Suicide

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.

The Defense Cascade is a survival framework that evolutionary researchers are exploring as an explanation for extreme states that many people experience. It can help explain why chronic stress can make us feel like ending our life is the only reasonable way out.

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.

By 2011, anyone who read the scientific literature would have known that children cannot tolerate SSRIs and should not be given them. Neither Conrad nor Michelle seemed to have been warned about the common adverse effects (such as nightmares and compulsive suicidality) of the SSRI antidepressants they were on.

For more than 7,300 days of my life, waking up the next morning required me to make a conscious choice to diligently pursue something — anything — other than my impulse to die. Maybe the best teachers of how to avoid suicide will not be the people who are afraid someone else will die, but those of us who can explain how and why we regularly choose to live.

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.

Scapegoating a purported unseen "illness" may provide temporary comfort from acknowledging the horrors and injustice of the world, but it is a delusion — and one with fatal consequences for many. When 45,000 people a year would rather die than live in this world any longer, it might behoove us all to consider what is happening in the world to cause this.

An article published this month in the journal BMC Psychiatry suggests that there is a lack of efficacy for SSRIs and that they significantly increase the risk of serious side effects.

Ever since the cops and CPS were called on me by someone at an ASIST Suicide Prevention training, I've been trying to see it all as a gift. What better proof to counter those who claim it's "safe" to tell than what happened to me? What better evidence that our system responses are seriously off track? It wasn't safe. Not for me.

If we describe “death with dignity” as a benefit, a good thing, a release and relief and a mercy for people with chronic unbearable and unmanageable pain, why do we also describe exclusions from assisted suicide for people with mental illness as a protection rather than discrimination?

Suicidal torment is magnified by the loss of hope. People in life-or-death survival conditions, such as being lost in the wilderness or being held prisoner of war, will dream and plan for the future in order to make their present conditions tolerable. The critically ill heart patient expresses his faith in his upcoming surgery by making a date to play golf six weeks after the operation. But the depressed person sees no viable future. There is nothing to look forward to, no dreams to fulfill, only the never-ending hell of the eternal present.

Dr. Yolande Lucire, a psychiatrist from Australia, recently published a paper about the iatrogenic effects of psychiatric drugs.

Suicide prevention constructs a reality in which the problems of suicide lie within suicidal people. Sanity is constructed around wanting to live, insanity around wanting to die. Within this paradigm, the suicidal person can never be trusted. They are fragile, vulnerable, demanding protection, surveillance, and management.

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.

A new meta-analysis finds that DBT reduces self-harm, suicide attempts, and reduces the frequency of psychiatric crisis service utilization.

In my wildest dreams, I could never have imagined being drawn into a story of intrigue involving my own government’s efforts to hide, from the public, reports of psychiatric drugs associated with cases of murder, including homicides committed by youth on the drugs. But that is precisely the intrigue I now find myself enmeshed in.

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?

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...

Researcher Zel Dolinsky once taught at medical school and worked as a medical writer in the pharmaceutical industry. In his last emails, he told of how the adverse effects of psychiatric drugs led him to choose to end his life.

A new study, published this month in the Journal of Affective Disorders, investigated the effectiveness of weekly intravenous ketamine injections as a treatment for...

Forty years after I had first been admitted to the hospital, I was ready to confront my past. So, I sent for my hospital records, and I read them. As an experienced clinician, I recognized immediately what the doctors hadn’t been able to see in 1960: my problem wasn’t ‘schizophrenia’ but PTSD, connected with incest.

While increasing numbers of Americans are being prescribed antidepressants, the Centers for Disease Control reports that suicide rates increased 28% from 1999 to 2010. Trained professionals remain unable to predict who is at risk. Their guess is as good as chance.

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

This has got to stop. Around the world a million people die from suicide each year and the response internationally is to pour more funding and channel more people into psychiatric services. Three large studies have now found that the more we spend on mental health services the higher our suicide rates. In addition, a recent study has completely discredited claims that 90% of those who die from suicide are mentally ill at the time of their death. We need to use this evidence to stop the expansion of psychiatry as a suicide prevention measure.

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.