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Empirical data confirms it: “Trump Anxiety Disorder” is real

Let me add a disclaimer here: This one is going to be difficult, because I’d like to approach the subject below as a legitimate mental health issue, not a political one.

I’ve written about this before, but a new Politico article, along with some of the data in it, has pushed this topic back to the surface.

From the article:

 The American Psychiatric Association in a May survey found that 39 percent of people said their anxiety level had risen over the previous year—and 56 percent were either “extremely anxious” or “somewhat anxious about “the impact of politics on daily life.” A 2017 study found two-thirds of Americans’ see the nation’s future as a “very or somewhat significant source of stress.”

All of this has led to the creation of – and I can’t believe I’m typing these words – “Trump Anxiety Disorder.” According to Dr. Jennifer Panning, that disorder is defined by, “increased worry, obsessive thought patterns, muscle tension and obsessive preoccupation with the news.”

Additional research has shown that the election resulted in people having a more difficult time having “open and honest” conversations and damaged relationships.

On a personal level, this jives with not only my experience, but conversations I’ve had with others. Years ago, I remember speaking with my therapist about how I was very stressed by the state of world affairs, and I commented that I knew how ridiculous that sounded. He looked at me as if I had three heads. “That’s not ridiculous at all. Almost all of my patients have said that.”

I was so, so relieved. And as I have relayed this story to others, they are relieved as well – it’s not just them! At all!

So, what is there to do about this? Yeah, on that one, I have very little. Unplugging and setting boundaries is important, but the best way I have been able to keep my focus in the age of Trump is this: Concentrate on where you can make a difference. Focusing on the non-stop news cycle (CNN/MSNBC/FoxNews are the worst things on the planet) will drive you nuts, no matter who you are. Concentrate on the areas where you can make a positive difference, and go from there.

That’s the best advice I can give. If you have anything better, please leave it in the comments below!

Do mental health apps work?

One of the things I have seen a lot of lately is apps that claim to be able to help you improve your mental health and get treatment. There are a bunch out there – this includes apps like What’s Up, Mood Kit and MY3, among many, many others.

Here’s the important question: Do they work?

I bring this up because there’s been a bit of controversy with one app, BetterHelp. The App says that it will hook users up with licensed therapists. The controversy, however, emerged with many YouTubers who had engaged in sponsored ads with BetterHelp.

As long as the sponsorship is transparent, I don’t personally see an issue, but problems emerged with BetterHelp itself. First, it’s terms of services explicitly couldn’t guarantee placement with a qualified, licensed professional:

We do not control the quality of the Counselor Services and we do not determine whether any Counselor is qualified to provide any specific service as well as whether a Counselor is categorized correctly or matched correctly to you. The Counselor Services are not a complete substitute for a face-to-face examination and/or session by a licensed qualified professional.

Umm…..that’s a major, major problem. That’s beyond not acceptable. Any app that claims it will provide mental health professionals to users has a moral obligation (and I hope a legal one!) to ensure that the counselors themselves actually are licensed professionals, or at least disclose in a VERY publicly way when they are not.

This entire incident got me wondering about these apps. How good are they? Do they work? Are they substitutes for seeing a counselor in a face to face setting?

First, the obvious: Answers to the questions I posed above will vary widely. It all depends, of course, on the quality of service offered.

The most comprehensive answer I could find was in this paper, published in March 2018. The answer varies, of course, but in sections, it seems to be yes:

  • Depression: ” A meta-analysis of 18 randomized controlled trials (RCTs) covering 22 mobile apps revealed that using apps to alleviate symptoms and self-manage depression significantly reduced patients’ depressive symptoms compared to control conditions (g=0.38, P<0.001).” However, the apps work best when depression is mild to moderate, not severe.
  • Anxiety: “A meta-analysis of nine RCTs that evaluated the effects of smartphone-delivered interventions on symptoms of subclinical and diagnosed anxiety disorders revealed that users experienced reductions in total anxiety after using anxiety treatment apps (g=0.33, P<0.001). Additionally, anxiety-focused mobile apps delivered the greatest reductions in anxiety symptoms when paired with face-to-face or internet-based therapies. In fact, replacing outpatient patient-therapist sessions with a mobile app resulted in no significant loss of treatment efficacy.”
  • Schizophrenia: “Self-reported patient experience survey results revealed high adherence, positive user experience, and broad-ranging clinical benefits.”

Wow. So, yes, theoretically, these can work!

I have two additional thoughts. First, hey, if it works, it works. The mental health practitioner shortage is, in my opinion, the greatest crisis affecting mental health, and if apps can help close that gap at an affordable rate, it’s worth using.

Second. however, is this: It has to be a real app, with high quality and scientifically based therapies and design. In the digital day and age, it can be all too easy to design a subpar treatment program that can scam users out of money and provide no clinical benefit. I hope, in the long run, that the federal government will step in and better regulate these apps in order to protect users from negative experiences that can damage their mental health and sap their limited resources.

Do you have any experiences with mental health apps that you want to share? Please let us know in the comments below!

A mental health hero: Jason Kander

Last week, a brave politician made national news by dropping out of a high profile Mayoral race. That man is Jason Kander, and he’s someone worthy of our attention and praise.

Kander is the former Missouri Secretary of State. In 2016, he ran for the U.S. Senate as a Democrat, and in a tough year for Democrats, he came within three points of defeating incumbent Senator Roy Blunt. Kander ran an amazing campaign and aired one of the best ads of 2016, in which he talked about his army background and support for universal background checks while assembling a gun…blindfolded.

Kander’s military story is equally impressive: He volunteered for the Missouri and volunteered for a tour in Afghanistan in 2005, serving as an intellegence officer.

Kander’s political star was on the rise, and until last week, Kander was a candidate for Mayor in Kansas City. That changed with this heartbreaking note, in which Kander discussed his battle with depression, PTSD and suicidal ideation:

About four months ago, I contacted the VA to get help. It had been about 11 years since I left Afghanistan as an Army Intelligence Officer, and my tour over there still impacted me every day. So many men and women who served our country did so much more than me and were in so much more danger than I was on my four-month tour. I can’t have PTSD, I told myself, because I didn’t earn it.

But, on some level, I knew something was deeply wrong, and that it hadn’t felt that way before my deployment. After 11 years of this, I finally took a step toward dealing with it, but I didn’t step far enough.

I went online and filled out the VA forms, but I left boxes unchecked — too scared to acknowledge my true symptoms. I knew I needed help and yet I still stopped short. I was afraid of the stigma. I was thinking about what it could mean for my political future if someone found out.

Kander dropped out of the race and has since been silent on social media. I assume – and sincerely hope – he is getting the care he needs and deserves.

Broadly speaking, the stats on veterans, mental health and suicide are horrifying:

  • According to a 2014 report by the Department of Defense, there were 1,080 suicide attempts (245 suicides) among active-duty service members for all armed services in calendar year 2013.

  • A recent study of 52,780 active-duty members of the U.S. Air Force found that 3 percent of male participants and 5.2 percent of female participants reported suicidal ideation in the previous year. Of the participants that reported suicidal ideation, 8.7 percent also reported a recent suicide attempt.

  • Veterans who screened positive for PTSD were 4 times more likely to report suicidal ideation than veterans who did not, and the likelihood of suicidalideation was 5.7 times greater in veterans who screened positive for PTSD and two or more comorbid disorders.

Those who take care of us – our first responders and military veterans – deserve better. And I sincerely hope that Kander’s story helps to push this issue.

It takes people like Kander – national political rock stars – discuss their pain, to destigmatize an issue, and to help more people get help. I can only imagine how many veterans are looking at Kander and thinking, “Me, too,” and then hopefully getting the help they need. Kander’s words will have a larger impact than I think most of us could ever hope to have.

Most importantly, best wishes to Kander. I cannot imagine what demons he faces – what pain he took on – in the name of protecting America. He, and countless other veterans and first responders – deserve our love, and our resources, to heal. I am so grateful to all of them for their bravery.

Ties that bind: Liberals, conservatives and mental health

It’s not much of an exaggeration to say that there are some…umm, slight…differences between liberals and conservatives in America today. I continue to believe – perhaps naively – that the things which unite us are bigger than the things that divide us.

One of those things, without a doubt, is mental health.

First, speaking in generalities: Liberals tend to want government to do more, conservatives tend to want governments to do less. This is a very broad statement and there is a lot of room for nuance within it, but I think that’s pretty accurate. Looking at that from a mental health perspective, that tends to translate into liberals wanting government to do more (even if it means raising tax rates), conservatives want them to do less.

I have a theory: That’s not completely accurate, because conservative areas need as much help as liberal areas when it comes to this.

Let me approach this from a different perspective: Urban vs. rural. Again, broadly speaking, but urban areas tend to be more liberal, rural ones more conservative. But – and this is important – rural areas really, really struggle when it comes to mental health. Suicide rates are higher in rural areas than urban areas. This is for any reasons, including an increased prevalence of firearms and a lack of access to health care practitioners.

At the same time, urban areas – which have high levels of poverty and minorities – also really struggle in these areas. Urban areas with high levels of poverty have significantly higher rates of mental illness. Unfortunately, poverty makes mental illness worse, and the mentally ill are more likely to be pushed into poverty and lose access to health insurance and care – thus creating a viscous cycle.

Here’s my theory: These can be united. While I represent an urban area, I don’t want anyone to suffer or struggle, no matter what they look like or where they live, and I am sure that the vast majority of conservatives feel the same. We all care about the people we represent, and I’m hoping that, over the next couple of years, I can find more people to work with in order to bridge the gap between liberals and conservatives/urban and rural areas. I’m hoping that we can use mental health to do that, and in so doing, help all of the people we represent.

 

 

 

Six Questions with Leslie Stella, author of Permanent Record

I gotta say – one of the most fun things about this blog, at least to me, is learning how other authors approach depression, and the unique spins that they give on the issue. Last week’s interview, for example, dealt with cyber-bullying and self-harm. This one’s is with Leslie Stella, author of Permanent Record, who deals with racism, terrorism and a post 9/11 world.

From the description:

Being yourself can be such a bad idea. For sixteen-year-old Badi Hessamizadeh, life is a series of humiliations. After withdrawing from public school under mysterious circumstances, Badi enters Magnificat Academy. To make things “easier,” his dad has even given him a new name: Bud Hess. Grappling with his Iranian-American identity, clinical depression, bullying, and a barely bottled rage, Bud is an outcast who copes by resorting to small revenges and covert acts of defiance, but the pressures of his home life, plummeting grades, and the unrequited affection of his new friend, Nikki, prime him for a more dangerous revolution. Strange letters to the editor begin to appear in Magnificat’s newspaper, hinting that some tragedy will befall the school. Suspicion falls on Bud, and he and Nikki struggle to uncover the real culprit and clear Bud’s name. Permanent Record explodes with dark humor, emotional depth, and a powerful look at the ways the bullied fight back.


Your book not only deals with depression, but it also deals with some very heavy societal issues—racial identity and terrorism. What inspired you to address this subject?

I wanted to explore several themes: 1) bullying, and the fine line between standing up for yourself and taking revenge, 2) the relationship between mental health, outsider status, and bullying, and 3) how a teen targeted for his racial identity might retaliate. Funneling these three concerns into the experience of one protagonist made for a gripping story, one in which readers must wrestle with themselves about whether the protagonist is justified in his actions.

As noted in your book’s description, your main character, an Iranian American, is pressured by his family to hide his identity. This is a common issue faced by many teens. How do you think this impacts someone’s mental health?

Ignoring the interplay between mental health and outsider status is a sure way to court disaster, either for the outsider himself or society. Sublimating one’s identity (whether it’s racial, gender-based, or any other facet that contributes to the makeup of a person) always backfires; you cannot grow as a human being if you deny those very facets that make you whole.

How can authors approach subjects like this with authenticity, even if it isn’t their lived experience?

Speaking for myself, if I wrote about only my own experiences, I would subject my readership to a never-ending glut of books about office work. The purpose of literature is to transport the reader—and that usually means transporting the author as well. It’s called imagination and research. Use them! They are your friends.

In Permanent Record, the protagonist’s Persian background was based on a family that my family was close to when I was in high school. My sister dated one of the brothers, and I worked for the parents for several years at a store they owned. I learned so much about Persian culture from them, including the dynamics within the family and what is expected of the children—especially the difference between expectations of the daughters versus the sons.

The book was written in 2013, but, unfortunately, many of its themes seem more relevant than ever. If you had to write the book again now, with Donald Trump as president, what would be the same, and what would be different?

Like so many things, terrorism begins at home. The ritual of school violence in our country is a brand of home-grown terrorism that our society has decided it will tolerate. If I had written Permanent Record today, with Donald Trump as president, I would likely have the covert displays of racism present as overt. People aren’t any different today than they were previously; it’s that they feel free to parade their prejudices and hatred more openly.

In looking at this book, it seems to me that it can apply to two groups: Members of the “majority” community who are looking to get a better understanding of what life is like to those who are minorities, or members of the minority community, like Badi, who are looking for a character to identify with. Did you have one of these audiences in mind more than the other?

 Why must these two great tastes be mutually exclusive? In the Reese’s Peanut Butter Cup of fiction, the writer’s job is to hold a mirror up to the world so that we can see not only ourselves but everyone else as well.

In a social media friendly world, what’s the role of books—like yours—in terms of addressing mental health and the stigma which surrounds it?

People usually feel alone when they struggle with their mental health, and social media exacerbates this: “Gee, everyone else on Facebook seems so happy; their children pose readily with handmade signs, while I’m taking pictures of squirrels ransacking my birdfeeder.” At the same time, I’m not a fan of people using social media as a substitute for therapy. A book, however, can delve deep into these problems in a way that is personal and intimate and three-dimensional, which is something a tweet or post can never do. I don’t think I’m alone in saying I relate better to complex fictional characters better than I do with most real-live people with whom I have human contact. So in that sense, I hope Badi’s struggles with depression inform readers about the complexities of mental health and the many options for treatment out there.

 

 

 

A strange gender gap: Men, women and writing about depression

As part of my marketing efforts for Redemption, I’ve been reaching out to other author’s in similar book categories, which means other Young Adult books which deal with mental health, depression and anxiety. These efforts are how you’ve seen some of the other Six Question entries.

The other day, I noticed something strange:

Let me give some backup here to that tweet: I just went back through my notes on other authors. I identified 115 authors who also had books in this category. Of those 115, only 18 were men; 89 were female, and another 8 either had names that could have been either gender or used initials (which often than not, means they are a woman – see J.K. Rowling, who went with her initials because her publishers were trying to disguise the fact that she’s a woman).

Anyway, that difference is massive: 115 authors, and a mere 16% are men!

What the hell is going on here?

This is just a hunch, but I think what I’ve found is a microcosm of society as a whole: Women are much more willing to discuss mental illness and emotions than men. According to research, both men and women are more likely to be viewed more negatively when they suffer from “gender atypical” mental health disorders. Additionally, according to a 2015 study, men are more likely to have negative attitudes towards health seeking, which results in a less significant uptake in using mental health services.

This blows me away. I mean, it shouldn’t – none of this is surprising, and intuitively, I think most of us recognize that women are more comfortable seeking help and discussing emotional topics than men.

There are so, so many issues facing women today. I’m so glad that, as a member of the human race, we are doing a better job at discussing vitally important issues like women’s equality and safety. But I think one of the things we don’t do a good enough job of – and my above observation would seem to back up this assertion – is discussing how these gender stereotypes also hurt men.

Please, please do not misunderstand me here – I am not saying, “Boohoo, but what about the white man, life is so hard for us, we are so discriminated against!” That simply isn’t true, and it is abundantly clear that other minorities and women have much, much tougher obstacles to overcomes than any white man does. It is also apparent that we, as a society, must do a better job at creating a more level playing field and changing our culture as it pertains to women and minorities.

But, I think it’s important to note that men can also be the victims of gender stereotyping and expectations – and clearly, this is one such example. What I would hope this observation would make us realize is that we must do a better job of working towards true equality in society – and men have many, many ways to benefit from achieving that ideal as well.

TMS Update: Is this what feeling better feels like?

So, it’s been about six weeks since I started Transcranial Magnetic Stimulation. As I type this, I’ve had about 26 sessions, with another ten or so to go.

How am I feeling? Is it working? Better. And yes. It is working. And I feel reasonably convinced at this point that it’s not just the placebo effect.

Let me discuss the second part of that question first, because I think it’s almost the most important. Why do I think it’s not a placebo effect? Because life is NOT perfect. I think – I don’t know, but I think – that if this was a mere placebo effect, I’d be sitting here, flying through the sky. Life would feel perfect. There would be birds and sunshine and candy everywhere and all that crap. Then, eventually, the effect would wear away, and I’d crash hard.

Simply put, that isn’t true. Everything doesn’t feel perfect. I’ve still gotten depressed about things, upset. Most of the time, it’s been normal life events. On a couple of days I’ve still woken up really down, but that feeling fades easier than it did before treatment. Simply put, things aren’t magical.

So then, let me tackle the question in the title: Is this what feeling better feels like? Maybe? I can’t answer that question definitively yet, because I don’t know . Look, I’ve been on anti-depressants and in treatment, as needed, since I was 18. I’m 35. Half my life. So I’m not quite sure what “normal” is.

Here’s what I do know. Since I started TMS and began to feel it’s positive impacts:

  • I’ve been enjoying things more. A lot more. A couple of examples:
    • As I’ve long since established I am a big computer game nerd. I play these games more, and I just like them more. I’ve had more fun playing them.
    • I was with my wife and my kids at a local food fair. I’m sitting there, eating this big ole Taco Salad. My son is leaning on me, eating Mac & Cheese. He’s snuggling in. I’ve got my little boy, good food, happy environment, great music. I felt good. I felt lucky. My phone was firmly in my pocket. I felt like I was in the moment. That didn’t happen before.
  • I wake up in the morning without this impending sense of dread. Without feeling like there’s a ceiling over my head, pressing down. It just feels like the world has less pressure. I still feel stressed, still feel overwhelmed. But the world doesn’t feel like it is filled with nearly as much darkness.
  • I’ve been less snappy. Less grouchy.
  • I’ve had an easier time concentrating and getting things done. My motivation is higher.
  • You know that myth about the depressed writer? Bull. Depression does help give you insight and experience for writing, but if it’s too severe, you ain’t writing. And I’ve had a much, much easier time writing lately.

Arguably the most important observation since this started has been from my wife. She was skeptical when TMS first started. She told me last week that she didn’t think it would work, and part of her almost wishes she didn’t know I was doing it so she wouldn’t risk being fooled by a placebo effect as well.

Why? Because she noticed the difference too. She told me the other day, unprompted, that she sees it’s working. She sees that I am happier. And my wife is smarter than me! So if she is noticing this, it makes me more convinced that this thing really is working.

Are things perfect? Hell no. They never will be.

But they are unquestionably better.

DISCLAIMER: First, again, I’m not a doctor or medical professional – I’m a damn politician and writer. I’m certainly doing my best to write an accurate description, but if you have any questions or concerns, please contact a medical professional. Second, this probably goes without saying, but I’m going through this treatment like any other normal person and paying with my insurance. I am not receiving any compensation or consideration whatsoever for sharing my experiences. However – and again, this is just me writing – I’ve had my TMS from the TMS Center of the Lehigh Valley. I am grateful for their skills, professionalism and willingness to work with my rather insane schedule. I highly, highly recommend them if you are local to the area.

Six Questions: Interview with Angel Lawson, author of A Piece of Heaven

Morning, everyone! It’s been a while, so here’s an interview with Angel Lawson. Angel is the author of A Piece of Heaven, a YA book which deals with a few issues I haven’t delved into a ton: Online bullying and self-harm.

First, here’s the book description:

No good deed goes unpunished.

I learned that lesson the hard way when I agreed to helping my friend Justin with a favor.

My platonic friend Justin.

A favor that helped him with his reputation but turned mine into the trending topic at my school. In a matter of days I go from quiet, nobody to school slut.

The problem with that? I’m still a virgin.

The whispers, the stares and the constant gossip could bring me down but I’m tired of hiding in the dark, covering up my anxiety and being alone. I decide to take on the bullies and find a few surprising allies along the way; the Allendale Four.

Oliver, Anderson, Jackson and Hayden make up this tight-knit circle of friends and they make it their mission to protect my reputation, my heart and my soul.

For the first time I’m not alone and I’m not afraid, but will the closed-minded town of Allendale accept our relationship?

Please note a Piece of Heaven is a contemporary young adult, Why Choose novel that deals first love, the hardships of high school; including the topics of bullying, social issues and self-harm.

This isn’t the type of book which you would normally associate with mental health – it deals with romance and part of the genre is apparently reverse harem (I have never heard of that one!). But, I’d also argue that it is non-traditional books which can best make the most impact in terms of mental health.

Anyways, here’s Six Questions with Angel Lawson.

It’s rare to find someone who hasn’t had some sort of personal experience with bullying. Was this you, and how did those experiences inform your writing?

As a kid I was honestly more part of the “mean girl” group than outside of it, but that didn’t mean we were in the clear. Basically, we were mean because you had to keep the attention off of yourself, because anyone could be a target. Once I moved on to high school I was able to make new friends and leave that group behind. The interesting result as an adult (with two teenage daughters) is that I can smell a bully a mile a way. They don’t always see it, but I do. The manipulation and jockeying for power (which is all bully is.) My oldest came home from school last week having not done well on a test. Her “friend” who is very smart and does very well academically, pulled out her phone and took a picture of her grade. Just because. It’s a power move–something to make my daughter feel unsettled and to doubt herself, all to hide the other persons’s own self-doubts.

Your book also addresses a topic that is much more taboo than it should be: Self-harm. How did you approach this topic, and how were you able to do so in a “safe” way that avoided triggering those who may be tempted to self-harm?

We went through a family crisis last year with my youngest. The combination of some issues at school, her general anxiety and bad side effects of medication triggered an awful reaction. We spent months on high alert and getting back in step. Before that I wrote more action-oriented, paranormal or fantasy themed novels. That personal event pushed me into exploring this topic more. It was helpful for me to have somewhere to just lay it all out there, while still telling a fictional story. I tried very hard to be authentic and not sensational.

Mental heath seems to be a theme of yours – in this book and others. How are you able to write about this subject with authenticity?

I have a degree in social work and experience with Juvenile Delinquents (who all have some kind of mental health component) Then first hand experience with therapists, group treatment etc…

What sort of research do you do?

Not much other than what I have been involved in personally.

Your book deals specifically with cyber bullying. Can you talk a little about the impacts which you have seen cyberbullying have on mental health?

I have two teenaged girls. They were not allowed on social media until the 8th grade. I felt like the majority of bad decisions come from being too young to understand long term consequences. So while my older daughter’s friends were all being called into the office for bullying accusations she wasn’t involved. My younger is still not allowed to have Snapchat although i did encourage Instagram to keep in touch with family and friends because she changed schools. The fake accounts are rampant for middle schoolers in particular. The photos and questions and videos basically begging (or literally begging) for attention are out of control. These kids post too much and then don’t get the feedback they want and it’s painful. Frankly, they’re almost ASKING to be bullied which is even worse. They can’t see how it affects their self-esteem and their future and how people view them. It’s complicated. Tricky. The best bet is to stay clear–ALTHOUGH removing yourself entirely can be social suicide as well.

From a mental health perspective, what do you hope your readers get out of the book?

That just because you go through something like this doesn’t mean your life is over. Help is out there and you can have bad moments in a life that don’t have to define you. It’s also a romance and I want people to know that even with flaws you can find love. I really hate the movie 13 Reason’s Why. It offers no hope. It’s sensationalized. The adults are idiots. The kids are relentless. The best moment was when I bumped that book out of the #1 spot for over a month.

When discussing suicide: Sharing stories of hope and recovery

I talked a lot last week about the CDC Technical Packet I read on suicide, and I have one more item in it that I want to discuss.

There’s a section in the packet (“Lessen Harms and Prevent Future Risk”) which applies to anyone who has ever walked down the dark path of suicidal ideation – or even suicide attempts – and come back. Under the approaches subheading, the report says:

Safe reporting and messaging about suicide. The manner in which information on a recent suicide is communicated to the public (e.g., school assemblies, mass media, social media) can heighten the risk of suicide among vulnerable individuals and can inadvertently contribute to suicide contagion. Reports that are inclusive of suicide prevention messages, stories of hope and resilience [italics added by me], risk and protective factors, and links to helping resources (e.g., hotline), and that avoid sensationalizing events or reducing suicide to one cause, can help reduce the likelihood of suicide contagion.

Later, in the evidence section, the report notes:

Finally, research suggests that not only does reporting on suicide in a negative way (e.g., reporting on suicide myths and repetition) have harmful effects on suicide, but reporting on positive coping skills in the face of adversity can also demonstrate protective effects against suicide. Reports of individual suicidal ideation (not accompanied by reports of suicide or suicide attempts) along with reports describing a “mastery” of a crisis situation where adversities were overcome [italics added by me] was associated with significant decreases in suicide rates in the time period immediately following such reports

So, let’s talk about that for a second, because this is important. Many have discussed suicide, and whenever there is a high profile suicide in the media, reports often discuss specific methods and details. That’s bad.  As the report above clearly demonstrates, the way in which suicide is discussed in society can have an extremely positive or negative affect on impact rates.

And here’s the part which specifically touches all of us who have been there: There’s something potentially life saving about sharing your story.

Describe it. Tell people about your darkness. Tell them how suicide was something you considered. Maybe even attempted. Tell them the truth – be open and honest with your experiences. But don’t just emphasize the sadness. Talk about how you found your way back. Talk about how you fought your demons, and thanks to X, Y and Z, are now in recovery. You don’t have to pretend that everything is perfect – in that, that likely won’t ring true. But what I think people can and should say is that they no longer want to end their lives – that they want to live, to fight on, and to lead a good life. This is what I tried to do when I shared my specific story of suicidal ideation in the aftermath of the Anthony Bourdian and Kate Spade suicides.

If you can, I’d encourage you to tell your story, and do so as noted above. I truly believe that doing so can save lives.

How the Center for the Disease Control says we can stop suicide

Yesterday, I wrote a little bit about a really insightful technical package offered by the Centers for Disease Control. It’s a long document, but for those of you who care about how we can stop suicide and are looking for ideas (if you are involved in the government or not!), I think it’s a great read.

I don’t want to get insanely in-depth into what sort of recommendations were contained in the document. But I do think it’s worth reviewing the broad outlines of it, just in case you don’t have time to read a 60 page governmental white paper. Broadly speaking, it broke down it’s recommended solutions into a few categories:

  • Strengthening Economic Supports: This one was the topic of my entry yesterday, and I’d argue the most important for both suicide and protecting vulnerable people in our society. This specifically deals with making sure that people who may be at risk for suicide as a result of economic conditions have access to the services that they need to recover, and includes items like robust unemployment benefits, medical benefits, foreclosure assistance and more.
  • Strengthen Access & Delivery of Suicide Care: Here’s where things start to align with what I think most people would expect. This includes the obvious systemic changes needed to be made to our mental health system, including improvements to the insurance system (parity between physical and mental health), reducing provider shortages (a huge issue of mine which, unfortunately, largely needs to be dealt with at the federal level), and broader changes to the mental health care system in order to better address mental illness and suicide prevention.
  • Create Protective Environments: Here’s where what I’ll call “stop-gap” methods really come into play. This includes means reduction (guns are  huge issue here, but this also includes restricting access to suicide hotspots) and improving organizational/social systems to promote protective environments (particularly in at risk locations) and addressing excess alcohol use (which is connected to suicide).
  • Promoting Connectedness: Thanks to phones and technology, we are more connected than ever before. Except we’re not. And as social connectedness breakdown, suicide rates will continue to increase. This specific approach recommends addressing suicide by establishing peer norm programs and engaging in increased community engagement activities.
  • Teaching Coping & Problem Solving Skills: One of the keys to surviving any bout of mental illness – and I’ve written about it before – is building resilience, or an ability to cope. This includes creating social/emotional learning programs and addressing parenting and family relation skills.
  • Identify and Support People at Risk: This includes training gatekeepers, improving crisis intervention and broad-based treatment for people at risk of suicide.
  • Postvention: The aftermath of a suicide attempt can have a dramatic impact on both the victim and those around them. This section of the report deals with postvention for those who were close with a suicide victim and addresses safe reporting/messaging in the aftermath of a suicide.

This is really comprehensive, and again, worth a read. If you have any thoughts or questions, I’d love to hear them! Leave your questions or comments in the section below.