***TRIGGER WARNING- This article contains information about suicide which may be upsetting to some people. If you or anyone you know is struggling with thoughts of suicide please call your local suicide hotline or visit http://www.iasp.info/resources/Crisis_Centres/
Suicide sucks. Plan and simple. It always seems to hit us when we least expect it and it always hurts. It doesn’t matter the age, the circumstance. It always feel like a life was taking before its time.
The last half of 2018 has been a helluva time for me. Over the past 6 months I have dealt with the deaths of five people who were either directly or indirectly under my care. One died of an accidental heroin overdose, the other four were suicides by hanging.
I have seen CPR performed heroically and tirelessly, but in vain on two of those deaths and it is an indescribable feeling to see someone I knew, someone I had spoken to earlier that day, laying on the ground motionless. Someone so young (one was in her twenties, the other in her thirties) and so full of life at one point, now lifeless.
Suicide is an unfortunate evil we have to deal with in the mental health field. My current job puts me in the role of dealing with suicidal patients all day long.
I am used to dealing with suicidal patients, even patients who attempt suicide or self-injure, but I am and never will be used to dealing with completed suicides. I take each death personally, even if professionally and ethically my staff and myself did everything we could to prevent it.
Suicide is often an impulsive act. At least one of the suicides appears to have been the result of rage. Suicide is often thought of as anger turned inward.
Suicide sometimes builds overtime and is the result of unbearable psyche pain. Three of the suicides, at least on the surface, appear to have been thought out. One woman was grieving over the loss of her sister and blaming herself for her sisters death. She was filled with depression and guilt she found insufferable. Another man was facing a lengthy prison sentence and decided he would rather die than go back to prison and spent years locked away. He was the only one who left a suicide letter behind. It was obviously something he had given some thought to.
Suicide, as we have seen too often lately, is sometimes the result of bullying, which appears to have been the case in the last suicide and another serious suicide attempt a couple of weeks after that one. Adults in correctional settings who are exposed to bullying are at high risk for suicide.
There weren’t any obvious warning signs that could have prevented any of these deaths. Accept for the accidental heroin overdose, these individuals seemed to have been determined, in those moments, to end their lives. I wish I could have saved them. I wish I could have saved them all. I cried after each of those suicides because I knew those individuals, maybe not terribly intimately, but as close as you can professionally under these circumstances.
I even thought about resigning because I felt like we failed them although multiple internal and external reviews showed that we did not. However, I know that for these five lives lost, there a countless numbers of suicides we have prevented. And that’s what keeps me going. That’s what keeps us all going.