In the wake of the spate of suicides by LGBT youth, we have seen the media and celebrities both focusing on the supposed "fact" that these deaths were caused by bullying of gay youth and homophobia in general.
While there is certainly no place for the bullying of anyone regardless of race, color, creed, sex or sexual orientation acceptable in our society, and we are right to be outraged that it is a common occurrence, the simple truth is that bullying did not cause these deaths.
These deaths, like the thousands of suicides and attempted suicides that occurred on the very same days worldwide, were caused by ignorance, shame, apathy, stigma and a lack of infrastructure in our society to deal with mental illness.
According to the National Institute of Mental Heath (NIMH), "In 2007 (the latest year accurate statistics are available), suicide was the third leading cause of death for young people ages 15 to 24."
The American Foundation for Suicide Prevention (AFSP) reports figures compiled by the World Health Organization show that, "Each year approximately one million people in the world die by suicide. This toll is higher than the total number of world deaths each year from war and homicide combined." The leading reporting agencies also estimate that there are 10-20 suicide attempts for every suicide completion.
Suicide is not a normal response to stress. It is often said that persons with severe mental illness will seek severe solutions. Suicide is most certainly a severe and abnormal solution to any problem. AFSP reports that "95% of college students who commit suicide suffer from mental illness, most commonly Major Depressive Disorder (MDD). . . .
The Centers for Disease Control and Prevention (CDC) lists "Unwillingness to seek help because of the stigma attached to mental health and substance abuse disorders or to suicidal thoughts" as a major contributing risk factor for suicide.
While there is no downside to raising awareness about the suffering of LGBT youth at the hands of bullies and taking measures to stop this horrific behavior, let us not become so focused on the precipitating factors in a tiny number of cases that the opportunity to educate and enlighten people to the epidemic of suicide slips through our fingers.
We should seize this moment to raise awareness of suicide and it’s root cause, mental illness. Shine a light in the dark corners of a society that sees mental illness as a weakness, a character flaw or a personal failing.
Only education, understanding and ending the stigma attached to mental illness and MDD can truly move us closer to preventing the kinds of tragedies that we have witnessed recently.
Learn more about how you can help Fight Stigma by visiting The National Alliance on Mental Illness (NAMI).
Authors Note: I was diagnosed with a "nervous condition" at the age of ten. My pediatrician prescribed sedatives. Like most people 40 years ago, my mother tried to understand me without admitting the possibility that I suffered from a mental illness. I attempted suicide when I was 18 years old and with the love and support of my family, finally got treatment from a mental health professional. It has been slow going, akin to climbing a sheer rock face. Progress is tough, treacherous and much of the time is spent just hanging on for dear life. I "came out" only in recent years. I had spent most of my life running from the "stigma". No more. I’m doing my part to help end the stigma and save lives by speaking up and speaking out.



23 Comments

Recommended: especially to parents.
Thank you. Support is such a huge in factor in the successful treatment of MDD.
In the recent LGBT cases, these kids were not only likely struggling with shame issues connected to MDD but also their sexuality. Parents need to talk to their kids, ask the tough questions and let their kids know that their love is unconditional.
An LGBT child suffering from MDD who does not have that support system, is a ticking time bomb.
Are you suggesting that all mental illnesses are organic, and arise within the person without regard to circumstances?
Because that is completely incorrect.
Just like other medical conditions there are disease vectors. You can take a completely mentally healthy person and subject them to a host of disease vectors and guess what? They become ill. War situations create PTSD in otherwise previously mentally healthy people for one example.
The same is true for gay people.
So while Clemente certainly was not in his right mind at the moment of suicide, it may not be dismissed out of hand that there were proximate causes arising beyond inside Clemente himself.
No, I am not dismissing the causitive or precipitating factors that lead a person to commit suicide.
Regardless of what “causes” a mental illness such as PTSD, MDD or many of the other deadly illnesses that may end in suicide, it is the mental illness that is the commonality among an overwhelming percentage of suicides.
It is certainly important to investigate and eliminate the causitive factors in non-organic mental illness. However, once a mental illness is identified, the primary focus should be treating the existing condition with the goal of preventing suicide.
As I said in my blog – there is no downside to bringing awareness to the bullying of LGBT youth, but this is also a prime opportunity to bring awareness to the epidemic of suicide and the stigma attached to mental illness.
If all bullying of LGBT youth were to miraculously disappear today – the fact would remain that suicide is the third leading cause of death (behind accidents and homicide) in the 15-24 age group. That is a staggering statistic and deserves at least a tiny bit of the ink and outrage while this issue is in the spotlight.
It’s entirely possible for a person to become overwhelmed with transitory mental states. Our psychiatric establishment has abdicated much of their responsibilities and now throw SRI/SSRI’s at a problem until it goes away. No matter the problem. It’s McMental health at its finest.
So by all means, draw attention to problems with our mental health industry. Draw attention to the one size fits all mentality adopted by the medical establishment. Point out that primary care physicians are now firmly on the front line of mental health treatment with a paucity of actual training yet a fierce willingness to blindly prescribe whatever is being pushed by the drug firms that month. Point out that our focus being on neurotransmitter levels we’re missing the fact its miss-wiring that contribute/cause a good number of mental illnesses ( anxiety disorders being a prime example as they lend themselves better to cognitive-behavioral therapy yet are treated almost exclusively with S/SRI’s ). In short, we have a superficial approach to how we treat mental health epitomized in the 50′s with the use of lobotomies ( winning a Nobel Prize for developing the fast food version no less ). Bury the symptoms and you won’t have to do the hard work of fixing the cause. Not much has changed, only now we’re prozacing the symptoms instead of severing the frontal lobes to achieve the same end.
Lastly, on suicide for the age cohort you mention: There’s a lot more going on than mental health here. Developmentally, this is a very busy time for self awareness, world view and a host of other changes with how the brain operates. With those changes, come a heap of potential problems. For instance, when confronted with social alienation, a person who is still at the ‘all-or-nothing’ stage rather than the formal reasoning stage of development might have a catastrophic reaction to what they perceive as being mental torment without end ( rather than the more reasonable-this too shall pass reaction more prevalent in those who have developed formal reasoning ). Throwing this person into pHARMa’s clutches may mask the more obvious symptoms, but they’d be served better by talk therapy ( if for no other reason than they can debunk the internal dialogue at the root of these types of issues ) or parental engagement and development of other social support structures etc. Not so quick and easy, but most good solutions aren’t.
“Throwing this person into pHARMa’s clutches may mask the more obvious symptoms, but they’d be served better by talk therapy ( if for no other reason than they can debunk the internal dialogue at the root of these types of issues ) or parental engagement and development of other social support structures etc. Not so quick and easy, but most good solutions aren’t.”
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yes, as well as perhaps having the experience of developing a caring relationship with a good, emotionally-available therapist, which can assist healing unmet earlier needs.
Brava. You said it all (and much better than I).
40 years ago I was sedated by my pediatrician. In it’s own ham handed way it worked in that I was incapable of mustering the energy to form intent (or much else). Most of my teenage years (which as you pointed out is a crucial formative time) are a haze. When I awoke from my “Sleeping Beauty” years to a world that I was totally unprepared for and overwhelmed by, my immediate response was to escape.
I bounced around for many years, from social workers to psychologists to internists and even ob/gyns until fate put me in the hands of one of the top Psychiatrists in my area. We just celebrated our 25 year anniversary. I consider myself not a victim or sufferer, but rather a warrior and he is my wingman. Only through a combination of talk and drug therapy was I able to control my atypical MDD. It’s a constant balancing act with my meds (since I titrate very easily) and I still do talk bi-weekly.
I am one of the very few lucky ones who has been able to afford the level of care I have received. The total out of pocket amount for my care over the years is a staggering figure. I have excellent health care insurance by most standards, yet there have been many years where it covered none of the cost to treat my mental illness, to the meager offsetting amount it pays today.
No quick and easy solutions here. I’d be happy with (in my lifetime) seeing the “mental” dropped off of illness. I may not have weeping sores, but it does not mean that I’m not just plain “ill”.
The problem with therapy is that there aren’t enough good therapists and there probably never will be.
No one needs to convince me that pharmacological treatments for depression are woefully inadequate.
However, I have been intrigued by some research showing that, while they co-exist 95% of time, depression and suicidality can be segregated. For instance lithium which is used to treat bipolar disorder seems to have a specific effect on reducing suicidality. They are even looking at putting a small amount in the water supply in Japan. This is not some pharma-sponsored B.S. research. Lithium is not under patent and costs almost nothing.
I’m more than a bit ‘askanced’ at the presumption in a blanket way of the author’s posits.
Mental illness cannot address the paranoia and fear and helplessness people feel when bullied, outnumbered, threatened daily, etc.
To equate mental illness with a feeling of mental UNHEALTH due to being subjugated to daily negative barrages is well . . . insane. And does a grave injustice to those who HAVE taken their lives for one reason or another.
People have limits. They can be broken in any number of ways to where death is preferable to life.
And people all have different limits, different social constructs that pressure them to live or die, etc.
I’m not a professional in these fields, but I’m human enough and have lived long enough, seen enough suicides in my personal circles of life since high school . . . and have read enough layman’ s material on this subject, to have my opinion.
I reject many of the author’s premises.
And you would proscribe mental illness as a predominant factor in those numbers?
I would suggest and believe despair, abuse, poverty, illness, violence in the home, violence in the family, in the community, illness and social factors are the overwhelming factors that lead to suicide . . . not excluding terminal illness.
I don’t buy your posits.
THANK you for saying that in more um, academic terms than I have. And I’m not FOND of academic writing in general in forum such as the internet.
I concur with your every word.
I don’t – the AFSP using statistics gathered by The World Health Organization does – this is their statement “95% of college students who commit suicide suffer from mental illness, most commonly Major Depressive Disorder (MDD)”
I read a published medical study of the post mortem examination of suicide victims and the numbers are there, they showed neuro transmitter disorder as well as low seratonin levels. The pathological markers of MDD.
I’ve read so much, I can’t put my hands on that report, but I’ll find it and come back with the citation.
My best to you and your trials and travails in your life.
I have lost friends over the years to suicide.
I’ve met many more people who had problems and I’ll never know if they lived or died.
But your experiences are yours alone. As were all those I’ve known, and the gamut of ‘troubled’ people who chose to die or live runs a large spectrum in my personal experiences.
I am just not comfortable with you using them, your personal life experience now that you’ve revealed it, as I perceive it, to extrapolate your thoughts to a larger population, in a public forum.
And honestly I can’t quite say why I feel this way. But my father was heavily involved in rehab development vis a vis vocational training facilities he ran for 24 years.
‘Clients’ included physical, emotional, mentally impaired people along with hookers, drug addicts and victims of abuse, violence, and poverty.
So I’m predisposed to my opinions on this for that influence, as well as the influences of my personal life exeriences.
I wish you well on your continued success and happiness and am glad you fought and were able to fight for it.
Thank you for your kind words, but again you have said that people “chose” to live or die. That is like telling a gay person that they have “chosen” homosexuality as a “lifestyle”.
I have extrapolated nothing in this forum, all of my statements are linked to published source material, such as:
http://www.afsp.org/index.cfm?fuseaction=home.viewPage&page_id=05147440-E24E-E376-BDF4BF8BA6444E76
I’m sorry that this subject makes you uncomfortable. That’s the only personal experience I’ve used here, the stigma attached to mental illness.
LIthium is . . . well, IMHO it’s curative properties are far overplayed in comparison with what it destroys in people.
I don’t know to be happy for those I know who are functional because of lithium or to be unhappy as they no longer have the ability to deal with much beyond working and living. Which likely before lithium they might be well unable to deal with . . . .
How does one measure what is best for them? Are they able to measure what’s best for themself if they are ON lithium?
Too heavy for me, it has to be person by person for themselves, and then for those involved with them.
I’ve never been the same since I read “I Never Promised You A Rose Garden”, my father became involved with rehab efforts. N that was all about 12 years old.
Again, these are not my posits. These are statistics and information taken directly from analytical reporting by The World Health Organization, the National Institute of Mental Health, The Centers for Disease Control and Prevention and the American Foundation for Suicide Prevention. All of which I have linked to in the blog.
I appreciate your knowledge in the field, thanks for establishing that.
But as a Lay Person, I can’t accept that MDD is the same as mental illness.
I just can’t.
It’s depression, and it’s heavily present in the high pressure college environment.
And depression is found in many a social factored scenario from rich to poor, from slums to palaces.
I maintain, suicide and depression are the results of socio/economic factors, more than mental illness.
So they are proposing introducing lithium into the water supply as we did flouride and niacin in bread?
That is fascinating.
You are exactly the person I am trying to reach.
There is clear scientific evidence that there is chemical imbalance in the brains of people who suffer MDD/bi-polar/OCD and a whole range of mental illness.
This is not a quality of life issue or a choice issue any more than diabetes or high blood pressure are. These are serious medical illnesses with highly effective treatments available.
I too am a lay person, but through no choice on my part I was forced to educate myself and I continue to do so in order to advocate for people who like myself, deal with the stigma of mental illness on a daily basis.
I’ll concede I used the work ‘choice’ once, and it well may be inappropriate for the reason you proffer.
My bad.
I certainly don’t think sexual preference is a choice, so let me make THAT clear.
Ok, but you are FURTHERING them, championing them.
And I guess I disagree with them.
Having been thru some ‘Rose Gardens’ with folks in my lifetime, I will stop making comments and once again wish you well and happy as you seem to be.
It don’t always turn out like it did for you, for far too many.
Bless ya . . . . and thanks for so openly sharing your personal sitch . . .
That’s both brave and bold . . .
*bows*
Diabetes, and high blood pressure are MOSTLY the result of poor choices and obesity.
Some segments of the population are prone genetically to them, but not the majority.
But you HAVE made me recall a lot about things I’ve put aside over the years.
You made yer mark.
;-)
Well I guess you’ve gone, but I’ll leave these citations for anyone else who might be interested.
NIMH (Risk factors for suicide)
2. Moscicki EK. Epidemiology of completed and attempted suicide: toward a framework for prevention. Clinical Neuroscience Research, 2001; 1: 310-23.
4. Arango V, Huang YY, Underwood MD, Mann JJ. Genetics of the serotonergic system in suicidal behavior. Journal of Psychiatric Research. Vol. 37: 375-386. 2003.