Suicide, and the way we talk about it

Last night before bed, I was posting about some books that I really liked. One of them is called Stay: A History of Suicide & The Philosophies Against It. Another person noted that it sounded interesting, and I started to reply to that user. I got about a paragraph in before stepping back and thinking, "this isn't something I should write here," and deleting everything.

This morning, I rolled over and checked my phone. Anthony Bourdain, died by suicide at 61.. This hurts. I loved Bourdain, his work for years was to broaden our cultural awareness and open us up to new worlds. He was, in many ways, a tangible Star Trek. His death will be mourned by thousands, and that he was taken by suicide will be considered by many, many, other people with suicidal thoughts.

Suicide spreads as a contagion - it can be looked on almost epidemiologically. The way that we talk about suicide is... Telling. It's something that we try to avoid talking about, despite us almost all knowing someone who has died by suicide.

I have worked in mental health for several years and in high acuity settings the past year. I work with people experiencing suicidal ideation every single day. It is often my job to talk around what I consider to be a monster that lives in our heads. To try and convince or guide people away from their monster and take the day for themselves. Some of the people I've worked with have ideation only, sometimes they have had as many as two dozen hospital-resulting attempts in their history. This work is stressful, it's draining. It's very meaningful, especially when change or at least the flash of change is present. It hurts, too, when it isn't enough.

A big part of our education attempts is to be able to talk about the monster. It isn't easy for someone experiencing suicidal ideation to talk about it. There are fears that they will be seen as attention seeking - they are! It is a just thing to seek attention when you feel that you're losing the battle. There are fears that they won't be taken seriously - and often they are not. We minimize our problems to bad days or bad weeks or bad years. We say, "Just get over it," and sometimes people simply do not have the capacity to do it by themselves.

We would never, ever, tell someone with a broken arm to get over it without treatment. We would never, ever, tell someone with a bone protruding from their leg that they were just looking for some attention. And yet, this is how we approach mental health.

I have been suicidal myself, somewhere in the haze of depression that clung to me for about five years. Even as I write this, I feel the urge to minimize it and say, "but never to the severity of those I've worked with." Simultaneously minimizing my own experience and serving to stigmatize those that I serve. The monster's power lies in its language. The more we refuse to talk about it, the more we isolate, the more control it has.

I went to counseling for sixteen weeks, and was only minimally invested. It took me another two years after having left counseling to start using the tools. A big part of my own ability to hold on was the book, Stay, because of its humanistic approach to prevention, one that does not rely on religion. An unfortunate thing about working in mental health is that I now understand what it is to plant a seed and not know if it will grow or not.

Anyway, I wanted to write something about this when I saw the news this morning. One of the major themes of Stay is that suicide is theft not just from your friends and family, but from yourself. I have not felt suicidal or depressed for several years, and I can say that this theft would have been true. Except it doesn't include just my friends or family, but the people that I've interacted with and helped with similar thinking styles along the way.

I encourage you, if you think a friend or colleague is struggling, ask the questions. "How are you feeling today?" You never know how this might help. Do you feel like someone you know might be suicidal? Ask the question. Asking someone if they are feeling suicidal is not a significant trigger that may cause them to commit - though this fear often stops us from asking. Consider, they live with the monster every day, how welcome it must be to have someone else recognize it?

I will leave off with Hamlet's Soliloquy. I have never been huge on Shakespeare, lacking time to read. I read this as well in Stay, and now I listen to it frequently. I even had the opportunity to use it in a Group I lead the other day.

https://www.youtube.com/watch?v=xYZHb2xo0OI