Tag Archives: suicide

What is safety?

TW – Trigger warning for detailed content about suicide and suicidal feelings. Please considering moving onto a different blog if you may feel particularly distressed reading about these subjects. It’s important to practice self care and only read content on the internet that will benefit you.

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While Covid-19 is spreading through our society, we’re being asked to stay at home to keep safe. But this is only keeping us physically safe from a virus. I do understand that this virus is especially contagious and virulent therefore physical safety at this time is a priority but I want to spend a few moments reflecting on the meaning of safety and it’s different forms.

A feeling of safety can be captured through routines and familiarity, this is why people so often struggle with change. Nearly all of us are coping with huge upheaval as Covid-19 is sweeping across our nations. Working from home, not working at all, stopping social activities, home schooling our children, doing more or fewer activities than previously – some of these may have positives, negatives or a mixture of both but change is always hard.

Cortisol is our stress hormone. Usually it is released to help us cope with a peak in stress and it aids managing the stressful situation. However at times of long term stress, cortisol being released over a prolonged period leads to all sorts of side effects such as fatigue, irritability, headaches, intestinal problems, anxiety, depression, weight gain, increased blood pressure, low libido and erectile dysfunction.

Lots of people are being brought to our attention as people who need care/support: the elderly, those living with an abuser, the unemployed, the homeless, people with chronic illnesses and many others – each group has its spokes people. But I fear for those we don’t hear about – who’s helping the people we don’t know about?

There have been many occasions in my life when I’ve felt unsafe and it’s been my own thoughts that have been working against me. Mental health crisis is hard to explain, trying to explain what it’s like being suicidal is like trying to describe colour to someone who’s been blind from birth.

Being suicidal feels like all your senses have been taken away included your senses of dignity, perspective and reality, it feels like one by one everyone is giving up on you and this makes sense because the situation is completely hopeless; you’re a worthless human being with nothing to live for, gradually the grey numbness you’ve been feeling for a while turns to an active hot feeling of desperation – “whatever this is, it is unbearable and it just has to end.” Eventually calmness and serenity is felt once a plan to end the suffering is in place. (At least, this is what it was like for me.)

So, this lockdown (in whatever form it’s taking in the country you’re in) is designed to prevent the spread of a virus but at what cost? I‘m definitely not saying we shouldn’t be following government advice – I’m the first to do as I’m told! What I am saying is we need to ensure we look after our physical and our mental safety.

Specific links about how to look after our mental health during the lock down can be found at the bottom of the page.

A “place of safety” is somewhere designed to help an individual through a mental health crisis, to support them while they’re feeling suicidal, to prevent them carrying out any plans they may have made to end their life. Usually this is a specialist mental health unit but it can be A&E or a police station. Unfortunately I have been detained in a police cell; I was scared, yes, but realising I was too unwell to make decisions about my care myself, it was a relief that they took over responsibility for my safety when I couldn’t do it myself.

I recently returned to therapy because my mental health has been challenged. For me, the therapists room is a place of safety because it’s somewhere I can be myself. Most people are different versions of themselves in different environments but when suffering with mental illness most people are familiar with the feeling of putting on a mask. Most of the time this mask ensure the world has no idea what’s going on underneath. At work I’m professional, competent Frances; socially I’m friendly, pleasant Frances etc. In the therapy room, my therapist doesn’t judge me for being anxious, confused, angry, annoyed – it’s safe to take my mask off.

As the weeks of this pandemic drag on, people start to talk about cabin fever or “going stir crazy”. These phrases refer to feelings of being cooped up too long. This place that was meant to be keeping us safe has become a prison! This is exactly why most lockdowns include being permitted to go out for exercise and it’s vital to take advantage of this if possible. If it’s not possible, sitting in the garden or by an open window as often as possible is really important.

So, if you’re doing as the government has asked and you’re staying at home, thank you for keeping your community safe from the virus. But it’s really important to spend some time thinking about what makes you feel mentally and emotionally safe:

  • Keeping busy? – try learning something new
  • Seeing friends and family regularly? – connect with them however you can.
  • Having time and space to yourself? – timetable 15-20 “me time” in a separate room and let other people in your household know that’s what you’re doing.
  • Keeping familiarity and routine? – build some habits into your day to build a new routine.
  • Having freedom to move around? – use the permission to exercise daily if possible.
  • A hug? – whether it’s someone you live with, a pet or a cuddly toy it’s ok to to give it a really good squish everyday!
  • Having autonomy and control? – focus on what you can control not what you can’t. I find the serenity prayer helpful!

If you’re feeling unsafe or uneasy, can you work out what’s missing? Whether it’s about feeling empowered and in control or being allowed to be vulnerable and looked after for a short time. Perhaps at the moment it’s not easy to get exactly what we need but can you simulate it? Maybe we don’t have freedom to move around but how about planning a holiday for when it’s over because, this is going to end. We don’t know when, but it will.

It may also be important to take things out of your daily routine that is harmful to your mental and emotional safety. These links provide really good hints and tips for looking after your wellbeing during this time of uncertainty.

Specific links:

  • Mind – a wide variety of information including managing wellbeing, work, anxiety and social care rights
  • Beat Eating Disorders – really good specific questions related to managing eating disorders and recovery
  • Mental Health Foundation – information including mental health tips, relationships, finances and talking to children

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Hands reaching out

108 million people affected, what can we do?

World Health Organisation logo

According to statistics published by the World Health Organisation (WHO) someone dies by suicide every 40 seconds. They estimate that suicide accounts for 800,000 deaths each year, after each death, about 135 people experience intense grief or are profoundly impacted in some other way. That means, every year 108 million people are affected by suicide (that’s double the urban population of the UK).

World Mental Health Day (WMHD) this year is focusing on suicide prevention. Mental illness does not discriminate on race, class, gender or age – suicidal thoughts are a symptom of mental illness, just like chest pain is a symptom of heart disease. Suicidal thoughts, can lead to suicidal behaviour which can result in death by suicide.

If your mate doubled over in pain, clutching their chest, struggling to breath, and they appeared clammy, you’d call for an ambulance who would (aim to) arrive within 8 minutes. What if your mate, struggled to give you eye contact, is withdrawn and said things like “no one would miss me if I disappeared” or “I’m not sure I’m needed around here” – would you know what to say or do?

There’s also a large proportion of the suicidal population who do an incredible job of hiding their symptoms, through confusion, fear of stigma or shame. How do we help them?

Lady walking on her own down a railway track

When I was severely ill with anorexia and depression, the illness told me my family would be better off without me; the emotional pain I felt was so severe that I couldn’t see any option other than suicide. Despite being in psychiatric care, signs were missed on multiple occasions, maybe I was hiding them, maybe there was an element of negligence or under resourcing. Having lost a friend to suicide, I’m one of the 135 affected by her death. If I had died by suicide, my number would be added to the statistic.

The International Associate for Suicide Prevention says “No single organisation, intervention, discipline or person can solve the complex issue of suicide.” 38 countries report to have a suicide prevention strategy and various organisation are doing their bit to raise awareness or put mechanisms in place to try and prevent suicides. In particular, work is needed in countries where suicide remains a criminal offence, where people don’t seek help through fear of stigma and discrimination and accurate statistics are impossible to gather.

But we can do our bit too, here are a few simple things to get started:

  • When someone says they’re fine, sometimes they feel angry, sad, ignored, all sorts of thingsWhen you ask your friends or colleagues how they are, mean it, don’t accept “fine” as the answer. If someone asks you how you are, cultivate a culture of honesty and give them a sincere, genuine answer. If necessary, be prepared to give someone 5-10 minutes of your time. Even if you’re in a rush, if someone needs to off load, this short time could make all the difference to them. If you’re not sure what to say, have a look at the Time to Change campaign for tips.
  • Send someone a text or email, just letting them know you’re thinking about them – mental ill health can be isolating, letting someone know that you care can mean they feel less alone.
  • If you realise someone is struggling, offer support, advise them to see their GP, as you would if they found a suspicious lump or had an unusual pain. Some people find it difficult to talk about mental health symptoms so offer to go with them to their GP if that would help. This guide from Mind offers suggestions about what to say.
  • Look into Mental Health First Aid – could this be something you could introduce to your workplace? Or could you do it as an individual, so you know what to do in a crisis?
  • Not just on WMHD but anytime, share posts on social media about suicide prevention (and mental health in general) to raise awareness. If the mental health world just talks to itself we’ll never get anywhere, everyone needs to do their bit to reach a wider audience. Decreasing stigma and discrimination will make for a healthier society.
Pulling someone out of a hole

If it’s taken you 2-3 minutes to read this article, another 3-4 people have died by suicide – these could have been prevented.

If each person who read this did just 1 of the suggestions above, we could make a difference to hundreds of people’s lives.

Multiple speech bubbles

Thinking about suicide? Are you stupid?

TW – Trigger Warning – suicide theme.

Apologies – this title is deliberately provocative. Please be reassured, this is a carefully considered blog looking at the language used when talking about suicide.

I was recently listening to a podcast where someone was talking about their experience of mental illness and they said this:

People say “did you want to commit suicide?”, well, yes, I did want to but I never, I was never at a point where I was stupid enough to think that if I go then my family and stuff is just gonna be like, “oh well, he was alright weren’t he, let’s crack on”. I always knew that, even when I was in my lowest places.”

(We’ll gloss over the fact that “commit” suicide is no longer used since that’s related to when it was a crime, there was a disclaimer at the beginning of the podcast apologising for this language!)

I know he’s not suggesting suicidal thoughts are stupid, he’s admitting he had them, but he appears to be showing a lack of understanding about what actually happens inside the mind of someone when they’re seriously contemplating suicide and it’s language like this that perpetuates the stigma surrounding suicide.

I know it was probably a flippant, off the cuff remark and I don’t want to target him but I feel when talking on a podcast, you’re in a position of influence and I want to use this example to talk about the wider subject, we all need to carefully consider the language we use.

When someone’s mental illness is so severe that suicide feels like the only option, they have got to a point where their mind is not able to think with their usual clarity and logic. From an outside perspective we can see plenty of reasons to stay alive but the chemicals in their brain have altered in such a way that their thoughts are not their own.

When in the depths of depression, your mind persuades you that your family and friends would be better off without you. You may think you’re a burden or you’ve become a person no one would want to live with. So, far from it being a stupid thought, it feels prudent to consider your impact on others and take yourself out of the picture.

The pain of depression has been described, by some, as one of the worst pains a human being can experience. Suicide is not just as easy way out but it may feel like the only option to escape the unending agony.

It’s incredibly sad to think about a person at such a low point but I’m being blunt about the reality because this is how powerful the mind is, it grinds down your self esteem and suicide feels like a legitimate (even logical) way out.

Speech bubbles with question marks in

Sometimes suicide is spoken about as selfish, as though the person is only thinking about the relief they will gain, that they are not considering the hole they will leave behind. Knowing incredibly beautiful, compassionate people who’ve died by suicide, selfish, is not a word I was use to describe them.

If you find yourself feeling anger or bitterness towards a loved one who’s died at their own hands, this is natural; it may feel logical to consider them selfish to have escaped the situation, leaving you to pick up the pieces. I’m not saying your feelings are wrong, if you’re feeling them, by nature of the fact they exist, they are acceptable. However, it may be helpful to consider whether these feelings are keeping you stuck and whether forgiveness maybe a step you need to consider in order to free yourself.

I have also heard people say they “don’t have the guts” to complete suicide. It is very unhelpful to use this language. Talking from experience, it is difficult to think about deliberately putting yourself through pain but, as previously explained, thinking clearly and logically are not possible at this point. It can feel as though it takes bravery but when I’ve got to the point of carrying out a violent act, it’s been a case of reluctantly giving up the fight for life and giving in to the voices telling me to end my life. This was not in a passive way, but in an active “I can finally take some action, do something about my situation, to make it better for everyone”.

It did not take bravery or guts, nor was it selfish, it was simply a symptom of my mental illness.

I know, we will all, on occasion, be clumsy with our language, make mistakes and say things that are less than sensitive, I know I will! But it’s important we’re open to considering how our language impacts others and how we can improve what we say to lessen stigma and improve communication.

If you, or someone you know, is feeling suicidal or expressing suicidal thoughts, please seek help from your GP or other care provider. In the UK, you can call the Samaritans on 116123.