Stigma of Suicide Can Collapse Under Weight of Shared Compassion
Janice ArenofskyMy friend called to tell me his young daughter, age 25 ("almost 26," he
added) had taken her life. "Killed herself." He said this quietly, as his life
exploded around him. Who could blame this anguished soul for skating around the slippery
linguistic slopes of "suicide." Too hurtful to utter those three simple
syllables. Too heavily layered with legal and criminal connotations. Too cold.
Clinical. Suicide conjures up ugly images: uniformed policemen, for one. Messengers of
morbidity masquerading as community helpers, they confront hysterical mothers
unable to remember their child's last conversation, last gasp of anger or last
irrational action. Then come the bureaucrats who manufacture red-tape, all the
while ripping the lid off the parental Pandora's Box. The bearers of bad tidings
let loose a truth that forever extinguishes cherished hopes and dreams. What would Elizabeth Kubler-Ross make of my friend's verbal evasion? Would
she declare him to be in the first stage of grief, that is denial? But my friend
seemed perfectly able to grasp that his child was dead. Then why, I ask, does he
avoid the word suicide? Does "killing" (as he put it) or murder somehow sound
better? Not to my ears it doesn't. Hardly euphemisms, they do little to take the
sting out of the unthinkable. No, it isn't denial in my friend's voice. What I
hear, unbelievably enough, is shame mixed with apology--the need to distance
oneself from behavior so distasteful that families would rather sweep it under
the proverbial carpet than hold it up for the world to see and perhaps
sympathize with. Such is the embarrassing effect that stigma has. Despite attempts at
education undertaken by schools, nonprofits and other organizations,
suicide--especially among young people--has failed to find a secure spot in our
national psyche. Unlike illnesses that attack teens and young adults, such as
diabetes and asthma, severe depression with accompanying suicidal thoughts has
not been emotionally legitimized. Despite National Depression screening days and celebrity suicides, our minds
are hardwired to avoid the pain of humiliation. The result? If we MUST discuss
suicide, let's relegate it to a place on the health curriculum or, better yet,
on an after-school TV special. It's as if the information about suicide-the statistics, warning signs and
such--is allowed to seep into society's collective conscious, but at the same
time the concept of suicide is relegated to our brain's forbidden zone--that
area reserved for other Western taboos, such as incest, child pornography and
cannibalism. Teens receive mixed signals, as adults and educators struggle with
unacceptable feelings. "I don't want to think about it," parents silently scream. This kneejerk
reaction against reality perpetuates romantic notions of the sweet, blissful
joys of adolescence. And this misguided, self-protective mindset also permits
parents to rationalize away the warning signs of suicide--even though they can
reel them off as well as the other mantras of an enlightened population ("the
seven warning signs of cancer," "the four symptoms of pregnancy," the "dos and
don'ts of antibiotics"). No wonder that parents often attribute their kids' atypical behaviors--for
example, hours spent alone in their bedrooms sleeping or listening to music--as
benign signs of a passing phase. Even more blatant indicators--a drop in their
child's grades or sudden bursts of tears or anger--can bounce off parents
unprepared to admit that suicidal danger signals can be more than a theoretical
construct. Several years ago the Associated Press reported how an English teen, bullied
by schoolmates who called her "fatty," announced to her parents that she
couldn't stand the torment and intended to take an overdose of pills. The
parents, who recognized their child was depressed, preferred to disbelieve her
suicide threat. While her caring, loving parents slept one night the 13-year-old
took a fatal overdose of painkillers. True, that's an extreme case of a parent's failure to react to reality, but
what about my friend? He was, thankfully, one of that small minority of parents
who recognized their child had a serious problem. He and his wife took measures
to resolve it. At the memorial service, I learned the daughter had tried suicide
before. She had stayed in reputable hospitals, seen competent psychiatrists and
received state-of-the-art medications. Her mother, a special education teacher,
had spent hours trying to bolster her self esteem. Her older sister supported
and loved her dearly. So did friends and co-workers. Her grandfather, a retired psychiatrist, did
all he could to find professional assistance. And yet, she committed
suicide--despite above average mental health treatment AND family support. Such
is the power of mental illness to cloud judgement and obliterate hope.
If under almost ideal conditions, a young person still can fall through the
mental-health cracks, what hope is there, then, for young people whose families
are too fearful or sickened by the idea of suicidal ruminations to try to
prevent the "dirty deed"? What hope is there if the good fight against suicide must be fought against a
powerful enemy bearing not only the weapons of overwhelming hopelessness and
helplessness, but a stigma born of centuries of orthodox, puritanical,
self-righteous religious and moralistic indoctrination. Ironically, only days before my friend called, I had completed a freelance
assignment on suicide for a teen health magazine. While researching, I
interviewed parents of suicide victims, teens who had survived suicide attempts
and adults and teen volunteers for suicide hotlines. Unlike most of the stories
I write, I gave my interviewees the option of anonymity. The reason, I told
myself, was that the subject is sensitive, private. Actually, my motives were
not so pure. If I were perfectly honest, I, like so many Americans, consider suicide a
hush-hush subject--too embarrassing, too linked with failure, too indicative of
character flaws and family dysfunction. Who would want to go on the record about
a choice that right-to-lifers would call as much of an abomination as abortion.
In fact, most of my interviewees chose to remain anonymous. A few were
adamant about it. The only person who allowed me to use her name was a teacher
who had lost her child to suicide and believed in the media's power not only to
educate but also to stamp out stigma. Why is it that as a society we have grown to the extent that dying of AIDS is
no longer equated with moral decadence and sexual perversion, but we still draw
the veil over suicide? More and more I've noticed obituaries announcing the
cause of death as AIDs. I have never seen an obituary stating the cause of death
as suicide. Thirty years ago, a college friend of my sister's committed suicide. No one
suspected anything. No mention of her death was made at baccalaureate exercises
or graduation ceremonies. Today, there would be counselors available at school
campuses to assist students in coping with this tragedy. So do not fault today's school counselors and educators. The large number of
suicide-related books listed in Books in Print and located on school and public
library shelves contradicts the popular belief that education is the ultimate
prophylactic. It is not. The statistics say otherwise. Suicide is the third leading killer of young
people between the ages of 15 and 24, according to the CDC in Atlanta, and a
growing trend among African Americans, whose suicide rate has tripled in the
past 15 years. Furthermore, 15 percent of all teens diagnosed with depression eventually
commit suicide. A recent survey delivers even worse news: As many as one out of
four high school students may seriously consider suicide. If there's any good news, it's that a 100 percent fail-safe method for
predicting teens likely to commit suicide may be just around the corner. But
until this simple blood test is perfected, parents, relatives, friends and
strangers need to do more than spout statistics and hide their shame behind
checklists, hotline numbers and medications. Although these measures are necessary to inform and treat, they don't stamp
out the stigma. This is something we all must deal with by "coming out of the
closet" and together exposing the pain of our own limitations, imperfections and
self doubts. Parents need to discuss suicide--not just on TV talk shows and in online
support groups--but at family gatherings, religious functions and parent-teen
workshops. We need to keep repeating the word "suicide" until the repetition
rousts the shame and we're left with only the practical details of prevention
and providing support for survivors. Otherwise there will continue to be too many Arlyn Chastains, whose mother
recently wrote how her beautiful, brilliant 17 year-old, slated to enter Tulane
University, put a gun to her head and ended what could have been a long,
rewarding life. When my friend and his wife euologized their child at the memorial service,
they spoke eloquently of her gifts and rare moments of happiness. The clergy man
who attempted to give a few words of solace seemed ill at ease as were, I'm
sure, many of the mourners, many of them parents. Near the end of the service, the mother told how when her children were
preschoolers, she and her two youngsters were caught outside one day in a
windstorm. So like any good mother, she grabbed hold of her children's hands and
held on tight. The older child, frightened of the wind's force, admonished her
mother to hang on to the younger one because she might "blow away." "I couldn't hold on to you," the mother said before the crowd of mourners,
sobbing. What parent, alone, can hold on when their child is under the eye of the
hurricane called mental illness? But stigma can collapse under the weight of
shared compassion. And one parent can join with other supportive parents as well
as mental-health professionals, educators and clergy. When society puts aside judgments, the chances of rescue improve
dramatically. As Benjamin Franklin said more than two centuries ago, we must all
hang together or we will all hang separately. Dedicated to the memory of Dr. Janet Shaner, Superintendent of the Weston, CT
School District. She was someonešs daughter too.
http://www.troikamagazine.com/features/new/features_sucide.html


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