Suicide Prevention Awareness

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Thursday will be one month since Robin Williams killed himself. Some of his battles over the years happened in the public eye, but the shock and surprise at his suicide shows the true iceberg effect of depression, bi-polar, and other related mental illnesses that it is speculated that he had. No one can know what that last straw was for him.

This is a struggle that countless people combat in their daily lives and for many it is hard to know from day to day what will work and what will not, including things that have worked in the past as a positive coping tool. Another issue that becomes problematic is that far too often we ignore mental illness in favor of physical illness because mental struggles are less obvious and we’re expected to hide them as if it’s a character flaw rather than a genuine illness. It’s no wonder that it is often called the invisible illness. For those of us spending part of our days faking it, it can often take all we have to get through one hour of one day.

One of the ways we can show support for those in the throes of mental health issues is to be vocal in our support; let the people around us know that we are here no matter what. A general statement and/or attitude can take the pressure off of those who can’t get through, who feel alone, who aren’t ready to come out as suicidal or in need of help.

If they know instinctively that we are here for them, they may feel comfortable enough to ask for that help. Or maybe just to talk.

You will never know what you had done that will change someone’s mind about suicide, but I guarantee that they will remember it and they will appreciate it and if you unwittingly give someone an extra day to find their way, this is a good thing.

This week is Suicide Prevention Awareness Week. Awareness for those who are not suicidal to know the signs and the resources available; to know what to say and how to show support to someone who needs it, but may not realize how close they are to the precipice until it’s too late.

Awareness is also for the suicidal, those at the very edge to learn that they are not alone, never alone and where they can go for help when they’re ready; even a simple phone conversation to alleviate the pressure.

I’d like to take a moment to mention LGBT youth. These kids are at higher risk for abuse and suicide as well as homelessness and assault. This is especially true of trans youth. Being young, it is often not realized that their problems seem gigantic in comparison and they do not feel that this will go away or that these feelings are only temporary. We need to be there to encourage them and stand by them in whatever capacity that they want us to.

The Trevor Project specializes in helping LGBT youth and is an amazing resource for others who want to support those kids and teenagers.

They can be reached toll-free at 1-866-488-7386 or online at thetrevorproject.org

The National Suicide Prevention Lifeline is 1-800-273-TALK or suicidepreventionlifeline.org

For people feeling that suicide is their only way out, here are a couple of other resources to assist you:

IMAlive.org – an online crisis network with trained volunteers available to chat 24/7

SAFE (Self-Abuse Finally Ends): 800-DONT-CUT (366-8288) – informational hotline, educational resources, and advice about intervention.

 

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Depression =/= Unhappy

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(Note: I write about depression on a fairly regular basis. I don’t know how long I’ll continue to talk about Robin Williams. I am profoundly saddened by his death, and I may find that I’m repeating myself. I was shocked, and I am still in shock. It is a very sad day for many people, but my thoughts and prayers are with his family. I can remember the shock of my mother’s death, and while it wasn’t a suicide, it was sudden and unexpected. I hope that they can heal and move forward.)

 

I recently posted about the passing of James Garner. He truly was one of my longtime heroes from my childhood. Of course, he was in his 80s and I’d been expecting to hear about his passing, and was pre-sad in the waiting.

My sister does this thing on Facebook. She posts when celebrities die. It’s kind of an informational thing, but she is always the first, and it’s always a huge shock to family and friends when she misses one. Yesterday, I got a text message from her telling me that Robin Williams had died.

I gasped and stared at the phone. I had been midsentence talking to my husband and he asked what and I couldn’t speak. My eyes welled up and I put up my hand to kind of say wait a minute, I can’t say the words. I couldn’t say the words. They got caught in my throat and part of me thought that if I didn’t say it out loud, it wouldn’t be true.

Robin Williams died.

His eyes reflected my own shock. We put the television on and saw the headlines, possibly suicide. This was beyond belief. I knew that Robin had more than his share of problems over the years: drug addiction, his struggle with sobriety, heart surgery, even depression, and he’d come through it all.

His kind of genius was either snuffed out at twenty-something or he was safe from the demons.

Whenever his name was mentioned on television or in the news, it would never cross my mind that he might have died.

Robin Williams was supposed to live forever. Forever.

How is it possible that his energy, his vibrancy, his manic hilarity is silenced? How does the world keep turning when Robin Williams isn’t in it any longer?

In the past eleven hours or so, I’ve read of many fans’ shock and disbelief, some knowing that in the heart of many a comedian lives the darkness of depression, but many others asking how someone so funny could be depressed enough to kill himself. He had a great life: marriage, three great kids, a career, a ridiculously funny sense of humor, a humanitarian, money and he was well loved, not only by his fans, but by his fellow actors and his family. How can someone so happy be so sad on the inside?

I posted a statement in response to this and said, “It is so important to keep repeating: DEPRESSION HAS NOTHING, NOTHING, NOTHING TO DO WITH HAPPINESS.”

I was asked about this earlier this morning, and I do understand that people who are not exposed to depression might not understand the severity and the forms it comes in. I didn’t understand how depression worked just a couple of years ago, and unless people know someone with depression, most people misunderstand how serious it is.

 

I describe it as an iceberg. The part that you can see from the outside is so much smaller than the actual problem. So much of what is there is lurking below the surface, waiting to pull you under when you least expect it.

There are three types of depression (that I’m aware of). The mood descriptor is the most confusing because it uses the word ‘depression’ and we talk about being so depressed, and so when we are talking about the clinical, chemical imbalance, physical manifestations of the mental illness, it is often confounded with the much less serious depression or down mood.

When you are down and your mood is depressed, this is a normal emotion and feeling and we all get that every now and then. Sometimes there are reasons for the down mood, and sometimes it’s a lightweight apathy or boredom in a moment, and it always passes. One of the reasons that the miscues come from is that we should really use a different word when describing the depressed mood rather than depression the mental illness.

This comes and goes and everyone gets in this kind of mood now and again. It comes, it goes away, and that’s all normal.

The second form is situational depression. This might need medication temporarily or it might need close observance. It definitely should be seen by a doctor to make sure that it is situational. This type crops up when something big hits you unexpectantly: someone dies, you can’t afford to fix your car and can’t figure out how to get to work, you get seriously ill, a friendship ends – the kinds of things that pop up and are more than just a minor sadness that will pass. It is serious, but it’s not clinical. There is a reason for it and everyone’s reaction to the same stimulus will be different. This strikes me as an emotional response but more than a simple moodiness.

Clinical depression (and I don’t know that this is what Robin Williams had, but clearly he had something), (and this is what I’ve been diagnosed with) is that feeling of nothing. Mood swings, bursts of inappropriate emotion in both happy and sad directions, lethargic, nothing feels right, everything feels empty. For me, I just stopped. Everything. I couldn’t get out of bed, I couldn’t cook, I didn’t want to do anything, and it was well beyond just being lazy, and ever worse was that I didn’t care that I felt this way. It didn’t matter; nothing mattered and I was okay with that.

My husband would ask if I wanted to use the computer and I’d shrug. I’d sit in the dark, not doing or looking at anything; not sleeping. I thought about the logistics of driving my car over a bridge, and how reasonable it sounded. My best friend would get on the phone with me and ask if I was drunk – I was so out of it – brain fog: I couldn’t remember things; I didn’t know if I’d eaten or when I’d showered last. I forgot appointments and my children’s assignments. It’s serious, and in retrospect, I’ve always had some form of depression with varying degrees of severity. I didn’t realize it until I was suicidal, and it has nothing to do with cheering up or having a good job or being happy.

It’s also scary because you’re alone and at the point you don’t care about being alone, it’s already almost too late.

I also liken my recovery to being an alcoholic. There is always the chance that it will come back or rather it is never gone. I need to be vigilant and aware of how I’m feeling and if I’m in a normal mood or if I’m coming on a more depressive one (like I’ve been feeling recently).

I’m on medication, I’m in therapy, I have coping mechanisms and friends who understand and support me when I’m having a bad time of it, but I can also feel it most of the time and I’m in a constant state of checks and balances to make sure that my meds are working. When it’s really bad, I go back to my lists, listing every infinitesimal detail of my day, including eat breakfast and take a shower.

I hope this isn’t too much of an info dump. These are questions a lot of people have about depression and its misrepresentation in layperson circles, including my family that just don’t get it (and that’s not their fault), so I go to people who do understand; people who can support what I need when I need it.

Writing this makes me feel a bit better. It’s good to be able to change the idea that someone who commits suicide is weak when really it’s that they can’t control the avalanche when it’s coming down on them and burying them alive.