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posted by [personal profile] emperor at 09:46pm on 27/03/2007 under ,
I've been thinking about this post for a while now, and held off posting it for fear of offending someone. After discussion on #chiark, I've decided to post it.



It seems to me that suicide is something that One Doesn't Talk About, and that this may be harmful. A few facts and figures to start with. Suicide is in the top three causes of death in the 15-44 age bracket world-wide; 877,000 people a year die by their own hand according to the WHO. Around 5000 people a year commit suicide in England and Wales - that's around 11 per 100,000 people. My recorder teacher killed himself, as did a friend of mine (and there are others I am aware of personally); vets as a profession have a very high suicide rate.

Despite this, no-one talks about suicide. At the funeral of a friend of mine who died by his own hand, the whole issue was never mentioned. People talked about him, what he was like, what his life was like, and so on, in a fairly balanced way, yet the manner of his death was carefully not mentioned. Worse, the obituary of someone I knew of who had committed suicide danced around the subject, leaving it clear that was what had happened, but without using the S word.

I think this is bad. The friends and family of the deceased will be feeling the shock and grief that is usual when bereaved, but will also probably be feeling an uncomfortable mix of anger at the suicide ("How little they must think of me to have done this!"), guilt that they must have let the suicide down, or could surely have prevented their death if only they'd tried; suicide of a close friend or relative is a significant suicide risk in and of itself. I think by dancing round the issue, we do a disservice to the bereaved; they need to be able to talk about how they are feeling, and possibly to be reassured that there is nothing wrong with feeling how they do. The attitude that somehow suicide is a dirty secret that musn't be talked about is really unhelpful.

Speaking personally, A's suicide affected me for some time after the event; their funeral was on my birthday, and this reminds me of them even now, several years later; writing this post has reminded me of the guilt I felt at the time, which with the benefit of hindsight was mostly irrational, but still feels real, if much less raw with time. More uncomfortable is remembering my inaction at reading B's suicide note (due to C's crying wolf far too often in similar manner); I comfort myself with the knowledge that I did get off my backside and talk to people about it (to discover that D had gone to see what was going on), and that disaster was averted.

I wonder, also, how many people who are feeling suicidal feel unable to talk about it to anyone because of how strong a taboo we have on the subject? Might we save lives if people in that dire situation felt they could talk to anyone about how they were feeling?

I'm inclined to think this is an extreme example of our general failure to deal well with mental illness. I know of some academics who keep their depression a secret for fear it would fatally compromise their careers, for example, and I suspect their fears are not entirely misplaced.

Finally, I am aware of the irony of writing a post saying that we should feel more able to talk about mental illness and suicide, and then sticking it behind a cut tag.
There are 49 comments on this entry. (Reply.)
 
posted by [identity profile] firinel.livejournal.com at 09:58pm on 27/03/2007
Some people don't talk about their feelings of suicide because of a fear that people will stop them. When you don't feel like you're in control of anything much, it doesn't help to be aware that you're not even in control of your own life (ie: when it starts and stops).
 
posted by [identity profile] the-mendicant.livejournal.com at 10:18pm on 27/03/2007
I contemplated taking an overdose once, about 4 years ago, when I had been badly let down by those I had most cause to trust. When it was just me, sitting with a bottle of pills, I don't think anything anyone would have said would have stopped me. It was my own decision not to do it, but instead, to deal with the issues that got me there.

I know I'm down right now, but had I taken those pills then, I would never have met Robin and had the three most wonderful years of my life. Most importantly, my children would have been deprived of the only steadying influence in their lives. When someone is suicidal there has to be a balance in favour of remaining.

A friend of mine with post natal depression killed herself 10 years ago, and I still miss her.
 
posted by [identity profile] ashfae.livejournal.com at 10:25pm on 27/03/2007
I've actually had a number of conversations about suicide, from a number of perspectives; a friend of mine hung himself when I was a teenager, the grandfather of one of my closest friends shot himself, other people who'd experienced it second-hand, other people who were considering, and I will admit the odd time in the past when I considered it. Though that first friend's death had such a profound effect on me that it's not something I've seriously considered ever since; I couldn't knowingly inflict that sort of pain on anyone. Worse than all of these combined was the conversation I had with my mom after the divorce, discussing the fear of what Dad might do; the more time passes after that conversation the happier I am.

That said, I'm aware that I'm an unusually open person at times, and that normally it's something not discussed. And I do very much agree with your conclusion at the end. I'm suffering from clinical depression at the moment and fuck knows the paranoia and guilt it's causing at work is frankly almost worse than the depression itself; I almost wish I'd never told anyone, even though I know that would have been self-defeating and problematic in its own way.
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posted by [identity profile] alitalf.livejournal.com at 11:02am on 28/03/2007
I'm suffering from clinical depression at the moment

Been there, you have my sympathy. I found both drugs and talking therapy were necessary for recovery.

Being a freelance, mentioning depression to any customer would probably have been a very bad idea. Delays in completion of work due to a virus would be tolerated, if unwelcome, but I don't think that a similar delay caused by any kind of mental health problem would have been accepted at all.

Maybe attitudes will improve, but if so, not rapidly.
 
posted by (anonymous) at 10:47pm on 27/03/2007
I don't think talking about it is always the issue - it's accepting help/support after you've told someone how you are feeling. Not all of us have grown up with warm supportive family environments. If you've got a shit background you grow up learning to depend on only yourself and not letting anyone get close to you - it's a survival technique. This behavior is so ingrained that an adult even if you know logically you need help you still may not let others near to help until it's too late or nearly too late.
I've been there once myself due to severe insomnia - I was lucky as I yelled very loudly and had friends and family with me 24*7 until I could get some treatment - but a lot of my response to the situation was the ability to trust people I was close to.
 
posted by (anonymous) at 01:12pm on 28/03/2007
I don't think talking about it is always the issue - it's accepting help/support after you've told someone how you are feeling... Even if you know logically you need help you still may not let others near to help until it's too late or nearly too late

So true. To talk to people (or to ask for help) is to make yourself sooo vulnerable. And when those people can't support you it feels like such a huge betrayal of trust (be they doctors, who take your trust and turn it against you by threatening you with hospitalisation, or friends that you cry out to, who are there for you the first few times, but after that they just can't cope with you any more*).

*And yes, as in your later comment, the feeling of being unfairly judged to be 'crying wolf far too often'. For example, a fortnight ago: I couldn't see that a phone call summoning me to the psychiatric unit wasn't utter doom, but I suspect the people I told saw it as pathetic dramatisation. It's as with all the other times that things people say to me quickly spiral from sense into horrificness... I think that people probably think I'm just gratuitously lying at the moment, crying wolf. But my cries are truthful to the world I see, even if that truth differs from the truth of the situation as others can see it.

It makes it so hard to continue to talk, to ask for the help I need, or to accept the help I'm offered. It feels like people are making me ever more dependent on them and simultaneously withdrawing their support. It feels like the only option, if I have to keep going, is to stop telling anyone anything, to refuse to go back to Dr.s and counsellors, and to cut myself off from all the people I called friends.

But maybe that's [livejournal.com profile] alitalf's comment, that you're most at risk when you're starting to recover.
 
posted by (anonymous) at 07:29pm on 28/03/2007
But my cries are truthful to the world I see, even if that truth differs from the truth of the situation as others can see it.

As the anonymous who felt judged for possibly crying wolf too often (but not the anonymous to whom you're responding here!) can I just say "thank you"?

My cries are a response to how I feel at the time. Whoever it was who said that they imagined that suicides must be in hell just beforehand is right. I rather suspect that I am actually in hell, that this world is hell, at times.

If people would prefer to turn away, not to know that I'm this close to the edge (and accusing me of crying wolf when I cry out in the hopes that there might be someone there who can rescue me – and I haven't done it on LJ for over a year now, I think anyway), I don't know what I should do instead. I don't imagine they'd rather I didn't have an outlet for such painful feelings and end up killing myself – at least, I really hope that they don't.
 
posted by (anonymous) at 10:06pm on 28/03/2007
Thank you too. And *hugs*.

Although I haven't knowingly been accused of crying wolf (at least not to my face - though silent responses say as much), your last paragraph is *so* how things feel. It's so difficult to be in so much pain and to know that no-one else can see it - not only do they not understand, but they seem not to trust me either.

As a Samaritan said to me last night, if depression was a physical disease it would be so horrific, so obvious that you couldn't hide it... but as it is, no-one can see it - and that's so awfully isolating. After crying and crying and crying again on people, it's so hard to admit that you *still* feel just as bad - that you *still* need that same support, comfort and reassurance.
 
posted by [identity profile] robert-jones.livejournal.com at 10:53pm on 28/03/2007
I rather suspect that I am actually in hell

Do you mean that you suspect you are damned or do you mean that you are experiencing the torments of hell without the preceding judgment?
 
posted by [identity profile] yrieithydd.livejournal.com at 10:51pm on 27/03/2007
I'm inclined to think this is an extreme example of our general failure to deal well with mental illness.

I think you're right there. Mental illness has a huge stigma attached to it and there are people (including many Christians) who say bloody stupid things about them (especially depressive illnesses). Suicide is not discussed and that can be a vicious circle because pepole don't know what to say/do if someone does tell them of suicidal feelings. For those of us lucky enough not to have experience them, they can be very hard to comprehend. And that means people can say stupid insensitive things because they can't cope. Are there resources available to help people understand such things? I should try the Samaritans website as a starting point I guess. Indeed, they have Information Sheets
 
posted by [identity profile] yrieithydd.livejournal.com at 12:09pm on 29/03/2007
But they only seem to be facts about suicides rather than being about how one can support someone who is suicidal which is what I would like to know at the moment.
 
posted by [identity profile] naomir.livejournal.com at 01:05pm on 29/03/2007
If it were just a case of reading a few A4 pages on 'how to look after suicidal people', the Samaritans wouldn't bother to give their volunteers six months of training before letting them loose on the public! ;-)

More seriously, supporting someone that is suicidal can be a huge strain on family and friends - and Samaritans are happy to receive calls from family and friends, to support them too. They don't provide easy answers, but sometimes it's necessary for loved ones to have a place where they can 'ring out their sponges' - a place where you can talk in confidence about how a suicidal friend is making you feel; the concerns you have.

TBH, I don't think there can ever be a definitive set of resources to tell you how to support someone that is suicidal - in the same way that without a medical degree, you couldn't give someone a three page guide to 'how to be a doctor'. After all, we're all individuals - one size doesn't fit all. But that's not to say that the rest of us don't have an important part to play.

From my experience, the most important things one can do is to be there, and to make sure that the suicidal person knows that without doubt. And yes, it'll probably try your patience, because they may not be able to accept it on trust... You know you've told them you're there for them, but they may not believe you for a very very long time.

I'm interested to see how many people seem to believe that others believe they have simply 'called wolf too often'... And it strikes me that a huge number of the comments here eventually come down to the question of trust - that if you're suicidal, it can be very very difficult to trust anything anyone else says. As a few people have commented, being suicidal can be hugely isolating, and maybe that's one of the areas we can all address. As for someone who is bedbound through physical illness, friends and family are needed for company, for reassurance, to help them know that they are loved, even if they can't take away the pain of the situation. It may leave you feeling helpless, but that sort of support has certainly helped me.

Perhaps we can best help people by asking them 'how?'!

Regarding resources to help you understand - firstly, don't expect to be able to 'understand'. Saying "I understand how you feel" is a very risky thing to say, because you almost certainly don't - you don't know what makes their hell hell, and they probably know that. That aside, if you want to read something, Gilbert (http://www.amazon.co.uk/Overcoming-Depression-Paul-Gilbert/dp/1841191256) is certainly very insightful, and I'd highly recommend it.
 
posted by (anonymous) at 09:26am on 30/03/2007
Perhaps we can best help people by asking them 'how?'!

I've been thinking about this, together with this (http://arnhem.livejournal.com/275970.html) comment of [livejournal.com profile] arnhem's. There appears to me to be a very fine line between 'knowing what help we need and asking friends to inconvenience themselves to support us' and 'gratuitously manipulating people to make them do what we want them to do against their will'.

Maybe this is the time when we're most accutely condemned of 'crying wolf' - symptomatic of a huge loss of trust and a breakdown in communication.

Can anyone reflect on ways we might stay on (or get back to) the right side of the line?
 
posted by (anonymous) at 02:28pm on 30/03/2007
Make sure one doesn't get into situations where there's no parachute if things go wrong? Not sure how one avoids that, or goes about creating parachutes if one doesn't have one, though :-/ Lack of parachute is currently causing me huge amounts of stress; even though I'm not sure that I'm going to need one, I need that knowledge that there is one.

I don't suppose my feelings about suicide, or the value of my continued existence, are very common though, as I can often regard it quite dispassionately. Which is why I might well say "if X, then I'll kill myself" – there are some situations which, should they materialise, I wouldn't want to live through. This is a fact, although I can see how it can be read as a manipulation. I don't know whether it would be better or worse not to provide someone with the information, as I can't tell how wedded they are to the course of action that might cause such a situation. If there's a chance that they're fairly noncomittal or wishy-washy about it, I think they deserve the information; unfortunately one can't assign probabilities to people's emotions/feelings so sometimes one takes a chance and gets it wrong.
 
posted by [identity profile] piqueen.livejournal.com at 11:12pm on 27/03/2007
I couldn't agree more.
 
posted by [identity profile] robert-jones.livejournal.com at 11:55pm on 27/03/2007
I'm inclined to think this is an extreme example of our general failure to deal well with mental illness.

Do you think suicide is invariably a symptom of mental illness then? I have certainly seen that said (although I do not know whether you would say it). It seems to me to be to deny the agency of the suicide. Even if a person was mentally ill and was driven to suicide by their illness, I would say that it was a considerable jump to say that the suicide was symptomatic.

It seems that many people treat it as a choice which no rational person could make, perhaps because it is not a choice that they themselves would ever make. It is a well worn example, but was Brutus not making a rational choice?

I would say myself that a reluctance to talk about suicide is part of a general reluctance to talk about or acknowledge death. I think that extends to the popular reluctance to accept that a rational person could choose death, thereby requiring the assumption that any suicide must have been deranged.

There is of course another question as to whether such a choice can ever be justified. The Church has traditionally taught that it is a mortal sin, and I think a lot of people still carry a residual feeling that suicides are unholy. At the same time, no one wants to say that a dead man was wicked in raising his hand against himself, so they say nothing. The question must be asked whether the Church is correct in this teaching. Certainly, I am not aware of any scripture to that effect (although I do not pretend to a comprehensive knowledge). The reason given is that to destroy God's work is sinful, but it's not clear to me why, on that basis, it is any worse to kill myself than to swat a fly. Nor can I really accept the argument that it is for God to choose the hour of my death, since that involves rather more pre-destination than I can swallow.

Therefore I very seriously doubt that suicide is necessarily and invariably sinful. I have sometimes heard it described as "the coward's way out", implying that the suicide has been unable to face his future like a man. It may well be the case that sometimes people kill themselves rather than trying to solve problems which they really ought to try and solve, but I think that clearly there are some problems which are insuprable, and there is nothing especially manly about continuing the struggle past the point where it has had any effect. I also feel fairly sure that there are some suicides which have nothing to do with escaping one's problems.

It is also said that suicide is invariably selfish. This too I find hard to accept. It seems to me it could only be right if the existence of every person on the planet contributed more good than evil to the existence of all the other people, which is sadly false. Certainly it must be painful for the friends and family of the suicide, but on the other hand it is at least a clean break. It seems to me (although I have no personal experience) that it may well be less painful than watching the other's slow death, for example.

My impression is very much that people have a horror of suicide (which is simply their horror of death) and compels them both to condemn it and (paradoxically) to deny the agency of its subject.
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posted by [personal profile] emperor at 01:16am on 28/03/2007
Do you think suicide is invariably a symptom of mental illness then?

No, I don't. I should perhaps have made that clearer.
 
posted by [identity profile] 3c66b.livejournal.com at 08:00am on 28/03/2007
Re Brutus: suicide had a very different cultural significance in the classical world. Everybody thought of it as a natural response to an overwhelming reversal of fortune (the more so, perhaps, because it was often a way of forestalling unpleasant execution anyway), nobody thought any the worse of people who did it in those circumstances, and it had no (even residual) religious significance. I guess the nearest analogue we have today is people who want to end their own lives in the last stages of terminal illness. There seems to be no stigma attached to that at all. But of course we don't call it suicide, even though it clearly is. I don't think I've ever come across an account of someone in the classical world killing themself as a result of something that was what we would now recognise as a mental illness, though that doesn't mean that nothing like that exists.
 
posted by [identity profile] sashajwolf.livejournal.com at 12:19pm on 28/03/2007
I am not aware of any scripture to that effect

IIRC, the one that was usually cited was 2 Sam 1:5-16, where David orders the death of an Amalekite who has killed Saul at the latter's request. David says, "Your blood be on your head; for your own mouth has testified against you, saying, 'I have killed the LORD's anointed.'" The logic was that since all (Catholic) Christians were anointed at baptism, anyone committing suicide was killing God's anointed. (No, I don't know why the same logic wasn't applied to wars and capital punishment. Also, in one of those intriguing inconsistencies that the Bible often provides, in 1 Sam 31 Saul kills himself unaided, because his armour-bearer is too afraid to honour his request, and he and the rest of Saul's party promptly fall on their swords as well. No express criticism is made, although it is of course possible that the author intended it to be understood.)
 
posted by [identity profile] robert-jones.livejournal.com at 12:31pm on 28/03/2007
And of course Samson dies by his own act and was considered a holy man. This is sometimes differentiated on the basis that he was acting in response to God's command, but that seems to me to beg the question.
 
posted by [identity profile] 3c66b.livejournal.com at 08:20pm on 28/03/2007
Oh, and on Christian attitudes to suicide, I think Burton says all that needs to be said:

Thus of their goods and bodies we can dispose; but what shall become of their souls, God alone can tell; his mercy may come inter pontem et fontem, inter gladium et jugulum, betwixt the bridge and the brook, the knife and the throat. Quod cuiquam contigit, quivis potest: Who knows how he may be tempted? It is his case, it may be thine: Quae sua sors hodie est, eras fore vestra potest. We ought not to be so rash and rigorous in our censures, as some are; charity will judge and hope the best: God be merciful unto us all.
 
posted by [identity profile] mtbc100.livejournal.com at 11:55pm on 27/03/2007
All that seemed sensible thinking to me.

Mmmm, mental illness is generally poorly dealt with.
 
posted by [identity profile] robert-jones.livejournal.com at 12:16am on 28/03/2007
Thinking about it a little more, I think it is a fairly classic taboo situation. Even writing my previous comment (and this one) I had a feeling that I was writing something forbidden. Suicide has to be "a dirty little secret". It is "dirty" because it is unclean. It is "little" because we seek to deny it any weight. It is "secret" because the force of the taboo relies on it not being seen to be broken. It is this last element, I believe, which leads to one suicide provoking others.
 
posted by [identity profile] robert-jones.livejournal.com at 12:18am on 28/03/2007
Actually I've misquoted you: you didn't say "little". Ignore my remarks about that work.
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posted by [identity profile] alitalf.livejournal.com at 02:47am on 28/03/2007
Too big a subject to deal with adequately in a short time, but it is something I have long puzzled over.

Apart from situations such as where suicide is an escape from a painful disease, I think it results from mental illness. However, that does depend on the definition of mental illness, and I suspect that some mental illness is simply a property of the way our brains are structured.

Research has been done on people's reaction to stress in emergency situations. Among other things it has been shown that the more intellectual areas of the brain are shut down, and control is taken by areas believed to have evolved earlier. No doubt this prevented our distant ancestors from wasting time when it was necessary to react quickly and - maybe - run away from the tiger.

There is every reason to believe that this area of the brain has a fairly binary response to situations: attack or run, I can't live like this so I must die. Someone subjected to too much stress or emotional pressure, and the amount and more importantly type that is too much varies widely, may easily reach the stage that the mental processes that would allow them to think "Can I deal with this situation another way?" are simply switched off and will switch back on again in their own sweet time.

Of course, the thing that drives someone into that state may look trivially easy to solve for someone else who has different strengths and weaknesses, and is not in the situation themselves. Thus it is easy to form a critical opinion of the person committing suicide.

Another thought: the idea that "you will go to hell if you take your own life" might be something that has gotten people through situations where otherwise they would have committed suicide, but I reckon that normally the person who commits suicide is in hell immediately beforehand.

And, they used to lock failed suicides in gaol just to show them how jolly life was, really. Yes, I think our culture still has a long way to go in addressing, and making a rational response to, mental illness [sigh].
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posted by [personal profile] fanf at 08:24am on 28/03/2007
A couple of minor points:

I think that with depression leading to suicide is that the depression is often the major factor in preventing the sufferer from talking about the problem and getting help. Often just getting as far as admitting that they need help to someone is most of the way to being better.

I've linked to a number of obituaries of Chris Lightfoot since his death. The only one that got near to dealing with suicide was Radio 4's - though it only got as far as talking about depression and didn't use the S word. http://www.bbc.co.uk/radio4/news/lastword.shtml
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posted by [identity profile] alitalf.livejournal.com at 09:41am on 28/03/2007
I have read that in a number of cases the deeply depressed person is most at risk when starting to recover. At the depth of the depression they don't have the initiative to do anything, but when they have recovered, but not enough to feel at all well, they are capable of suicide and still depressed enough for that to seem the only possible thing to do.
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posted by [personal profile] emperor at 01:00pm on 28/03/2007
I was thinking of his obit in the Times when I wrote the above.
 
posted by [identity profile] claerwen.livejournal.com at 12:32am on 02/04/2007
Yes, a couple of others had previously commented with concern, in response to posts about Oggie's (Chris Lightfoot's) death, that almost none of these many posts said that he had killed himself. I agree with you that being less cagey in talking about suicide would be better, but at the same time, and strangely, it doesn't feel like the obviously right choice to talk about it a lot (at least in non-ephemeral media) either.

I've been thinking about why this is. Partly it's because the main thing I'm thinking about, when I think about Oggie's death, is that my friend is gone; and the way in which that happened, while colossal and devastating, yet remains an adjunct to that awfulness. That's the main reason I didn't mention that his death was suicide in my own brief post on the subject, and at least one other friend was swayed by similar feelings in deciding what to write in her weblog (which isn't to rule out being more forthcoming on the matter later).

Another reason is a general worry about offending someone by mentioning the fact of suicide, and this comes from the air of taboo and stigma around the subject on which others have commented eloquently above. After a death, everyone is already upset and disturbed—and, furthermore, "everyone" suddenly includes a host of people whom you know little or not at all (family and other circles of friends of the person who has died, for example), but to whom you are anxious not to cause even more distress. It feels like a time for going for safe options, and saying little, and blandly, seems safest.

In talking about Oggie, too, I'm acutely aware that he objected bitterly to public knowledge of his private affairs, and would have been affronted to find himself the subject of gossip; and he'd define "public" and "gossip" far less generously than many. Given this, discussion of the fact of his suicide in any but the sparsest factual terms has the taste of an invasion of his privacy.

Re the Times obituary in particular, I wondered whether that newspaper would want to print that a death was suicide in advance of the coroner's verdict. I think that that delicacy is one that all, or most, online sources can manage without, though.

Disclaimer: the above thoughts, while moderately well poked at and turned over, are not necessarily well formed!
 
posted by [identity profile] mouse262.livejournal.com at 10:26am on 28/03/2007
I think the taboo is too strong.

If I'm telling someone about someone else I know attempts to commit suicide I feel guilty in a way I wouldn't if I was talking about them say breaking an arm or trying to hitchhike in a dangerous land (or something else non-criminal but seen as not good your imagination is probably better).

Its not like one can say to someone - look I think I may be close to thinking about commiting suicide please help me without being nervous they'll be told don't be silly, or of course you are okay. And it takes very little time to go from that to the obvious next stage if circumstances conspire.

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posted by [personal profile] emperor at 02:45pm on 28/03/2007
Mmm, I agree. I'd like to think that my friends could talk to me if they were feeling like that, but back in 2002 when I was, I didn't talk to anyone, for much the reasons you describe.
 
posted by [identity profile] woodpijn.livejournal.com at 10:34am on 28/03/2007
I am so relieved. I saw a post entitled "Suicide" and a "cut for distressing content" and I thought you were going to say you were contemplating suicide. I sat through a meeting trying to think of things to post to talk you out of it, and I'm so glad they turned out to be unnecessary.
 
posted by [identity profile] atreic.livejournal.com at 11:49am on 28/03/2007
I got great giggles reading this and imagining Matthew saying "I've held off posting my suicide note for a while now for fear of offending somebody"...
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posted by [personal profile] rmc28 at 02:46pm on 28/03/2007
Well, it would be rude ;)
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posted by [personal profile] emperor at 01:02pm on 28/03/2007
Sorry!
 
posted by [identity profile] 1ngi.livejournal.com at 11:39am on 28/03/2007
In my experience, the link between mental illness and suicide is extremely pronounced. But this may just be within our culture. And it may be what we describe as mental illness. I think our definitions are flawed. I’m shocked to learn that suicide is such a high cause of death - but now I look at those I have lost and others I know of, suicide features very highly and I had never ever looked at it that way before.

Is suicide as a form of protest a from of mental illness?

When | first started working at Oxfam and heard about the impact of the wall in Israel and the full reality regarding the living conditions in Palestine, I almost, and I say *almost* very very cautiously, could understand why someone would be driven to such despair that they felt the only way they could do something would be to blow themselves up. (My understanding rather falls away at the idea of blowing other people up in the process).

Is despair a form of mental illness? Or is it a normal response to appalling circumstances?

I’ve seen it be cumulative: the sister of my friend L--, after being left by her husband, took an overdose and then went an hid herself under a hedgerow 5 miles away from her home. It took three days for police to find her - and I wonder if she wanted people to think that she had just disappeared. She left behind 4 small girls. Two months later L-- heard that her eldest son, an army officer, had shot himself. Unbelievably, 6 months after that, we heard that another of L--’s sons had killed himself - exhaust piped back into the car. Quite understandably, L-- had a protracted break down, and I remember a lot of us at the time wondered if she would do the same. It was horrifying watching a family implode like that.

M--, a teacher and a friend at the church I used to go to, hung herself, leaving behind her husband and 3 kids. She had been depressed for a long time, following the death of her mother.

How do we judge exactly what appalling circumstances are? Our culture, our beliefs must contribute to what we consider appalling.

My sister’s best friend, A--, hung himself when he was 22. All his friends knew a possible reason and his family didn’t. A-- was gay and a Christian. He had never breathed a word to his family or his church. At the funeral wake those of us who knew him well had to listen to his father constantly questioning why. The thing that mystified all of us, was that A-- had seemed very happy shortly before the event. I’ve since been told that this can often happen when someone has make the decision to commit suicide.

I worry a lot about my stepfather. He has bipolar, and he has tried to take his own life on at least two occasions. When his mood plummets, we know the signs now, and he has been hospitalised on a couple of occasions in the last 5 years when things were looking pretty grim. At the moment he is doing fine. It is always there in the background though. A constant presence.

Why is it so hard to talk about these things? You wanted to post this behind a cut. I almost posted this anonymously. As people have already mentioned, there seems to be a stigma attached to all of this. As I said, I worry about my stepfather. But I don’t often talk about the fact that when my mum rings up and tells me he’s gone down, my stomach knots up and doesn’t unknot until we know he’s mending again. One doesn’t talk about stuff like that - does one?

[livejournal.com profile] alitalf included in his comment above, “I reckon that normally the person who commits suicide is in hell immediately beforehand.”

That is very insightful. I think it must be largely the case. Another way to describe it would be to say that the person who commits suicide is in pain. Appalling overwhelming pain, a pain for which there is no morphine, no relief. A pain that continues day by day by hour by minute. At times like that suicide must surely seem like the only pain killer available.
 
posted by (anonymous) at 12:30pm on 28/03/2007
I'm posting anonymously because I suspect I'm the B you accuse of "crying wolf far too often". I wish it had been crying wolf. To disparage and diminish my distress in such a fashion is pretty uncharitable, and indeed only makes things seem more hopeless. If I cannot talk about feeling suicidal, for fear that people will just see it as "crying wolf", I will feel even more alone and isolated; and thus, more likely to go ahead with trying to kill myself. That I'm not dead yet is due to incompetence and fear rather than lack of desire; I've tried enough times, for God's sake.
 
posted by [identity profile] mouse262.livejournal.com at 12:42pm on 28/03/2007
Why anonymously? Why do we not want people to know we've being sucidial but don't mind if people know when we have other problems?

Are we afraid of people's reactions? Or of the preceived hurt it could cause people. My family don't know about my attempt. I justify that to myself thinking no need to worry them more, but deep down its because I think they'd be disappointed or shamed and I don't know why I think that - but I do think the church's teaching I learnt about it as a child has something to do with it.

This LJ article of emperor's interests me.

You suspect he's talking about you. I suspect (egotisically maybe) he is speaking of me. I'd have gone anonymous here - only your anonymous post conversely told me not to in a way I can't explain.
 
posted by (anonymous) at 12:49pm on 28/03/2007
Anonymous, because I don't want people pointing and laughing, or saying something that will translate back into "yeah, you're a really crap person". Everyone who knows me knows how suicidal I've been, and some people even know how suicidal I still am.

My family know, but just got cross and dismissive. We've had two suicides in the family in the past five years, and the general reaction has been one of relief that they wouldn't be causing any more trouble by being depressed. So I'm not surprised at the lack of support or caring.

Personally, I suspect you're C, not B.
 
posted by (anonymous) at 01:07pm on 28/03/2007
Ah, on re-reading, I've got B and C confused in all the above commentary. Sorry. Swap B and C. Yes, I think you're B.
 
posted by [identity profile] didiusjulianus.livejournal.com at 01:40pm on 28/03/2007
I think some of the hiding of Mental Health problems is to do with taboos and/or being judged unfairly or being perceived differently in such a way that doesn't happen if you have (some) other conditions. It's perhaps sometimes not wanting to be bothered with having to explain at length what your condition is once you've declared it. This can be annoying, embarrassing, time consuming, or just plain something you don't want to discuss or at least not all the time. Everyone knows what you mean when you say you have high blood pressure or a broken leg. However, what about simple privacy: I can think of other things that aren't taboo in the same way but that I wouldn't necessarily tell everyone about unless they needed to know for some specific reason OR I wanted to share with them for my own reasons. Someone was talking above (hypothetically) about telling someone that someone else had contemplated suicide...well don't we think that if anyone tells us anything about health or other personal problems, it's best to be very selective who you tell unless you've been give the go-ahead (and if not, only do so if you *really* think that passing the information will be of more benefit than harm)?

Also, I can see exactly why the above posting by "he/she who might have cried wolf" is anonymous - a. because it's his/her right not to declare such problems to this whole flist if she/he doesn't want to, b. because if he/she is perceived as crying wolf by some people he/she obviously doesn't want that perception to spread any further, and c. because clearly judgements are being made even on this thread. I thought of a d. but it's gone again!
emperor: (Default)
posted by [personal profile] emperor at 01:05pm on 28/03/2007
This is a public post, which makes it very hard for me to speculate as to whether you are B or not.
emperor: (Default)
posted by [personal profile] emperor at 01:19pm on 28/03/2007
...although I have to confess that I don't think everyone who thinks they might be B or C commenting to say "Do you mean me?" is necessarily a productive thing to do.
 
posted by [identity profile] mouse262.livejournal.com at 03:08pm on 28/03/2007
Which leads me to wonder how many B's you know.

No but seriously - I didn't mean to probe - I was more wondering why people think its taboo to speak about their own experiences with suicide. Are they/we afraid of making others uncomfortable for example.

I just put it badly I suppose. didiusjulianus sort of answered it in any case.
 
posted by [identity profile] amalion.livejournal.com at 01:16pm on 28/03/2007
Talking about death in general is often a taboo subject. When one of my twins died a few days before they were born, the only person who talked to me in a way that helped was the obstetrician and all he said was, " you will never get over this". Those few words helped me by knowing that there was someone who understood what I might have been feeling. Most of my family ignored the situation with comments such as "well you do have the other one". Yes I did have the "other one", but I didn't have his brother. My then father-in-law forbad the mention of his name...

I know this doesn't respond to the suicide issue of this post, but it does show peoples' fear of death.

Most true suicide victims do not want to talk about their problems. They don't want people to know that they can't cope and also they probably don't want to be stopped from carrying out their decision to take their own life. There are also those who may actually commit suicide just to "make" their friends and family feel guilty. The ultimate negative pay-off. Yes this does happen. As seen by the various coments on this post, suicide is a very complex subject and I applaud [livejournal.com profile] emperor for his decision to inspire discussion.
ext_20852: (Default)
posted by [identity profile] alitalf.livejournal.com at 05:14pm on 28/03/2007
My then father-in-law forbad the mention of his name...

Unhelpful things like this aside, who can figure out what, if anything, to say that doesn't make whoever is most confronted with death feel even worse. Saying nothing is not normally good, and if people do say nothing at all you can feel rejected.

Wanting to be supportive and doing it well don't always go together. If only we all came with a repair manual ...
 
posted by (anonymous) at 08:27pm on 28/03/2007
Often, what you really want to do when someone close to you has died *is* talk about them. And no-one will. So I try to make a point now, of making that phone call and asking the person about the deceased, and letting them laugh, letting them cry.

When my father died, I didn't buy a wreath, because I really didn't feel that he'd want me to buy flowers for him. But some of his shooting friends got together and bought a wreath in the shape of a shotgun, made out of ornamental cabbages!! I thought that was *wonderful*! But equally, because people don't talk about it, no-one knows how much you are hurting. My manager last week made a comment about someone only needing a day or two off work for the death of a close relative. It took me *2 years* to get over my father's death; two whole years, without light or warmth in the sun, when my life felt just like that scene in Terminator 2 after the nuclear blast, with complete devastation and fires everywhere. I wished I could wear black mourning clothes, like they did in Victorian timess, so that people would realise how fragile I felt, but I didn't dare, because it would seem too melodramatic!
 
posted by [identity profile] robert-jones.livejournal.com at 10:25pm on 28/03/2007
I do think it a pity that we no longer have any proper mourning rituals. The Victorians no doubt got carried away laying down the exact degree of grief which one had to express for a deceased husband/wife/parent/etc, but we are too ready to treat mourning as morbid.
 
posted by [identity profile] arnhem.livejournal.com at 09:32pm on 29/03/2007
I wrote a reply to this, but thought it better to post some of my reply in my own lj, on the basis that if it set off unhelpful stress, I shouldn't be so rude as to dump it in your journal. [ my apologies in advance if I turn out to have misjudged this ]

On the "dancing round the subject" point, though, I have the feeling that to some extent this is a case where most of the people doing it are worrying that there may be people far more sensitive than themselves present/reading and are trying to avoid being triggery.

On the other hand, the mealy-mouthedness is also oddly and worryingly reminiscent of the media's habit of referring to the gay partners of deceased people as "longtime companions". [ perhaps that's also, in a slightly different and less appealing way, catering to the most sensitive of the readership ... ]

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