Let’s talk about it

I took the header photo in my darkest hour. Well, one of my ‘darkest’ hours, I suppose. My phone tells me it’s been four years, so I suppose I’ve kept it for a reason. Looking at it now, I can see how it encapsulates my mood at the time, yet I am disturbed by the photos taken a few moments later – it’s as if they have been captured by someone else, yet I can still feel the pull of the darkness that possessed me at the time, splitting my personality in two and allowing the repressed self to break through to attempt putting us both out of our collective misery.

It wasn’t my first attempt – and certainly not the last – but it was the first time I stopped what I was doing to call for help. Interestingly enough, it was the complete lack of empathy and careless comment from the person manning the suicide hotline that had me put the shard of glass away and clean myself up, rather than plunging it deeper into my arm. They managed to piss me off, and that made me realise I had to stay to fight another day, that perhaps I had a purpose after all. Tomorrow is World Suicide Prevention Day (WSPD), so I thought I could give you my two cents on that.

The following should be regarded only as opinion based on personal experience. Nothing more, nothing less.

Apparently, the International Association for Suicide Prevention wants to “change the narrative”. What they mean by that is a little unclear, as their website doesn’t provide much information about anything other than who they are, so I am going to leave them out of this for now – the above link links to the World Health Organization, who partnered with the IASP in establishing the WSPD back in the early noughties, and their definition of changing the narrative.

I still find everything to be a little too vague. Don’t get me wrong, I think it’s great that they are vocal about the need for systemic change and that mental health must be prioritised – the WHY of it all is covered – but there’s nothing on there that indicates HOW. So, how are we going to help governments and their leaders find ways to change an all too categorical system? I am but a humble peasant and can only offer my opinion, but let’s start at removing the stigma, shall we? Perhaps by tackling how we talk about mental illness.

There is a lot of stigma around suicide, not to mention the fact that attempted suicide is still a punishable offence in many countries. I’m not going to go into aiding and abetting, because I don’t believe anyone who would contemplate suicide because they truly see themselves as a burden would involve others in something that would potentially harm them. Only a sociopath would do that. And, who in their right mind would want to alert someone to the fact that they’re thinking about doing something illegal? The legal definition can be interpreted in a few different ways, so who’s to decide whether the extent of the harm you inflicted on yourself should be classified as too severe or not? (If you survive an attempt but you’ve suffered near-fatal injuries, you might still be held accountable.) And how is punishment going to make them better? Isn’t failure punishment enough?

Personally, I believe suicide prevention starts at the very beginning of a person’s life, through the nurture of loving carers. But we’re not all lucky enough to have that, and sooner or later we are faced with the loss of someone that couldn’t bear to go on, and it is the reaction of our community that shapes our view that first time; the way we refer to something can shape public opinion of the subject.

If an act is classified as a medical term, or it’s described using a negatively laden associative term, it can become alienating or viewed as something that does not concern them and they therefore cannot comprehend. It also makes it difficult to talk about, wouldn’t you say? Oh, and, if you think I’m wrong, do let me know. It’s not going to make me kill myself or commit suicide.

Oh no, you can’t say that!

Well, I just did, and this is largely how we still refer to the act of suicide; killing and committing. More and more nations are trying to refrain from using the term ‘commit’ these days, thankfully, but there’s still a lot of stigma. The act itself is just not something that we would like to see as anything other than dirty – something shameful that should be punished. So, we need to change how we view it. Educate ourselves somehow. And where do we start?

By talking about it! Not necessarily by discussing the act itself, but by talking about how we really feel, what depression can look like from different perspectives, how it is human to feel things that are uncomfortable an that the overwhelm simply does not go away by your ignoring it. When we learn about the human body in school, the mind should be included. If you need to take a ‘mental health day’ from work, you shouldn’t have to explain it, in the same way you’re not required to explain exactly what type of symptoms you’ve got if you have to call in sick with a physical ailment… But it should feel just as natural letting your manager know that you are feeling overwhelmed/depressed/suicidal as it would telling them you’re out with the flu.

We are all responsible for removing the stigma.

What are we so afraid of? It’s not like in Candyman – the suicide fairy isn’t going to come through your bathroom mirror one day and get you if you dare speak its name too many times. (Although the film was based on a true story – but I can assure you it was the opposite of talking about it, or, rather, of being heard, that caused the first cursed death to spawn the legend.)

For the person contemplating ending their life, suicide can feel like auto-euthanasia – as if they are eliminating the pain and suffering of the ones around them by doing it, rather than their own. Like cutting malignant tissue from a diseased cervix, they are removing the bad bits before it spreads. In short, you feel as if you’re not doing it for yourself – you are doing it for the greater good, like a psychologically driven vigilante. It’s rarely just about not hacking it anymore, but beyond that – you’ve somehow become convinced that everyone else’s wellbeing is worth more than your own. It becomes difficult to acknowledge any detrimental effects your suicide could have, because you can’t see your own death as a loss to anyone but yourself.

Perhaps, if we had been able to talk openly about such a thing, we wouldn’t have to get to the point where it’s just us and the abyss, and the only way out is death or external interruptions. Perhaps, if we had been more vocal about what it feels like to have lost hope, the “warning signs of suicide” posted on NIMH’s website wouldn’t have been so one size fits all, and someone would have reached out when they noticed the change in you.

Firstly, all of these signs imply that the person feels as if they have someone to turn to – if that were the case, you might not be at the end of your rope. Pardon the pun. Secondly, they cite ‘withdrawal’ as a sign, yet they fail to list the opposite. I can only speak for myself, of course, but I would do the opposite – probably in an attempt to scare people off – go into full-on exhibitionism (which might, to be fair, be classified as risk-taking behaviour). Social media followers saw it as confidence, that the over-sharing meant I was thriving, whilst the fact remained, that I loathed my existence. I would have never dreamt of talking about “wanting to die” or “being a burden” – to me, that would have made me more of a burden. I can remember thinking I didn’t want to be remembered as one of those people.

But then, for some reason, I found a reason. Or, it found me (I certainly wasn’t looking for it at the time). A reason to go on. It didn’t make life any less hard, but it gave me something to fight for. With time, it’s made me realise that I am worth fighting for.

What my reason was may be irrelevant, but the reason to change the narrative on suicide is not, because the stigma around suicide is the one thing that still makes me feel shame and guilt, even though I’ve not really done anything to deserve that. So, the darkness will reappear from time to time. I don’t think it’s healthy for me to ignore it, but it’s also not healthy to let myself get swallowed up in it, so I fight it by asking the questions it doesn’t want me to ask, by not backing down when I feel I am treated poorly, by letting people close to me know that they matter to me and why and, lastly, by acknowledging my own emotions and talking to the people I thought I was protecting (or not trusting) previously. Turns out it helps. Me and them. And, luckily, I’ve got professionals I can talk to about the really messy, shitty stuff.

World Suicide Prevention Day tomorrow, folks. I bet you’re sick of reading about talking about talking about it. I sure am sick of writing about it, knowing that I can’t change much from where I stand just now. But I found something that made me pull my own head out of my arse last night, and thought you might enjoy it as well.

I don’t know whether the people involved with the podcast episode I am about to recommend would be particularly happy to be associated with this post, but I believe in the power of really great, genuine, stories, and this is something they both continue to provide me with. I am in awe of both of these women and hope that they won’t mind me sharing. There is something incredibly soothing about something that happens during this episode, that really helped me from spiralling – maybe it’s just what you need too. In addition to that, you’ll find the rest of the episode offers some brilliant anecdotes. Listening to it made me feel something about myself that wasn’t entirely negative, shall we say. Anyway. The incomparable Miriam Margolyes guested Bryony Gordon’s The Life of Bryony podcast yesterday, and I suggest you listen to the episode. Link below.

See you next Tuesday. I am off to see where I can find Miriam’s new book, The Little Book of Miriam, when it drops on the 11th of this month.

Statistics, diagnostics and the media – why certain news should only be distributed by experts

This is a double-edged sword. On one hand, we have the right to information that concerns us, yet on the other, the information gathered from these reports is often misinterpreted by uninformed journalists and thus miscommunicated through news outlets that fit their headers to accommodate the most clicks, instead of conveying what the researchers have found. (By uninformed, I mean that most desk journalists lacks the specific expertise to be able to understand properly the context and how scientific research is conducted, not that they are unintelligent.)

Uncritical A/B testing practices symbolises the death of integrity in modern media.

In short, psychological research should be published via professional channels and localised to the target audience, to prevent misunderstandings that can lead to the spreading of false information, or worse; greater socioeconomic inequality.

Because the fact remains, that mental health articles published by your bog standard online news outlet often refers to sufferers from mental (and physical) illness as a ‘them’; a third-person object.

I recently read somewhere, that ‘poor people have mental health issues and mental health issues lead to poverty’. That was the gist of it anyway. With that whole ‘third person’ mentality, one could assume that the tabloid readers and the more affluent members of society will take this to mean that the mentally ill are a burden on society. Maybe even the reason why the economy is in the shitter, so to speak. I am inclined to believe that news sites relying solely on A/B testing to increase their readership make matters far worse in those few instances they’ve got some actual news to report.

It’s the same with any articles on certain diagnoses; they are presented as a peculiar subject, something weird or bizarre, rather than something that affects a lot of people, both directly and indirectly. Of course, so-called reality shows such as The Undateables aren’t helping. And, no, I will not link to such horrific social pornography (for lack of a better term).

The solution to changing how mental illness is viewed is simple; psychoeducation. If the general public was to be presented with proper explanations and definitions by mental health experts, they, WE, would understand that everything is not as black and white as the media presents to us in its current uncaring and often ignorant state.

There are plenty of official networks and non-profit mental health organisations that publish research findings and psychology related news through easily digestible articles, but they are drowned out by the noise. Some of these, however, I will link to at the bottom of this post.

So, why should we care about psychoeducation, especially if we are not experiencing illness ourselves? I’m glad you asked. The World Health Organisation published numbers from 2019, indicating that as many as “1 in every 8 people worldwide are living with a mental disorder“. It would be fair to assume that more than one of ‘1 out of 8’ of us have carers, family or friends, or even colleagues, that are indirectly affected by our illness in some way. Not to mention that a lot of disorders can be hereditary. If we understood everything a little bit better, it might be easier to cope with certain things. Mass media are not the right communicators for this particular job.

Psychoeducation is important in a patient’s journey to recovery from or management of any mental illness, regardless of age. One can argue that it is essential – in order to understand yourself and your condition, you must first understand how it affects you. Science Direct has a more in-depth article on psychoeducation available on their site, if you want to learn more about what this entails.

Furthermore, psychoeducation can provide you with tools for when the mental health services close down after office hours or on bank holidays, which, for some, can be the most challenging parts of the year. As a bonus, proper psychoeducation can help everyone around you to understand things a little bit better as well. Wouldn’t it be nice if the nuanced field of psychology could be presented by someone with a passion for it, rather than someone that’s been told to ‘make the headline clickable’?

That’s probably more than enough for today – and I have some psychoeducation of my own to get back to. Thanks for reading!

See you next Tuesday.

Here’s a list of excellent outlets for those of us who want to learn more about ourselves and our loved ones:

Mental Health Mates UK

The ADHD Foundation

OCD UK

Depression UK

Anxiety UK

I would also like to recommend the following two podcasts, one of which tackles how mental health issues affect our daily lives in delightful, laidback, and sometimes emotional, human conversation, and the other an ADHD specific podcast, which offers interviews with leading experts on the field, as well as well-known guests.

The Life of Bryony

ADHD Chatter

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