I've been thinking about this post for a while now, and held off posting it for fear of offending someone. After discussion on
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.
#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.
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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.
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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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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.
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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.
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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
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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.
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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.
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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?
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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
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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.
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I've been thinking about this, together with this (http://arnhem.livejournal.com/275970.html) comment of
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?
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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.
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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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No, I don't. I should perhaps have made that clearer.
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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.)
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Mmmm, mental illness is generally poorly dealt with.
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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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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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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!
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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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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?
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.
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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.
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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.
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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!
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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.
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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
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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 ...
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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!
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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 ... ]