"normal"},{"_key":"f2d549629545","_type":"block","children":[{"_key":"104b8492ddc1","_type":"span","marks":[],"text":"Dads calling the PANDA Helpline want to know how they can strengthen their relationship with their baby."}],"markDefs":[],"style":"normal"},{"_key":"10a113515f72","_type":"block","children":[{"_key":"c9b0ff2b74660","_type":"span","marks":[],"text":"To help dads build a relationship with their babies you can encourage them to be lovingly consistent and responsive to their baby’s needs."}],"markDefs":[],"style":"normal"},{"_key":"7210d1e75f4e","_type":"block","children":[{"_key":"3cbfe0cf73630","_type":"span","marks":["strong"],"text":"Here are some tips you can suggest:"}],"markDefs":[],"style":"normal"},{"_key":"6de5feb5c157","_type":"block","children":[{"_key":"ac78896568fd0","_type":"span","marks":["strong"],"text":"Sound and touch during pregnancy:"},{"_key":"a37ae8607802","_type":"span","marks":[],"text":" Research suggests babies may be able to recognise and respond to familiar voices in utero.Dads can connect with their babies during pregnancy by talking or singing to them in the womb, and gently massaging their partner’s belly in the later trimesters."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6d4db4103707","_type":"block","children":[{"_key":"e2c3fda0a73a0","_type":"span","marks":["strong"],"text":"Skin-to-skin contact: "},{"_key":"8050492aaeb1","_type":"span","marks":[],"text":"Dads holding their baby against their bare chest, often referred to as ‘kangaroo care’, can helpestablish a strong bond. It promotes a sense of security, warmth, and comfort for the baby, and helps regulate their body temperature and heart rate."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"050e0ad35767","_type":"block","children":[{"_key":"b1893e342aff0","_type":"span","marks":["strong"],"text":"Eye contact and talking:"},{"_key":"0a09ad3d0ee3","_type":"span","marks":[],"text":" Babies are responsive to eye gaze, facial expressions, gestures, and voices. Dads can connect with their babies by making eye contact and talking to their baby in a gentle and soothing voice. Dad’s voice and face will become very familiar and reassuring in the first 12 months."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a63b5c163663","_type":"block","children":[{"_key":"df6a38726a930","_type":"span","marks":["strong"],"text":"Practical caregiving:"},{"_key":"c28dcda8b39f","_type":"span","marks":[],"text":" Changing nappies, bathing, feeding and settling can be great opportunities for bonding. These caregiving tasks provide moments for dads to grow more confident in their parenting skills whilst being nurturing and attentive."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ae22a2a2536b","_type":"block","children":[{"_key":"2e71eccce63e0","_type":"span","marks":["strong"],"text":"Playtime:"},{"_key":"58a1e86439b8","_type":"span","marks":[],"text":" Dads can use age-appropriate toys, games, and activities to interact with their baby. Peekaboo, singing, gentle tickling, and playing with soft toys can help dads create a playful and joyful experience."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3cc547d59b4e","_type":"block","children":[{"_key":"c9c03aded1660","_type":"span","marks":["strong"],"text":"Baby-wearing:"},{"_key":"dcea2ca0248a","_type":"span","marks":[],"text":" Using a baby carrier or sling can provide a sense of security, warmth and comfort for baby while allowing dad to be hands-free. Dads are then able to interact with their baby (gentle head or leg massage) or attend to other tasks whilst still enjoying closeness and time together."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"question":[{"_key":"26c7cc2bff1a","_type":"block","children":[{"_key":"d1e4bae2353d","_type":"span","marks":[],"text":"Helping dads access support"}],"markDefs":[],"style":"normal"}],"answer":[{"_key":"9886703662be","_type":"block","children":[{"_key":"cad7c88dd35e0","_type":"span","marks":[],"text":"Many expecting and new dads can find it difficult to reach out for help and support. Dads who contact the PANDA Helpline often share that reaching out feels like a huge step, and a big relief once they make the call. Feelings of shame, guilt, ‘male pride’, and mistakenly thinking that perinatal support services only support mums and babies are common barriers to care for dads."}],"markDefs":[],"style":"normal"},{"_key":"3c538a992819","_type":"block","children":[{"_key":"4b598d9342120","_type":"span","marks":["strong"],"text":"As a healthcare provider you can make sure dads feel supported by connecting them with information and services that feel meaningful and relevant to their personal situation."}],"markDefs":[],"style":"normal"},{"_key":"62dea9c36a61","_type":"block","children":[{"_key":"95d501eeccac0","_type":"span","marks":[],"text":"If dads need mental health and wellbeing support for themselves or someone else: Encourage dads to call the PANDA Helpline."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"089f6c2638ed","_type":"block","children":[{"_key":"ebcc3610381e0","_type":"span","marks":[],"text":"After hours mental health support: Provide Lifeline (13 11 14, 24/7) and Mensline (1300789978, 24/7)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3a27444e234d","_type":"block","children":[{"_key":"0e2bf44d9f710","_type":"span","marks":[],"text":"If you’re supporting a dad who doesn’t want to talk on the phone, suggest they check out SMS4Dads, a free SMS-based service that sends tips on infant care and development, supporting a partner, and self-care for dads. Suitable from 12 weeks of pregnancy, through the first 12 months of parenthood. There’s also a Deadly Dads version for Aboriginal and Torres Strait Islander dads."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"question":[{"_key":"5bfb2567e28b","_type":"block","children":[{"_key":"465d9e2c9528","_type":"span","marks":[],"text":"How PANDA can help"}],"markDefs":[],"style":"normal"}],"answer":[{"_key":"6812877bdd0b","_type":"block","children":[{"_key":"96810d90b951","_type":"span","marks":[],"text":"Refer dads you are supporting to PANDA"}],"markDefs":[],"style":"h4"},{"_key":"8d9222858c7e","_type":"block","children":[{"_key":"7ead390f491f","_type":"span","marks":[],"text":"We offer telephone-based counselling and peer support to all expecting and new dads in Australia. Dads can also self-refer by contacting us."}],"markDefs":[],"style":"normal"},{"_key":"75be64280830","_type":"block","children":[{"_key":"c0fc2d1251d9","_type":"span","marks":[],"text":"Encourage expecting and new parents to complete PANDA's Mental Health Checklist. 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