Love, Me, Mental Notes

Suicide: Changing the Conversation

No Comments

Cover photo by Priscilla Du Preez on Unsplash

Written by Anasteece Smith and Rian Gordon
Suicide.
Hearing the word may make you uncomfortable but we need to talk about it. 
Scratch that, we HAVE to talk about it. 
Suicide is the second leading cause of death in the world for those between ages 15-24 (SAVE, 2020) and the tenth leading cause of death in the United States for all ages. This means that the majority of people will in some way be touched by suicide in their lives. Yet, many are unsure of how to talk about suicide or how to get help if they become suicidal. 
Photo by Polina Zimmerman from Pexels

Myths and Facts

Myth #1: Talking about suicide causes suicide
Fact: Talking about suicide opens the conversation and can be a preventative measure. Having these sometimes difficult conversations allows the person struggling to talk about what they are going through and can help them to see things from an outside perspective. It’s okay to ask questions and to be specific about those questions. It’s okay to share your own experiences with suicide or suicidality because sharing helps us know we’re not alone, and helps to fight shame and stigma. (Nevada Division of Public and Behavioral Health, 2019)
Myth #2: People who are suicidal want their life to end
Fact: People who are suicidal usually don’t want to end their lives, rather they want to end their suffering. They are often in such a dark, hopeless place that they feel there is no way to end their suffering other than by taking their own life. (Fuller, 2018)
Myth #3: Suicide only affects those who have a mental disorder(s)
Fact: While mental disorders can be a risk factor for suicide, that does not mean that everyone that has one has suicidal thoughts, ideation etc. You also do not have to have a mental illness to feel suicidal. Often there are other stressors such as relationship problems, abuse, illness, crisis, etc. that can lead to suicide. (Fuller, 2018)
Myth #4: Most suicides happen suddenly
Fact: Rarely does suicide happen suddenly. Usually the person who is suicidal shows warning signs. These signs are often shown to those who are closest to them, and those people may not recognize that these are warning signs. It’s important to know the signs so that we can help those who may be at risk for suicide. (Fuller, 2018)
Photo by Ketut Subiyanto from Pexels

What we need to change when we talk about suicide

Using the Word – We need to use the word suicide rather than beating around the bush or using other terms. It’s okay to say the word suicide, and it’s okay to say that you’re suicidal. It’s important that we use the word because the more that we talk about it, the more we can end the stigma around it. (Roe, 2019)
Change the Language – We need to be careful about what words we use when discussing suicide. We partitcularly need to stop using phrases like, “Successfully committed suicide,” or, “Failed suicide attempt”. Words like “successful” and “failed” can carry other meanings, some with positive implications, like “successful”, or negative, like “committed”, which makes it sounds like a crime has taken place. Rather,  we should use phrases like, “Died by suicide,” because it’s more accurate and less emotionally charged. It is important that we talk about suicide respectfully because we are all human and vulnerable. (Roe, 2019)
Photo by Nik Shuliahin on Unsplash

What to do if you’re suicidal

1. Don’t be afraid to ask for help – You do not have to face this alone. If you are experiencing suicidal thoughts or thinking about taking your own life, PLEASE reach out to someone you trust. You can also call the National Suicide Prevention Hotline at 1-800-273-8255, or you can chat online at this link here. If you feel more comfortable texting, you can text HOME to 741741 to connect with a crisis counselor. If you are part of the LGBTQ Community, you can call the Trevor Project at 1-866-488-7386 or visit their website for options to chat and text. (LGB youth are almost five times as likely to have attempted suicide compared to heterosexual youth.) (The Trevor Project, 2017)
2. Make a safety plan – Having a plan in place for when you are in a suicidal mindset can take away some of the pressure of having to think critically when you are in a state of overwhelm.
  • What you might include in your plan: 
    • Warning signs to watch for (thoughts, images, mood, situations, behavior, etc., that indicate a crisis might be happening)
    • Ideas for how to help yourself (self-soothing techniques, positive distractions, etc.)
    • People you can ask for help (include names and contact information)
    • Ideas for how you can make your environment safe for you
    • A list of things that are important to you and/or worth living for
3. Remember, feelings are temporary – No matter how hopeless things may seem, you are wanted and needed on this earth. Do not make permanent decisions based on temporary feelings. You can and will get through this. 
Photo by Scott Broome on Unsplash

How to help someone who is suicidal

1. Watch for signs – If your friend is feeling suicidal, it may be difficult for them to reach out and ask for help.  Here are some signs to look for that can help you recognize that they may be struggling:
  • Verbal Signs
    • Talking about wanting to die or kill themselves
    • Talking about feeling hopeless or having no reason to live
    • Talking about feeling trapped or in unbearable pain
    • Talking about being a burden to others
  • Behavioral Signs
    • Increased drug or alcohol abuse or relapsing after being in recovery
    • Looking for a way to kill themselves, like searching online, buying a gun, stockpiling pills
    • Unexplained anger, aggression and irritability; behaving recklessly 
    • Sudden interest or disinterest in religion
    • Giving away prized possessions
    • Getting personal affairs in order
    • Sleeping too little or too much
    • Withdrawing or isolating themselves
    • Extreme mood swings
    • Previous suicide attempts
  • Situational Signs
    • Fired of expelled from school
    • Unwanted move
    • Loss of major relationship
    • Death of someone by suicide
    • Diagnosis of serious or terminal illness
    • Other life events or changes
2. Ask, and then listen with empathy – It’s important that you ask the question directly–are you thinking about killing yourself? Are you suicidal? Do you have a suicide plan? It may come as a natural flow of conversation or you may just have to ask out of the blue. When you ask, make sure it is in a private setting, and give them the time that they need to talk. However they respond, listen with empathy and avoid reacting with shame or judgment. Don’t feel like you have to present a solution or fix it for them right then and there. Just let them know that you care about and are there for them. 
Photo by Anna Shvets from Pexels
3. Take their thoughts and feelings seriously – Remember, when someone says they are suicidal, it’s important to believe them and not assume they are just being dramatic or seeking attention. Regardless of whether or not you feel your friend’s situation is truly as hopeless as they feel, if someone is thinking or talking about suicide, you should always take them seriously.
4. Get help – Encourage your friend to seek help, and don’t promise to keep their struggles a secret. Neither of you has to bear this burden alone. Help your friend identify others who can also be a part of their support system and help them get through this difficult time. 
5. Know what resources are available – Your friend may be overwhelmed and not know where to go to get help. If you are on a college campus, find their counseling and psychological services as well as their after-hours line. If your friend is an immediate danger to themselves, call 9-1-1. Do a quick Google search or refer to the previous section about help lines you can contact or direct them to. If your friend protests and gets upset that you have contacted someone, don’t worry. It’s  ALWAYS better to have an angry, alive friend. 
Photo by Käännöstoimisto Transly on Unsplash
Suicide is painful and tragic, and also one of the only causes of death that is 100% preventable. We have the power to stop suicide by talking about it, fighting shame and stigma, and by empathizing with and being there for one another. For the sake of ourselves, and our loved ones, we HAVE to change the conversation. 
Share one of the facts about suicide from this article on social media or with a loved one.

References

Fuller, K., M.D. (2018, September 6). 5 Common Myths About Suicide Debunked. Retrieved September 12, 2020, from https://www.nami.org/Blogs/NAMI-Blog/September-2018/5-Common-Myths-About-Suicide-Debunked
Nevada Division of Public and Behavioral Health. (2019). The Myths & Facts of Youth Suicide. Retrieved September 12, 2020, from http://suicideprevention.nv.gov/Youth/Myths/
Quinnett, P., Ph. D. (2016).  Ask a Question, Save a Life [Pamphlet]. QPR Institute.
Roe, T, (2019, May 24), Suicide. Podcast Therapy Thoughts. Retrieved from https://anchor.fm/therapythoughts/episodes/Episode-27-Suicide-Thoughts-from-a-human-therapist-e44t2t
SAVE. (2020). Suicide Statistics and Facts. Retrieved September 12, 2020, from https://save.org/about-suicide/suicide-facts/
The Trevor Project. (2017, September 20). Facts About Suicide. Retrieved September 12, 2020, from https://www.thetrevorproject.org/resources/preventing-suicide/facts-about-suicide/

 

 

Anasteece Smith is a Utah native who is now living it up as a Texas girl. She is the oldest of seven children and married her sweetheart in 2018 who happened to have her same last name. She graduated from Brigham Young University with a Bachelor of Science in Family Life. In her free time, Anasteece likes to read, paint, swim, hike, camp, hammock, and do graphic design. She is passionate about mental health, healthy sexuality, family resilience, feminism, religion, and research on shame, vulnerability, and perfectionism.
 

Rian Nicole Gordon is from Orem, Utah, and graduated from Brigham Young University with a Bachelor of Science in Family Life and Human Development. She has been married to her best friend Mark for five years, and they have two beautiful children, one boy and one girl. Apart from her full-time job as a stay-at-home mom, she works for The Dibble Institute, which specializes in relationship education for youth.
Continue Reading

Love, Me, Mental Notes

5 Ways to Support Someone With a Mental Illness

No Comments
Written by Rian Gordon
According to the National Alliance on Mental Illness, one in five U.S. adults will experience the effects of a mental illness in a given year (2020). That means, whether or not you are currently living with a mental illness, you most likely know someone who is! Speaking from experience, mental illness can feel lonely, isolating, and hopeless at times, so the more we can learn and rally together to support those who live with these conditions, the less alone we will all feel (remember, connection goes both ways!). 
Here are five ways that you can support someone you love who is living with a mental illness:

1. Believe/validate them

Unless you have lived through it yourself, it can be difficult to understand what it’s like dealing with a mental illness. However, this does not mean that you cannot 1) believe that what someone is experiencing is very real and difficult for them, 2) have empathy for someone who is struggling. Being told, “it’s all in your head”, “can’t you just get over it?”, or “just try to look on the bright side”, is incredibly frustrating and disheartening, and can discourage someone from getting the help that they need in a very real way. As a skill, empathy requires us to feel with someone and to put ourselves in their shoes, even if we ourselves have not experienced what they have. And even though you may not have a diagnosable mental illness, chances are you have experienced a time when your mental health was not exactly where you would like it to be. When someone you love is struggling with their mental health, seek to have empathy, and let them know that you believe what they are experiencing, even if you don’t understand it perfectly. 

2. Do not define them by their mental illness

I was diagnosed with Generalized Anxiety Disorder at the age of 20. A diagnosis was helpful for me because it gave me a name for what I had been experiencing my whole life. It increased my vocabulary for sharing with others what I was feeling, and helped me to receive the treatment and help that I needed to thrive with my particular illness. Research has shown, however, that diagnoses aren’t always particularly helpful for individuals, or for those who know/ work with/ or are even treating them. One research study found that labels such as “borderline personality disorder” or “schizophrenia” are particularly problematic because they can cause clinicians to develop assumptions about a patient that may or may not actually be true (Lam, Salkovskis, & Hogg, 2015). 
priscilla-du-preez-7s3biR6HATU-unsplash (1)
Photo by Priscilla Du Preez on Unsplash
While it is critical to look at diagnoses as windows into what someone may be experiencing rather than as an instruction manual that works the same for each diagnosed individual, I have found that general labels such as “broken”, or “damaged” are even more harmful than incorrect assumptions based on a diagnosis. Labels such as these can make the person dealing with the mental illness feel less-than, worthless, and beyond hope. As someone who deals with mental illness every day, I have always preferred to tell others that I am living with a mental illness rather than suffering from one. While mental illness can and does have a large impact on many aspects of an individual’s life, having one does not mean that it defines every moment of every day, much less who someone is as a person. Regardless of a diagnosis, you can learn to truly LIVE with a mental illness. Your life can be just as fulfilling, meaningful, and full of joy and connection as those who do not deal with this particular struggle. Unfairly labeling others or yourself in a way that limits your potential is not helpful, and is not something that we should practice in any capacity. 

3. Ask open-ended questions

For centuries, fear and stigma have surrounded the topic of mental illness, and we are still living with the effects of this today. Many people worry that talking about someone’s mental illness is uncomfortable, taboo, shameful, or even that it may aggravate the issue (which research has shown is not actually the case) (Dazzi, Gribble, Wessely, & Fear, 2014). Different individuals will certainly have different preferences about how they like to discuss their own mental illness, but you can usually key in on many of these preferences just by getting to know them and observing how they talk about it in their everyday life. If you are unsure, the BEST way to learn about how you can support your loved one is by asking them how they would like to be supported! 
When I first met my husband, Mark, I had just come home 14 months early from a service mission for The Church of Jesus Christ of Latter-day Saints due to severe anxiety and depression. I was on medication, in the middle of therapy, and still working on recovering from the experience. But one of the things that impressed me the most about Mark was that he was not afraid to ask thoughtful and respectful questions in order to better understand what I was going through! He asked things like, “How does that feel?”, “What do you like about therapy?”, and “What helps you feel most safe?” He would then listen carefully and respond in ways that were empathetic, understanding, and encouraging. 
kenan-buhic-yjcrVIGAw9A-unsplash
Photo by Kenan Buhic on Unsplash
Asking respectful, thoughtful, and kind open-ended questions is an excellent way to better understand your loved one dealing with a mental illness, and the more we talk about it, the more permission we give to others to talk about it. 

4. Encourage them to ask for help

Personally, I believe that EVERYONE should seek out professional help for their mental health. Life is hard, and we all have struggles that could benefit from unbiased outside help! Many people do not share in this belief, however, since there is still a lot of societal and cultural stigma surrounding therapy, medication, and other forms of mental health treatment. One way that we can support our loved ones with mental illness is to normalize asking for help, both from professionals and from trustworthy friends and family members. Let your loved one know that asking for help is a sign of strength, not of weakness, and consider spending time researching with them local resources that can help them when they are struggling. If someone is suicidal or going to harm themself, don’t hesitate to call 9-1-1 and get immediate help.

5. Know your limits

It is NOT your job to solve your loved one’s mental health struggles. Setting healthy boundaries and limits for how you can help someone you love is an important way for you to stay healthy, and for them to be able to actually get the help they need. Don’t feel guilty if you can’t answer a phone call at 1 a.m. or rush over to hold a friend in the middle of a panic attack. Beating yourself up or holding yourself to unrealistic expectations is not good for YOUR mental health, and is not helpful for you or your loved one. Do what you can, seek to connect them with resources that CAN be there for them in those moments, and respect your own limits.
priscilla-du-preez-_EXjK18DOUE-unsplash
Photo by Priscilla Du Preez on Unsplash
In any situation where we are trying to support those we love and strengthen our connections with them, it’s important to remember that people usually just want to feel loved, heard, and understood. It’s the same with our loved ones who live with mental illness. The more we talk about mental health, the more we give each other permission to struggle, to ask for help, and to thrive even when the odds may seem against us. 
Crisis Text Line: text HOME to 741741
National Suicide Prevention Hotline: 1-800-273-8255
Personal Practice 1Option 1: Share about a personal mental health struggle on social media to let others know that they are not alone, and to fight the stigma against mental illness.
Option 2: Share a message of hope on social media for those who may be struggling with mental illness.

References

Dazzi, T., Gribble, R., Wessely, S., & Fear, N. T. (2014). Does asking about suicide and related behaviours induce suicidal ideation? What is the evidence? Psychological Medicine, 44(16), 3361–3363. doi: 10.1017/s0033291714001299
Lam, D. C. K., Salkovskis, P. M., & Hogg, L. I. (2015). ‘Judging a book by its cover’: An experimental study of the negative impact of a diagnosis of borderline personality disorder on clinicians’ judgements of uncomplicated panic disorder. British Journal of Clinical Psychology, 55(3), 253–268. https://doi.org/10.1111/bjc.12093
Learn About Mental Health – Mental Health – CDC. (2018, January 26). Retrieved from https://www.cdc.gov/mentalhealth/learn/index.htm
Mental Health By the Numbers. (2020). Retrieved from https://nami.org/mhstats

 

 

4B3A0538edit

Rian Nicole Gordon is from Orem, Utah, and graduated from Brigham Young University with a Bachelor of Science in Family Life and Human Development. She has been married to her best friend Mark for five years, and they have two beautiful children, one boy and one girl. Apart from her full-time job as a stay-at-home mom, she works for The Dibble Institute, which specializes in relationship education for youth.
Continue Reading