Mental Health

Question, Persuade, Refer: A Path to Prevention

Last month, I had the opportunity to attend a suicide prevention training at my community hospital. I’d heard about it through their email newsletter and jumped at the chance to complete the training I’d had on my radar for at least a year. Finding MHFA training so beneficial, the extension of care specifically to those experiencing suicidality was something I was very interested in.

When I saw that some of the participants were apparently hospital staff extending their own professional knowledge, I was even more appreciative that they opened the class to the community – and that was before I met the instructor.

Dr. Robert Harrison had a long and dedicated career at Westerly Hospital as an Emergency Room physician – and that was after his service to the country in the United States Navy.

Now, he serves as director of the Washington County Zero Suicide Program.

As impressive a vitae as that, it was Dr. Harrison’s extensive knowledge of and empathy for people suffering from depression and slipping into the despair that can lead to death that was even more so.

He shared the staggering statistics of the mental health crisis of which our nation is currently in the grip.

Facts such as:
  • The suicide rate rose 33% from 2004 to 2021
  • Total deaths by suicide in 2021 were 48,183
  • Suicide is the 11th cause of death in the US; 3rd leading cause for 15-24 year-olds

The sobering facts of suicide, the stories of suffering could have gone on all evening, but Dr. Harrison shifted the focus during the second half of the presentation – to one of HOPE.

QPR, the steps of this process we could use to help those we suspect are suffering, is intended to provide hope through positive action.

By QUESTIONing, we can deduce whether a person is contemplating ending their life.

We can then PERSUADE them to get help, to find a hopeful solution to what seems like an ‘insoluble problem’.

Finally, we REFER them to professional help, either by taking them directly, making arrangements with them, or giving them referral info and getting a ‘good faith commitment’ that they will not complete or attempt suicide.

Having practical tools to apply in what seems like an unfixable situation is empowering. Depression IS terrifying. But to know that there are ways to stave off or circumvent its lying advances and urgings is the epitome of HOPE.

As striking as this revelatory information is, knowing that there are empathetic people who walk this earth and populate our hospital halls is even more amazing. The nuance and care with which Dr. Harrison shared his experience and information was moving; the witness he bore to pain and suffering and support of people who care was affecting.

In a mental health atmosphere where citizens don’t want to discuss the uncomfortable, practitioners aren’t armed with the skills to stave off suffering, and systems don’t support access or affordability – this conversation at Westerly Hospital one evening in October is one I won’t soon forget.

Yes, it served the professional development of my skills; it fortified the tools and resources in my fight for mental wellness – but it also filled my reserves of hope to overflowing.

That can be an uncommon occurrence in this work.

But it’s at the very root of what we do.

All anyone wants in this life is HOPE.

QPR helps us walk the path together.

Standard
anxiety, Depression, Mental Health, Survival

I’ve Been Had

I had to clear out months of clutter in a matter of weeks.

I had to squeeze in cleaning sessions between naps.

I had to let some things go that seemed absolutely essential.

I had to receive guests into an imperfect house.

I had to admit that the next week was lost due to physical and mental recovery.

I had to hope that it was just the exhaustion of overextension and not the harbinger of a downward slide

into

anger

irritability

the dull padding of apathy.

I have to rally the hopeful spirit of the season and strive to be reborn each day.

 

Standard
Living, May is Mental Health Month, Mental Health

Laugh So You May Not Cry

My grandmother came from a large first-generation Irish-American family.  All blessed with a wicked, but subtle sense of humor and superb poker faces, it was easy for their humor to run under the radar.

But what if the humor itself hid something below the surface?

One of her siblings, a woman I never met due to her premature death and my postponed birth, made dear through family love and lore, apparently had the sharpest wit imaginable.  She brought joy wherever she went and had everyone in stitches.

When I was older, I learned that she had suffered from depression.  My first inclination was to think how ironic that was given her ability to inject laughter into any situation, but I realized that made her the perfect candidate, then, for family comedian.

It made sense that the person with the most pain to hide would be the one who needed the most diversion; both keeping her mind off her own problems and drawing others’ attention away from them.

It’s easier to crack a joke than to admit you’re trying so hard to force a smile your face might crack.  It takes less energy to make a witty remark drawing a laugh than dealing with the awkward silences and looks of pity.  There’s less mental energy and anguish in concocting playful banter than constructing a viable explanation for your moods.

My senior English teacher, who later became a mentor as I prepared for an education career myself, when dealing with a particularly challenging class or situation, would say, ‘Laugh so you may not cry.’  I quoted that line as I waited out the next contraction in my difficult third labor.  My midwife couldn’t believe I still had that attitude at that point in the game.  ‘You have to, right?’ I asked.  ‘Not everyone does, though, Jen,’ she answered.

I had to.

Not finding some bright spot, some positive attitude, was akin to curling up in a ball and dying.  And that was not an option.  So, then, there really was no choice.  By process of elimination, grinning and bearing it was the only way to move forward.

Whether it’s an avoidance tactic or a coping mechanism, humor gets a lot of people through their days.  And from that deep, dark place of truly authentic experience comes some damn good material.

Standard
motherhood, parenting, Poetry

Water for My Soul

poem

Good Morning my family

Do you think that this rain will bring flowers?

 

The lovely poem that my kindergartener brought home yesterday.  More of a survey, really.  She left a space for each family member to respond – except the three year-old “because she can’t write yet.”

God, I hope it brings flowers.  And I hope you stay as lovely and sweet as you are right now.  With your sense of wonder and hope and excitement.

 

Standard