Day 691

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A snippet from life of a Helpline call centre:

11.51: Bullies at school are telling the next female caller to take her own life. She’s upset and agitated and feels anxious about talking to her parents or GP. After talking through the issues, she says she’s not in immediate danger and will try to talk to her parents and seek support from her GP or the charity if she feels it necessary.

13.49: A mother calls about her son who is struggling at university and has told her he may as well not be alive. She is worried he might be suicidal.

The adviser talks to her for half an hour about asking her son directly about suicide and discusses what other support he may need, including talking to his GP and giving him the HOPELineUK details. Afterwards, the mum says she is more confident about speaking to her son.

18.32: With the suicide prevention advisers on calls, a voicemail is left by a young man. He calls back eight minutes later and starts apologising for calling the helpline.

He’s made plans to take his own life today and despite calling his mental health team and telling them he’s suicidal, he’s still waiting for his case worker to call back.

After 42 minutes on the phone with the helpline suicide prevention adviser, he’s much calmer and says he won’t take his own life today.

18.53: A young transitioning transgender person calls, admitting she’s feeling suicidal today. She spends 23 minutes talking through her issues with a suicide prevention adviser who works with her on a plan to stay safe over the coming hours and signposts her to support networks she may find helpful.

19.38: A text comes in from a young father who says he’s feeling suicidal. He suffered domestic abuse as a child and, as a result of alcohol and drug addiction, has lost contact rights with his own children. He says he has his suicide method in front of him and is intending to end his life.

Let’s break the silence. Hopeline number: 0800 068 4141

Source: https://www.thesun.co.uk/living/1732567/a-caller-wants-to-die-until-he-talks-about-his-cat-suicide-prevention-helpline-hopelineuk-works-to-prevent-hundreds-of-suicides-every-day/

 

Day 681

About 5 months after Saagar’s passing, one of my close friends sent me a subtle message suggesting that I should be careful about what I write in my blog as a few of my work colleagues read it regularly and if I appear to be too fragile or vulnerable, it might have a negative impact on my professional life. I understood her concern. The medical profession is not known for its understanding and compassion for mental frailty in colleagues.

Dr Wendy Potts was a GP in Derbyshire who blogged about living with Bipolar Disorder on a regular basis. One of her patients read the blog and complained to her Practise. The doctor was suspended. A few weeks later she ended her own life.

Firstly, I don’t understand the basis of the complaint. Would patients complain if their GP had diabetes or cancer?

Secondly, I don’t understand the basis for suspension from work. If the doctor’s performance was not questionable, then there is no ground for that.

Ref : https://www.theguardian.com/uk-news/2016/aug/26/gp-found-dead-after-being-suspended-over-bipolar-disorder-blog?cmp=oth_b-aplnews_d-2

This is one of many examples of poor treatment of medical colleagues with mental health issues. I think we are a long way from seeing parity between physical and mental illnesses as the ones who are supposed to put that into practise are themselves caught in the stigma associated with mental illness.

(PS: apologies for not being able to insert the link to the article in a better way. The ‘link’ icon on my page doesn’t seem to work anymore. Any ideas? )

 

Day 673

stress

The stress vulnerability model was proposed by Zubin and Spring (1977). It proposes that an individual has unique biological, psychological and social elements. These elements include strengths and vulnerabilities for dealing with stress.

In the diagram above person “a” has a very low vulnerability and consequently can withstand a huge amount of stress, however solitary confinement may stress the person so much that they experience psychotic symptoms. This is seen as a “normal” reaction. Person “b” in the diagram has a higher vulnerability, due to genetic predisposition for example. Person “c” also has genetic loading but also suffered the loss of mother before the age of 11 and was traumatically abused. Therefore persons “a” and “b” take more stress to become “ill”.

This model is obviously simplistic. However it does help with the understanding of psychosis. Vulnerability is not a judgmental term but a different way to approach the variables involved. We all have a different capacity to take on stress depending on how vulnerable we are. At different times in our lives we can be anywhere on the curve, depending on these variables. 
Increasing coping skills or altering environmental factors (family, work, finance, housing etc.) and specialist help can reduce vulnerability and build resilience. Attending a peer group may help to build self-efficacy, self-esteem and self-acceptance all of which may be protective against relapse and form a buffer to demoralisation. It gives hope!

Day 672

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Scarlett Lewis is Jesse’s mother.  Jesse, her youngest son, six years of age was one of the twenty children murdered in the 2012 Sandy Hook Elementary School massacre in Newtown, Connecticut. Brave Jesse helped save the lives of many of his classmates by encouraging them to run while he stayed behind to protect his teacher—both he and his beloved teacher were killed.

Before going to school, in what may have been a premonition of the day’s tragedy, six-year-old Jesse wrote on his home chalkboard, “Nurturing Healing Love.” Working through her grief in the midst of the emotional devastation felt by all of the parents who lost children, Scarlett embraced Jesse’s words and consciously chose a different way to manage her distress. While many parents vented their pain through anger, blame, and overwhelming grief, Scarlett went on an alternate path by deciding to consciously choose Love to come to terms with this heinous crime.

To send her message into the world, Scarlett founded the Jesse Lewis Choose Love Foundation (http://www.jesselewischooselove.org) whose stated mission is, “To create awareness in our children and our communities that we can choose love over anger, gratitude over entitlement, and forgiveness and compassion over bitterness.” The foundation’s goal is to help manifest a more peaceful and loving world. Scarlett’s efforts in advancing Love to resolve the world’s problems has become her path to healing.

Day 667

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Clarke Carlisle, a former footballer speaks openly about his experience of depression and two failed suicide attempts. His honesty comes through very clearly in this film titled:

‘The Silence of Suicide’
(https://www.youtube.com/watch?v=f86rz60Jcso&feature=youtu.be)

As he speaks, it breaks my heart to watch the tears roll down this handsome young man’s cheeks. I admire him for normalising vulnerability. He shares how depression makes one believe that everyone would be better off without them. He thinks that the stigma associated with suicide comes from the ‘mystery’ associated with the condition. Those left behind search within themselves and ask many questions but there are no answers. It is impossible to not personalise it. That makes it very hard for us to talk about it as individuals. Because it is so hard to speak about suicide for us as individuals, it is the same for us as a society. But it is essential and urgent for us all to talk about suicide. It is of paramount importance.

How can we encourage people to do this?

By ‘normalising’ it.
Statistics say that 1 in 4 people suffer from mental ill-health. However this may be a gross underestimation as many people are not very aware of how they feel. They may not really know and recognise their feelings.

His advice for anyone who might be thinking of ending their life is – Tell someone. Tell anyone. Once you do that, the power of that thought over you diminishes.