Issues

Today is the 10th anniversary of David Foster Wallace’s suicide. While it’s not fair to build an entire theory on an incredibly complicated issue like suicide around one person, Wallace’s death should challenge the common narratives around suicide — that “mental illness” causes it and that “we can’t ever know why people do it.” Both of these are self-serving platitudes that are simply not true.

Robin Williams had "therapeutic" levels of the tetra-cyclic antidepressant mirtazapine in his blood at the time of his suicide, according to the coroner's report...

The researchers theorized that this increased effectiveness was due not to “antidepressant” properties, but rather to the drug’s side effects, which include insomnia, drowsiness, and nausea.

During the past twenty years, the American Foundation for Suicide Prevention and American psychiatry have adopted a "medicalized" approach to preventing suicide, claiming that antidepressants are protective against suicide. Yet, the suicide rate in the United States has increased 30% since 2000, a time of rising usage of antidepressants. A review of studies of the effects of mental health treatment and antidepressants on suicide reveals why this medicalized approach has not only failed, but pushed suicide rates higher.

The primary factor protecting psychiatry’s unwarranted power and authority is that it is perceived as shielding society from folks who are believed to be dangerous. It would seem, then, that one logical step toward reducing society’s trust in biological psychiatry would be to reveal the evidence of a significant correlation between the use of prescribed psychoactive drugs and the commission of violent acts against oneself or others.

My purpose in writing this case study is not to suggest that creativity is a mere byproduct of trauma, or to deny the role of so-called mental illness in suicide, but to situate these phenomena within the context of human lives. To render them humanly (rather than medically) intelligible. With his mind and body disintegrating, Robin Williams took his life to thwart the eradication of self.

Why, despite the fact that the vast majority of people diagnosed with a mental illness have suffered from some form of childhood trauma, is it still so difficult to talk about? Why, despite the enormous amount of research about the impact of trauma on the brain and subsequent effect on behaviour, does there seem to be such an extraordinary refusal for the implication of this research to change attitudes towards those who are mentally ill? Why, when our program and others like it have shown people can heal from the effects of trauma, are so many people left with the self-blame and the feeling they will never get better that my colleague writes about below?

A combined mindfulness and behavioral activation intervention is shown to reduce depressive symptoms and serve as a preventative factor for major depressive disorder.

New research examines important factors of adherence when prescribing exercise to treat depression.

The “good” suicide attempt survivor wakes up in a hospital bed bathed in beautiful natural light, surrounded by the people who love them most, and they realize that their thinking was flawed and all those unsolvable problems can actually be solved if they are just compliant with medication and therapy. And then there's the “bad” suicide attempter who is angry that they lived, who challenges the status quo.

Training for conceptual competence in psychiatry provides a new way forward to address theoretical and philosophical issues in mental health research and practice.

When it comes to psychiatric diagnosis, I can be almost certain that anyone outside of my immediate field of work just won’t ‘get it,’ no matter where they stand on anything else. And not only won’t they get it; they will often actively be one of the unwitting oppressive masses, either through their inaction or worse.

I am still trying to reconcile what these chemicals are capable of, how the urge can morph into an action, how we maybe just don’t understand suicide all that well. For me, the suffering was so intense it was too painful to stay alive. I understand how my friends felt in their last moments.

Study reports on the less-examined findings of difficult and painful meditation-related experiences.

Results from two meta-analyses reveal shortcomings with the growth mindset theory as applied in schools.

The suicide crisis is real. The pain is real. The deaths are real. None of us can afford to stick our heads in the sand and pretend that this isn't happening. But the helplessness and confusion about what to do about it are also real. And that's why peer relationships and peer-developed modalities can be so helpful. Many of us have been there and are still alive to talk about it. We know what ways of relating gave us hope and helped us to continue on.

We live in a culture of mandated positivity and compulsory happiness, which somehow remains untouched by the current political, social, ecological and economic realities of the world. If you’re distressed, it must either be your bad attitude (which is a choice) or your broken brain (which is not a choice); god forbid we look anywhere outside the self.

What if the key to saving someone is to admit you are powerless to save anyone at all? What would that beckon us to change? A few years ago, I spent a substantial amount of time talking with a man who entered my life because someone in the mental health system told him I might be the one who could save him (or at least, that’s how he heard it). His name was David.

Study finds that traditional healers in South Africa, whose services are widely used by the country’s population, perform important suicide prevention work.

Of course one wishes for an easy answer, but the things that conspire to drive a person over the edge are too numerous and varied ever to point and say, it was this one; one can never really be so certain. No one can say it wasn’t that one, or that it wasn’t really all of those together, or that, when it came my own turn for “insanity,” I wasn’t standing halfway over the edge already, waiting for gravity to kick in and for me to fall.

Researchers examine the transformation of work, life, and identity in India as a result of Western corporate and psychological culture.

What do you do when the media reports stories of children who have killed themselves on SSRIs? Position the stories of these children, not the drugs they were taking, as a suicide risk. Warn that more children will die if mouthy parents are allowed to speak and upstart journalists are allowed to report. And then position psychiatrists as the only people who can talk about suicide without producing an epidemic of self inflicted deaths.

New analysis of post-discharge suicide rates finds estimates 6 times higher than recent studies.

Multiple media sources are reporting on new data from the CDC revealing a substantial increase in the suicide rate in the United States between 1999...

When the CDC released data revealing an increasing suicide rate in the US, some experts, speaking to major media outlets, speculated that the increase...