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.

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Depression, Mental Illness

This is My Bag

Jennifer Butler Basile

This is the closest I’ve gotten to Kate Spade.

A purse that may or may not even be an original piece.

I don’t know her.

Yet, when my husband told me yesterday the breaking news about her death, my mood instantly plummeted. I stared at the black and white text and felt the sobs come.

Not because I know her. In a cliched way, I know her pain. In a frightened animalistic way, I see how quickly I could become her.

Facebook friends who know mental illness posted their sadness and support at the news. Some hinted at public posts with ugly comments and sage advice given too late. But I don’t read comments – of the general population anyway – for my own mental health.

And then one of those comments wormed its way into a personal post I saw.

It was easy for me to lament that stigma was still alive and well, that we’ve so much farther to go, and how sad it is that people still think that way – when I hadn’t read the comments. And then I saw how alive and well stigma is, how much farther we’ve to go, and how scary it is how some people think.

To think that suicide is a choice. To think that those who have reached the point of contemplating suicide are doing so as part of a rational decision-making process. That they eschew their many blessings in life purposefully.

Suicide isn’t supposed to make sense. That’s the fucking point. The mind, the psyche is not working properly. Depression is replacing the authentic voice of self with lies.

You would think the fact that it strikes down even people with blessing piled upon blessing would make people realize that there is something more to suicide than horrible circumstance and selfish choice.

May God save us all.

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Depression

‘An Insidious Disease’

Source: providencejournal.com

I’ve had this article in my archives for a while now (click above for link).  Shanley offers a great primary source of living with depression.  Also, mental health’s place in greater society.

“Mental health has a bad PR firm.  It only seems to be on our radar when a well-known individual speaks to it, either in life or death, or when there is a mass killing.  Suicide is a word rarely spoken, and if so, only in whispers in back rooms.  Some of us know people who have stood on a bridge.  Some walked down.  Others did not.”

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Depression, pregnancy, Uncategorized

I Wept

For the pregnant woman
who loved her child enough to stop taking the psychopharmaceuticals she desperately needed
to guarantee its unencumbered growth –
and that of her paranoia and compulsion
until she threw herself and that unborn child off the top of her building

Because she loved her child so much and had run out of ways to keep her safe

For the grown man
acutely aware of his condition and how to manage it
with a cocktail of meds and careful counseling –
until one tile shifts out of place and sends the rest clattering to the floor in an instant

Because he thought he didn’t have to look over his shoulder for the rest of his life

I wept for their stories, their lives, their pain
I wept for the syncronicity, the melancholy, myself

I wept
because there is never a safe enough distance from the places they – I’ve – been

 

 

As inspired by the June 6th edition of Fresh Air, “Pregnant Women With Depression Face Tough Choices, No Easy Answers” with author Andrew Solomon.  Click below to listen – well worth the time.

pregnant-depression

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Mental Illness

Unhushable

Suicide is often something spoken of in whispers.  The ‘unexpected death’ in an obituary.  The shadowy family secret.

Until something so very public happens, we cannot ignore the pain and problem for comfort’s sake.

suicide

Click image for news story of Placentia, CA teacher found in her classroom

As a devout Catholic, I grew up with a peripheral feeling of shame surrounding suicide.  Scorning God-given life was a sin.  Only He could determine the beginning and end of your time on earth.  But, then, individuals who consider suicide aren’t in their right minds, are they?  Only someone completely given over to despair and illness would consider such as an option.

I think we, as a society, forget that.  The public interpretation of my faith’s stance on suicide squeezed out that important part.  People of God and faith support fellow humans to become whole – not condemn them if they are not.

Excellent discussion of Catholicism’s stance on suicide.

Unfortunately, the general public doesn’t always feel that way.  Make the mistake of reading the commentary on articles about publicized suicides and ignorance shows its ugly face.  People lambasted this teacher for her selfishness; didn’t she think what finding her would do to her students?  Obviously not.  Couldn’t she have done it at home?

I agree that I would not want my children to discover their dead teacher in their classroom.  But to think that one place is better than another to hang oneself?  To think this teacher selfish for doing it?  Suicide is not an easy, thoughtless decision.  It is often a last resort after much anguished mental and emotional battle.

Honestly, I think this hatred and judgment comes from fear.  People don’t want to be pulled from their artificial bubble of safety.  If you have issues, fine, but keep them to yourself.  Keep your mess confined to your own home, world – don’t let it infect mine.

Suicide is not contagious.  Mental illness is not contagious.  Hate, fear-mongering, and ignorant attitudes are.

How many public hangings do we need to see before we as a society develop compassion and understanding?

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