Vale Ilya Zhitomirskiy

Ilya Zhitomirskiy died by suicide this week. He was 22 and one of the co-founders of the yet to be launched social networking site Diaspora*

He was described asa great friend and a brilliant person.”

Too few deaths by suicide are reported in the news, the exception is high profile people like Ilya Zhitomirskiy.

There are the inevitable questions of why. The stigma and lack of understanding around suicide results in it being under-reported and not understood. We avoid talking about suicide and reporting it. It is staggering to think that there are at least twice as many deaths by suicide than the road toll. Road accidents are reported, scrutinsed, published, and discussed, deaths by suicide are not.

Isn’t it time we talked more openly about suicide, if only so that more of us understand that depression can be fatal? I don’t know if bringing the topic into the open, and more particularly onto the front page, will help us to appreciate more of the risks of depression but I hope it will.

How do we tell our stories?

Vale Peter Roebuck

Peter Roebuck was very special to the cricket world, as a broadcaster and sports writer. He will be missed this summer when the game is played.

The early reports of Peter Roebuck’s death included the telling explanation ‘no suspicious circumstances”. A confused story has emerged of an intense and driven man who was in a state of utter despair in the minutes before his death.

It is surprising that someone who was reportedly in a very distressed state was not allowed to have a friend in attendance, a friend who might have been a calming influence. Regrettably hindsight is often clearer than foresight. I have been told that it can be standard practice for police to isolate someone experiencing heightened emotions from friends. I don’t know why that is, and if it is police policy I am advocating for change.

If you, or someone you know, needs emotional support call Lifeline on 13 11 14 in Australia. Crisis counselling is available around the world.

No suspicious circumstances

The Australian Press Council has released new guidelines about the reporting of suicide, relaxing their previous stance.

Press Council chairman Professor Julian Disney said “The likelihood that people will find out about a suicide through social media is very, very high, this highlights the need for the mainstream media to be engaged in responsible reporting”. I’m glad the voices in social media are having an influence even if it is due to our perceived irresponsible reporting.

Change is as slow as it is inevitable – it is happening. It was November 2009 when I wrote about the language of suicide. I am pleased to read the press Council recommendation that “It may be preferable to use words such as “died by suicide” or “took his life” rather than a term such as “committed suicide” which can imply commission of a crime.”

That’s responsible.

In New Zealand too, changes are being considered too. Last month the Chief Coroner Judge Neil MacLean said “I have suggested that there may be room for a gentle opening up of the restrictions on media reporting of suicide, but we need to consider all viewpoints – especially those of families – so we can make informed decisions.”

The phrase ‘no suspicious circumstances’ the newspaper euphemism for died by suicide may fade from the news pages. I hope that more open reporting of suicide will support the opening of conversations on the topic, which in turn will engender more understanding.

If you, or someone you know, needs emotional support call Lifeline on 13 11 14, in Australia. Crisis counselling is available around the world.

Vale Wade Belak

Wade Belak was a professional ice hockey player. He was found dead on August 31, reports confirm he died by suicide.

A close friend is quoted, saying of Belak’s depression that “I was 100% sure that he was managing it, coping with it…”

His father said he “didn’t see any signs” of trouble.

His mother said, “I don’t know about depression, I don’t know the symptoms or things like that, so I really am uncomfortable talking about that because I just don’t know enough about it.”

Wade Belak was 35, and married with two daughters.

His mother also said that “He was a great husband, a great father, a wonderful son and we were so proud of him”.

If you, or someone you know, needs emotional support call Lifeline on 13 11 14, in Australia. Crisis counselling is available around the world.

Places without rainbows

A friend just reminded me that some of us can’t see rainbows, they’re not visible along darkened roads. That rainbows “…representing the excitement, happiness and joys in life it escapes me, if anything it would be the opposite. Being in these situations becomes almost unbearable, knowing that I should expect to feel these emotions but don’t churns up the sadness adding to the hopelessness and helplessness inside.”

Hope filled yellow brick roads and darkened country roads travelled without hope, one with rainbows and one without. Where one exists the other must too, and there might be too many songs about rainbows, Kermit.

Hopelessness and helplessness are evocative terms. I just read them described in David Webb’s book on suicide, a book that grew out of his PhD research on the topic.

I know how little talk of suicide can be tolerated in general, so it is relieving right from the preface to read of the risks of speaking out and at the same time hear Dr. Webb urging us to engage in community conversation about suicidality. I wonder if suicidality is his word, my spell checker doesn’t recognise it and neither do I. Maybe our conversations and subsequent understanding are so constrained that we don’t yet have a complete language for suicide.

David Webb describes the silence as toxic and he notes that missing from the discussion is the first person voice. The person with experience is not present in the mental health support systems, and as a consequence he sees a failure to really understand what suicidality means to those who live it.

His is another first person account of a place without rainbows; “Hopelessness to me is the ‘black hole’ of despair,or sometimes a profound feeling of utter emptiness inside. And helplessness is the belief that this empty, black hole is forever, that it could never be otherwise. An image I have of this is of being at the bottom of a very deep well, a black hole of meaningless emptiness. This is the hopelessness. And the exit from this deep, dark well is so far up that it can’t be seen; and the wall are so dark and smooth and greasy that it’s impossible to get any hole on them at all. This is the helplessness.” Webb, D. (2010). Thinking About Suicide: Contemplating and comprehending the urge to die. Herefordshire,UK; PCCS Books Ltd.

Crisis counselling is available around the world. In Australia Life Line 13 11 14.

“I never feel completely safe.”

Sometimes I don’t know if I find the stories or if the stories find me. This essay by Anita Darcel Taylor is an exceptional study of the authour’s melancholia, her “normal existence”. I am grateful that this story and I discovered each other so that I can share it here.

Her description of suicidal intent affirms the understanding I’ve gained after wrestling to comprehend what I didn’t understand; “I know that, inconceivable as it may be to loved ones who believe that their love alone is enough to save someone, sometimes a person decides that the stopping of the pain must be permanent. In this situation, suicide is not a selfish, deliberate act of cruelty against loved ones; it is a frantic final act against continued anguish. If there is a rational thought in choosing suicide, it is that the sufferer hasn’t the strength to live through that agony again, much in the way that a cancer patient may not be able to withstand another bout of chemotherapy. Mental anguish can be as unruly as any terminal illness. It can, unfortunately, orchestrate its own end.”

Anita Darcel Taylor writes of reading William Styron while listening to Donny Hathaway on a train. Either one on his own would induce melancholy in me, let alone as a duo, brave woman.

She writes a hypnotising paragraph about train platforms, never feeling really safe, and seeing ways she might die in every situation. Her revealing essay is truly awe inspiring.

This post is for Anita Darcel Taylor and anyone who doesn’t feel safe from themselves, while standing on a train platform.

Crisis counselling is available around the world. In Australia Life Line 13 11 14.

Beating myself up

After somebody close to you dies by suicide there is a lot of guilt to deal with – that’s what I experienced. I have heard it talked about and I have read the same. Feelings about what I what did or didn’t say, what I knew and didn’t know, what I could have done or said and didn’t were haunting nightmares. In my case there were more questions than answers – and guilt.

I have a book called A Special Scar: The Experiences of People Bereaved by Suicide. I have it somewhere, but today I can’t locate it. I remember being dismayed at some of the words used by the author, Alison Wertheimer, around ‘victims’ and ‘survivors’. Is my distaste for those labels what has caused me to misplace the book? I know I can be that intolerant. Maybe it was not wanting others to see what I was reading…

I mention that book now because I remember reading that much of what I experienced was not only my experience but partly shared by others. I did suffer an obsessive sort of grief, it was good to be reminded…

The last couple of posts on this site were taken from a journal entry I wrote long ago. One long rambling piece, previously only read by me, that I’ve split into three postings- You Don’t Know Me, The Coroner’s Notice of Completion and this entry. This is how it was for me;

Still standing outside envelope and letter in hand…trembling and blinded by the implications of the revelation on the Coroners Notice of Completion, I felt betrayed and empty. I didn’t even know who might have disclosed a concern of hospitalisation to the Coroner. Who could have known it? I can only think it was his psychologist, was that who he confided in? Mottsu didn’t provide me with even a hint of that past episode, not in the sunrise moments of our new romance and not in all the following years.

Not having ever fainted I don’t know the pleasure of losing consciousness in order to block out reality and it didn’t happen on the October day the Coroner’s report arrived. What I did do was flip through my mind for the name of someone I could call for support. I was unable to call anyone, feeling I had already been too burdensome on the friends who comprised my support group. I didn’t know how to share the incomprehensible Corner’s finding and it was abundantly clear to me what the situation might say about me and my own insensitivity and lack of caring.

How little I knew of Mottsu, his background and history and how much I taken for granted. A prior hospitalisation was news to me and negated how much I thought I cared. I cried, big gulping ugly sobs escaped that day, as I tried to rationalise what happened to him and what was happening to me. I was struck by my insensitivity to Mottsu, to who he was and what he didn’t share about himself. What he might have suffered through and not confided, somehow not been able to share with anyone.

He’d always admired my caring qualities and the kind connections I had with others. Now the extent of my uncaring was revealed, held up to me in the Coroner’s Report, printed on the pages I have to re-read. Indisputable, and I concluded that Mottsu too had know this uncaring part of me. I acknowledge how little I really knew and understood of him/me. I wept for what I’d lost realising we may have had less than I thought. Everything was bought into question and although there were no answers I searched for them.

I readily owned the fault, the guilt, claimed it as my own. Haunted by the extent of my own uncaring and I was unable to disclose it to others. I tried to share but friends were quick to deny my fault wanting to reassure and protect me. I wasn’t reassured but I smiled and let them believe I was, not wanting disappoint. On the surface I was bright and hopeful but felt a more ugly reality was present. It is difficult to accept suicide with a no blame attitude, and not assign someone with ‘fault’…

Although I tend to confidently claim that each can never really know another, the truth of that statement was cruelly highlighted by the Coroner’s Report. In reconstructing his last days and reviewing our years together it’s now impossible that the final bout of depression was a one-off event. What didn’t I see that must have cried out for recognition? I can’t imagine ever being able to feel close to somebody else I don’t have enough trust left in me. With Mottsu my self-centred determination to create a perfect life in a beautiful world left part of his reality in the cold. Maybe I didn’t want to allow anything as bleak as the reality he lived in damage my world, my beautiful life.

How unpleasant it is to be locked out; and I think about how it is worse, perhaps, to be locked in. However bad it is for me, it must have been worse for him.

That’s how it was for me, judge and jury rolled into one guilty grieving mess.

The Coroner’s Notice of Completion

When someone dies by suicide in Australia, and probably in other places, there is an investigation by the police and the coroner. For me it was a harrowing experience, particularly traumatic was spending a few hours being interviewed by the police the day after Mottsu’s body was found. The trauma was around the facts and details, the reality. The police were kind and respectful. I was numb and taking almost nothing in.

The investigation was a formal and unhurried process. The Notice of Completion of the Corner’s Investigation arrived on 8 October almost 7 months after Mottsu’s death. It included the Record of Investigation into Death, an unemotional report of the facts, it was destitute of adjectives or embellishment.

The Coroner looks at the statements contained in the brief of evidence compiled by the police and establishes a cause of death. The Coroner’s determination sets out the facts of the case based on a toxicology report and the conclusions of the police investigation.

That day, even with letter from the Coroner in hand, there was no comfort in knowing that Mottsu’s death, an event that was still incomprehensible to me, had been investigated to the satisfaction of the official bodies.

The Coroner had warned me by mail that a finding would be forwarded by 7 October. Even so the report was unexpected when it arrived a day late. Standing in front of my house, in the weak sunshine of a cold October day, I scanned the letter before losing focus. The light dimmed and the dark type became indistinguishable from the white pages. My physical reaction to what I read was immediate, a creeping chill surfaced from somewhere within and I started to shiver.

My already dulled heart slowed as I realised things that I have wondered about myself were being confirmed as true. I didn’t know him, I didn’t understand him and I didn’t help him. Guilt and blame welled up in me and I turned as cold on the inside as my shivering exterior.

There’s nothing about his last day and the act of drowning that I hadn’t explored in repeated deranged imaginings. I know it takes up to 87 seconds to drown, before air is expelled from a drowning person’s lungs and painfully replaced with water. I’ve imagined myself sitting on the riverbank numb and confused as he did. I’ve wondered what sort of determination it took to make a step into the murky water. He took his shoes off, left his glasses on, and kept his wallet along with the car key in his pockets. Incredibly, Mottsu left his glasses on, he was blind without them, he saw what he was doing. There is no question of anything accidental.

His house keys were left at home, when he drove off serious and unsmiling that last morning. He knew he would not return and would not need to open the front door.

It shouldn’t be possible to discover unknown territories of someone so dearly loved. I thought I knew him, It’s not the clinical facts of his death that caught me by surprise as much as an unknown piece of his past. The Coroner stunned me with something I didn’t know and hadn’t imagined, and not about his death, but from a time before we met. “Mr Mottsu suffered a major depressive episode in his early adulthood which required hospitalisation and did not wish his current episode to end in a similar fashion”. I’m overcome by the force of that sentence, Mottsu had never disclosed a hospitalisation to me. I don’t know how such a significant event might have been left out, not shared. Was it not important enough or perhaps too important to have confided about or even hinted at in 18 years? It was a significant episode, and one that he took deliberate measures to avoid again. He hadn’t told me, his parents had no knowledge of it, but he had confided in someone – that fact was recorded in the Coroner’s Notice of Completion.

There is a little more to this story mostly my own reactions to learning about somebody and what they were struggling through when it is too late to change anything.
Right now writing that part is feeling very heavy to do, I need to stop and breathe. Reading it might not be easy either – there’s another post to complete this story.

Crisis counselling is available around the world. In Australia Life Line 13 11 14.

When the force is against you

I recently participated in a large group conversation about suicide. I sat, actually I stood, on the sidelines rather than joining speakers in the middle. I listened with intent and participated.

The themes and feelings that were expressed of guilt, loss and not understanding, were familiar. There were two points that caused me to call out with a mix of outrage and distress. One was the suggestion that suicide was a selfish act and narcissistic. Three or four recent posts here have been devoted to exploring that view. I don’t seek enlightenment, per se, but I am looking for greater understanding, and empathy.

The other point that brought a strangled sort of howl of ‘No…” from me was when someone suggested that making a suicidal person an involuntary patient saved lives. Saving lives maybe a noble cause but not while removing every gram of self in the process. I couldn’t quite believe that such an oppressive action was possible, involuntary detention is used in the USA and now I know that similar action is also codified in law in Australia.

I am outraged and distressed that someone can be taken into custody and subject to treatment against their will. That this sort of action is deemed to be for their own good, and the very system set up to provide support. Whose good does that serve?

I am outraged that someone who has lost hope can also be made helpless, powerless, and be so disregarded.

I am also indebted to the person who left a comment, on another post, explaining how that combination of hopelessness and helplessness can motivate acts of suicide.

I think of how ill my mother was with an undiagnosed cancer last year and the efforts of my sisters to support her at home until she relented and reluctantly agreed to go to hospital. We wouldn’t we have forced her into treatment, not for her own good or for ours.

At work, where I am responsible for delivering training, I occasionally come up against a corporate imperative to make attendance at training sessions compulsory, and it makes me a little bit ill. I won’t make training compulsory. If somebody wants to come to training I am pleased, and if they don’t I trust they are managing their own learning and career needs. I can try to entice them by making the training more interesting, more relevant, more compelling and delicious but I do not want anyone there who doesn’t want to be there.

I don’t feel that allowing the space for self determination makes me a ‘patsy’, a loser. I don’t feel diminished by allowing someone else to hold onto their own power and the right (it is a right) of self determination. We have choices, each of us must be able to exercise our own power of choice in regard to our needs and treatment.

This is an instance where I can not appreciate or support what was expressed, however well intentioned some are about forcing others into treatment. No. I am one-sided on this issue.

As I was saying…

I keep saying we should be talking about suicide as a way, maybe the only way, to diminish the stigma. Here is one discussion hosted by Australia’s longest running current affairs program Dateline. There’s a transcript of their recent show Talking Suicide and even more interesting is the talking done through comments.

Talking also seems insufficient, its a passive sort of activism.

A couple of days ago someone mentioned they had read my blog, and that he was surprised. “You have something to say”, he said “most blogs are about nothing much”. Oh?

I am drawn to do more than simply talk/write and I’m trying to work out where to start. In the meantime talking the talk.