Docsplainin' -- it's what I do

Docsplainin'--it's what I do.
After all, I'm a doc, aren't I?



Showing posts with label suicide. Show all posts
Showing posts with label suicide. Show all posts

Sunday, June 6, 2010

Suicide, again

Jolene over at Graceful Agony had a suicidal person Google her blog on the way to trying to find out "the best drugs" to kill herself with.

Jolene's response is thoughtful and on the money, so I'm going to limit myself to putting up a link.

Saturday, April 18, 2009

Suicide

'Cause suicide is painless,
It brings on many changes,
And I can take or leave it if I please
-The theme from M*A*S*H,
by Johnny Mandel & Mike Altman
I've never tried it myself, but I really doubt that suicide is painless. Yes, I know--it's just a song. But there are lots of songs out there that imply the same thing, and the sentiment corresponds with what more than a few of my suicidal clients have as much as said. The truth of course is somewhat different.

The time leading up to the decision is certainly emotionally painful, and of course sometimes the person is motivated by chronic physical pain to consider suicide in the first place. And finally, suicide is ugly, so that no matter how you do it, it is going to be traumatic for whoever finds you.

It's not at all romantic

Suicidal people are in a world of pain. They do not feel loved, or even lovable. Waldowski, the suicidal dentist in M*A*S*H, couldn't get a girlfriend, and that was his central motivation for wishing to die. But most suicidal people (I would except folks like Hitler in his bunker) are loved. If you are depressed enough to kill yourself, you can't feel the love, but it's there. Both fictional scenarios, M*A*S*H and Tom Sawyer, are accurate in that regard. People will go to great lengths to keep you alive if you give them the chance (witness the ritual the whole M*A*S*H unit puts on to help Waldowski get laid), and they will certainly grieve you if you don't.

People die because they have given up hope. It is one of life's greatest tragedies that a laughing baby, a beloved toddler in his new white Stride-Rites, a snaggle-toothed teeny-bopper with her braces and pigtails, and a grinning teenage boy can grow up to be so hopelessly miserable that they end up blowing their brains out under a tree in the park one night, swallowing pills and putting bags over their heads in lonely motel rooms, or swerving their cars into oncoming traffic. Or like my friend back in '85, stuffing towels under the garage door and sitting in her car with its engine running, her favorite music on the radio, and a Moosehead in her hand, waiting for the Reaper.
Seasons don't fear the reaper
Nor do the sun, the wind, or the rain
We can be like they are...

We'll be able to fly...
Redefine happiness...
We can be like they are
-Don't Fear the Reaper
Blue Oyster Cult
No, you can't: You can't be like the elements, you can't fly. (The last verse of the song makes suicide sound like the Darling children following Peter Pan out the nursery window.) You'll be dead. Suicide doesn't redefine happiness, or bring on many other changes, either, other than that you are now dead. I once heard a workshop presenter liken people's fantasies of suicide to the scene in which Huck and Tom watch from their hiding place as the townsfolk drag the Mississippi for their bodies, grieving the boys' presumed deaths and regretting every wrong or injury done them, however slight. I'm not sure suicidal people really understand that they will not be here somehow to see that their loved ones or the bosses or whoever "will be sorry." That relationship can't change after you are gone. The people you leave behind may well wish they could have a do-over, but will be too late for that. If you want things to be different, you have to be here for it.

Some folks, like teenagers, or persons with Borderline Personality Disorder, tend to give up hope when the problem situation is clearly (at least to the dispassionate outside observer) a temporary one. This was, of course, the case with Romeo thinking Juliet had really died. But they over-react, they believe that they way they feel now is forever, always has been, and always will be. They cannot remember that they actually have felt better recently, and most likely will again soon. They see no solution to their situations. Such folks are particularly prone to impulsive, lethal attempts. This is perhaps life's greatest tragedy, because such people do not have to die. Many, if not most, suicides don't, but these people really don't. Unfortunately this is a decision that, once made, cannot be un-made: As the old line goes, it's a permanent solution to a temporary situation.

I'm not sure what I'm trying to say with this rambling missive. Perhaps I just want you, if you are feeling this way, not to give up hope. I want you to believe that the love is out there, even if you can't feel it right now. I want you to believe that you can find happiness again, or maybe for the first time, but you can find it.

Monday, July 28, 2008


Suicide hot line got calls from 22,000 veterans

Published: 7/28/08, 6:25 AM EDT
By KATHARINE EUPHRAT
WASHINGTON (AP) - "More than 22,000 veterans have sought help from a special suicide hot line in its first year, and 1,221 suicides have been averted, the government says. According to a recent RAND Corp. study, roughly one in five soldiers returning from Iraq and Afghanistan displays symptoms of post-traumatic stress disorder, putting them at a higher risk for suicide. Researchers at Portland State University found that male veterans are twice as likely to commit suicide than men who are not veterans.This month, a former Army medic, Joseph Dwyer, who was shown in a Military Times photograph running through a battle zone carrying an Iraqi boy, died of an accidental overdose after struggling with post-traumatic stress disorder for almost five years. Janet Kemp, national suicide prevention coordinator for the Veterans Affairs Department, said the hot line is in place to help prevent deaths such as Dwyer's. 'We just want them to know there's other options and people do care about them, and we can help them make a difference in their lives,' she said in an interview."
This is enough to break your heart.

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