(This is the third post in this series; my first post discusses the most popular current theory of suicide as well as some statistics on it, while my second post talks about what suicide prevention means in practice.)
In the previous posts about World Suicide Prevention Day, I looked at what research currently says about suicide, and at what ways organisations and societies try to prevent suicide. In this post, I’m going to look more closely at what these methods assume about suicide prevention, and if those assumptions make sense.
1) There is a good reason to exclude workplaces and jobs from this conversation.
When first searching generally online, links to suicide “post-vention” appear more readily than for prevention. However, there are some useful resources online, mostly created by Australian mental health organisations.
(This is the second post in this series; my first post discusses the most popular current theory of suicide as well as some statistics on it.)
In the lead-up to this years WSPD I’ve seen many videos aimed at individuals who currently feel suicidal, encouraging them not to act on that feeling. But that can’t be the full story for such a large goal as preventing suicide. So, my question for today is- what does “suicide prevention” actually mean? What areas does it cover, and how does it work?
According to Wikipedia, suicide prevention is “the collective efforts of citizen organisations, health professionals and related professionals to reduce the incidence of suicide”. This is centred on direct intervention accompanied by four supporting parts: treating depression, improving people’s coping strategies, reducing risk factors for suicide, and giving people hope.
(This is the first post in this series; later posts will discuss suicide prevention strategies and the evidence supporting them.)
September 10th is World Suicide Prevention Day, a day of awareness held by the International Association of Suicide Prevention (IASP) alongside the World Federation for Mental Health and the World Health Organisation.
After reading about the day and the organisations involved, I was curious about how suicide is understood from a research perspective, and what explanations or theories about suicide are used to talk about suicide prevention. This post covers a widely-used theoretical approach – the Interpersonal-Psychological theory of suicide. The interpersonal-psychological theory (IPT for short) was first created by Joiner (2005), and is the theory used to guide the IASP.
Theresa May’s mental health reform speech on Monday was the first time I’ve heard her say more than a soundbite, and also the first time I’ve heard her talk about anything other than Brexit, so I wasn’t sure what to expect.
At the opening of her speech, I wanted to support her. I wanted to believe she would say something genuinely meaningful and compassionate. I also hoped (perhaps naively) that she would make reference to the effect of austerity upon mental health. May is in a good place to acknowledge the negative impact of previous political choices, after all. While she is maintaining many of those choices, she didn’t instigate them. She has mostly inherited the bad decisions made by others, most obviously David Cameron, becoming essentially the country’s largest-scale supply teacher.
Initially, her opening discussion of the overt and covert injustices present today were impactful, leaving her actual reform strategies as arguably the weakest element of her speech. Similarly, while her view on reducing stigma (below) says all the “right” things, it does so without providing anything tangible or practical, or any awareness of where the Government themselves have been guilty of removing that attention and treatment.
If you have a smartphone, then right now you could be taking part in the world’s largest mental health study. Sounds interesting? Then head over to http://howistheworldfeeling.spurprojects.org/ to join in.
If you need a bit more convincing, then read on.
The survey is called How Is The World Feeling?, and it’s aiming to get a snapshot of how everyday people around the world are feeling during this week (October 10th- October 16th). The target is to have 7 million people taking part, and 70 million emotions logged.
Everyone has a level of physical health which changes over time and as a result of circumstances.
A minority of people are at their peak of physical health, the healthiest they could possibly be.
The majority of people are generally healthy: they don’t have to worry about their physical health as everything is working well enough to live their life.
Minor physical health issues such as colds or aches and pains, are common. They temporarily make life doable but more difficult. People with longer-term minor issues learn to adapt and accommodate around what is tougher for them- perhaps they can usually function at 95% of the generally healthy level .
Major physical health issues can make normal life very difficult, requiring someone to change how they live for a bit and often need a recovery time/ gradual return afterwards.
Then a small percentage of people have chronic, severe physical health issues that mean they either cannot function in a typical life at all, or they need to adapt almost everything about their life to live and function.
Why did I just write that? Everything I’ve just said is common sense. It doesn’t need saying.
But try it again, swapping physical for mental…
In 1994, Dr Phillip Long founded www.mentalhealth.com aiming to create a cross-cultural encyclopaedia of mental health conditions. The site is looking a little archaic now, using older DSM categories not commonly used now, and containing diagnostic ideas that didn’t really catch on, such as analysing all mental health symptoms through Greek personality dimensions.
While the site may not be entirely relevant these days, it’s a fascinating and detailed read. Moreover, it’s attached forum
has been consistently running since 2005. In internet terms, this is an incredibly long time. Imagining friendships possibly extending for 10 years, its easy to see the best part of forums; their ability to connect people with others across time and space, providing friendships built on common experience and support.