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TAMERA SCHREUR, MA, L.M.F.T.

Suicide and Depression

8/13/2014

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I'm feeling pretty sad and surprised over the sudden death of Robin Williams.  Maybe you are too.   At this point, a day after his death, signs continue to indicate that he died by suicide.  And that he was deeply depressed.  And that he suffered with bi-polar mental illness and addictions.  
All really difficult stuff.  Lots of people are  struggling with putting this all together.  How could someone who makes us laugh so hard be so depressed as to take his own life? 

 Katie Hurley wrote an article called "There's Nothing Selfish about Suicide" yesterday  for the Huffington Post that I thought was pretty good.  She lost her father to suicide.  Here's part of what she wrote: 
 
I am a survivor of suicide...
Suicide is a decision made out of desperation, hopelessness, isolation and loneliness. The black hole that is clinical depression is all-consuming. Feeling like a burden to loved ones, feeling like there is no way out, feeling trapped and feeling isolated are all common among people who suffer from depression.

People who say that suicide is selfish always reference the survivors. It's selfish to leave children, spouses and other family members behind, so they say. They're not thinking about the survivors, or so they would have us believe. What they don't know is that those very loved ones are the reason many people hang on for just one more day. They do think about the survivors, probably up until the very last moment in many cases. But the soul-crushing depression that envelops them leaves them feeling like there is no alternative. Like the only way to get out is to opt out. And that is a devastating thought to endure.

Until you've stared down that level of depression, until you've lost your soul to a sea of emptiness and darkness... you don't get to make those judgments. You might not understand it, and you are certainly entitled to your own feelings, but making those judgments and spreading that kind of negativity won't help the next person. In fact, it will only hurt others.

As the world mourns the loss of Robin Williams, people everywhere are left feeling helpless and confused. How could someone who appeared so happy in actuality be so very depressed? The truth is that many, many people face the very same struggle each and every day. Some will commit suicide. Some will attempt. And some will hang on for dear life. Most won't be able to ask for the help that they need to overcome their mental illness.

You can help.

Know the warning signs for suicide. 50-75% of people who attempt suicide will tell someone about their intention. Listen when people talk. Make eye contact. Convey empathy. And for the love of people everywhere, put down that ridiculous not-so-SmartPhone and be human.

Check in on friends struggling with depression. Even if they don't answer the phone or come to the door, make an effort to let them know that you are there. Friendship isn't about saving lost souls; friendship is about listening and being present.

Reach out to survivors of suicide. Practice using the words "suicide" and "depression" so that they roll off the tongue as easily as "unicorns" and "bubble gum." Listen as they tell their stories. Hold their hands. Be kind with their hearts. And hug them every single time.

Encourage help. Learn about the resources in your area so that you can help friends and loved ones in need. Don't be afraid to check in over and over again. Don't be afraid to convey your concern. One human connection can make a big difference in the life of someone struggling with mental illness and/or survivor's guilt.

30,000 people commit suicide in the United States each year. 750,000 people attempt suicide. It's time to raise awareness, increase empathy and kindness, and bring those numbers down.

It's time to talk about suicide and depression.

Need help? In the U.S., call 1-800-273-8255 for the National Suicide Prevention Lifeline.




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The Power Of Caring

4/6/2011

 
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Published on Scarsdale Patch
http://scarsdale.patch.com/articles/e-motion-the-power-of-caring



This week I’m compelled to write about suicide.  More specifically, I want to stand up and say that we can prevent suicide.  We exist in networks with other people.  Our family, neighborhood, village, workplace, faith community and school are places where we interact with others.  Ideally, our networks are places for us to know, care, and help each other.  They are places to find community.  But that doesn’t always happen.

We might work with someone every day but be like strangers.

We might pass someone in the hall and say "heh," but have no idea how that person is feeling.

That person might be considering suicide.  We might not even notice.

Many people have thoughts of suicide when they are hurting deeply.  Most people who consider suicide find a way to go on with their life, often by receiving the support of family, friends, and professionals.  Some people in crisis do not find a way to go on.  The thoughts of suicide don’t go away.  A tragic ending is the result.  Usually people in this situation do not want to end their lives-- they want to end their pain.  They view suicide as a way to solve the problem of their pain.

I have talked with many people considering suicide in my work as a mental health professional.  Some were younger than age 10.  Some were older than age 60.  They were men, women, teens and children.   I’ve known educated, intelligent, capable and strong people, who had thoughts of ending their lives.  Yes, you read that last line correctly.  Anyone can have a time of extreme crisis in their life when thought processes are not operating in healthy ways and suicide is considered.  Feelings of isolation are common among those at risk of suicide.  In times of crisis, a caring and supportive person can make the difference between life and death.  You might be that person for someone.
·        In the United States, suicide rates go up in the spring.
·        Suicide is the 3rd leading cause of death in young people ages 15-24.
·        Suicide is the 4th leading cause of death in people ages 18-65.
·        Suicide is the 5th leading cause of death in children ages 5-14.
·        Every 15 minutes someone dies by suicide in the United States

When someone dies by suicide, the pain for surviving family and friends is heart wrenching.  In addition to grief, it can include puzzlement, anger, and intense times of wondering what if.  People often blame themselves for not doing more while the person was alive.  They might even wrongly take responsibility for the death.  The sad fact is, we cannot bring someone who is dead back to life.  The hopeful fact is, we can work together to prevent suicide of someone else.  This is something we can do.  Let’s make prevention a priority in our communities.

So, how do we focus on prevention of suicide?  Here are three things we can all start on:

First:  Know the warning signs

Some people are really good at hiding the fact that they are considering suicide.  But in many, if not most situations, there are warning signs that indicate a person is in crisis.  They include:

·        Feeling hopeless, desperate, or trapped (can’t see a way out, can’t  imagine life getting better)

·        Talking about suicide or threatening to hurt self

·        Withdrawing from friends, family and usual activities

·        High risk behavior or extreme recklessness

·        Marked change in mood

·        Extreme depression

·        Purposelessness (can’t see a reason to keep living or expressing a wish to die)

·        Increased substance use or change in substance used

·        Can’t sleep, eat, work, or play

·        Can’t get control or make the pain go away

·        Uncontrolled anger or revenge

·        Restlessness, anxiety, or extreme agitation

·        Can’t think clearly or can’t make decisions

·        Making a plan (can include getting the means to die, such as pills or gun as well as giving away special possessions)

Second:  Connect and listen

If you see these warning signs, speak up and talk to the person!  Do it even if it feels uncomfortable or strange.  Connect and listen.  Ways to start this type of conversation include saying: “I’ve noticed some differences in you lately.  How are things going?  How’ve you been feeling?”  Or, “How are you doing?  You don’t seem quite like yourself.  Can we grab a cup of coffee/soda together and talk?”

People often think asking someone if they are feeling suicidal or having thoughts of hurting themselves will give them the idea and make it worse.  This is not true.  You can’t make someone feel suicidal by asking.  Asking shows you care.  It can make a person feel less alone and less hopeless.  The person might feel a big sense of relief to talk about it with someone else.  Many people who had suicidal thoughts have said talking with someone stopped them from a suicide attempt.  A caring human exchange has great power.

It can be awkward to ask, but it can save a life.  Ask gently, but ask clearly with words such as, “Are you feeling so badly that you have thoughts about hurting yourself?”  If the answer is “no”, great.   If the answer is “yes”, professional help is needed.  Continue your connection and listening.  Don’t leave the person alone.  Take the situation seriously.  Don’t promise to keep things secret.  (Note: this is especially important for teenagers to be aware of.)  A life is at stake.  Get help immediately from a trained professional who knows how to continue evaluating the risk and take the needed steps to keep a suicidal people safe. 

Third:  Know how to get help

Call 911 or go to the nearest emergency room if the crisis is acute.

Call a suicide hotline, like 1-800-273-TALK to connect immediately to a trained specialist at a local crisis center.  Hotlines are for people considering suicide or people concerned about someone else.  The call is confidential and free.  Why not put 1-800-273-TALK into your phone contact list after you are done reading this article and forward this article to others?   It might save a life.

 Let’s work together to excel as a community that cares.

If you’d like to read further on suicide prevention, or find a mental health professional, online resources include:

http://www.afsp.org  The American Foundation for Suicide Prevention

http://www.suicidepreventionlifeline.org  National Suicide Prevention Lifeline

http://www.therapistlocator.net  or http://www.therapists.psychologytoday.com to find a qualified mental health professional in your area.

 http://www.whatadifference.samhsa.gov  for people dealing with mental illness and their friends


    Author

    Musings on life and relationships from
    Family Therapist
    Tamera Schreur



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