Showing posts with label Suicide Prevention Awareness Month. Show all posts
Showing posts with label Suicide Prevention Awareness Month. Show all posts

Wednesday, September 28, 2022

But I Didn't Say Goodbye

 

 Book Review

September is Suicide Prevention Awareness Month, and in our bereavement library here at the funeral home, we have a wonderful book penned by Barbara Rubel entitled, But I Didn't Say Goodbye: For parents and professionals helping child suicide survivors. 

But I Didn't Say Goodbye is broken into two major parts. As Barbara Rubel explains in her introduction, part one introduces us to a young boy named Alex, whose father has just completed suicide. Naturally frightened, confused and mourning his father's passing, Alex is asking those in his life questions, including whose at fault for his father's suicide, could he have prevented it, what will happen to his mother and how to tell his friends and classmates about his father's dead. The second part, is geared towards parents and professionals and offers information on setting up a Memorial Fund, and aids to help them in finding survivor support. 

What is nice about this book, is the format in which it is written. During part one, which is Alex reflecting back five years ago when he was ten and in the fifth grade, it is broken into nine small chapters of no more than 2 to 5 pages at most. Each chapter starts with Alex speaking directly to whoever is reading his story, as he's explaining what's going on at that particular moment. When he begins to ask questions of the person he is speaking to, these are separated into individual questions, with Alex's question in bold print, and the adult's answer directly underneath his question. Alex also takes the time to tell the reader what he is thinking while asking questions, which helps the reader to understand that this is truly a discussion going on. 

At the end of each chapter, there is a Stop to Process page, with a serious of questions, that can help facilitate a deep and meaningful discussion between an adult and the child reading this section of the book. Questions on these page include, "How do I feel about the person who told me that my special person died?" or "How does the word suicide make me feel?" There are also options for the child to explore their feelings in other ways other than talking, such as drawing a picture, making a list, or writing a special poem. 

The final chapter of the story is a note written from Alex, and explains how Alex, his sister Debbie, and his mom have continued to celebrate and remember his father. He also speaks about how he went to a support group and what it was like. He ends his note by encouraging everyone to keep reading and researching their feelings to help them continue to cope with their loss. 

Part two of the book is for the parents, professionals and caregivers of children dealing with the loss of a loved one from suicide. This section is simply titled Bereavement Referrals, and is a very detailed list of various organizations and other resources for those looking for suicide awareness, prevention and survivor support; death education and grief counseling; crises intervention; addictions; information on depression and suicidology websites. For many of the organizations, Rubel has provided the name and contract information, as well as a detailed description of the organization. 

Rubel has chosen to conclude her book by adding an appendix with lists of recommended resources for children, adults and professionals. 

In 2020, Ms. Rubel updated her book, and what follows below is the summary of the updated version from Barbara Rubel's website. 

But I Didn't say Goodbye: Helping Families After a Suicide tells the story, from the perspective of an eleven-year-old boy, Alex, and his family, as they are rocked by suicide and reeling from the aftermath. Through Alex's eyes, the reader sees the transformation of feelings after going through a suicide from a child's perspective, although he has the wisdom of a bereaved adult. 

New to the third edition, each chapter ends with Alex reflecting 10 years later on his experience, introducing family and friends in his recollections. Barbara Rubel has combined our modern academic theories of grieving, and the research that supports those theories, and then translated them into a readable story for anyone bereaved by suicide. 

The revised edition is an evidence-informed and contemporary treatment of a devastating form of loss that uses a hypothetical case study to render it in human terms. Through the story, the reader will understand what losing someone to suicide might be like for a family, how to make meaning, and ways to experience personal growth. This book provides guidance and education for clinicians and families to help suicide loss survivors. 

Part 1 offers a basic understanding of suicide postvention, complicated grief, mourning theories, and the impact on clinician survivors. Chapters have been updated, based on mourning models and the latest research.

The chapters in Part 2 build upon one another from the day of the suicide to the anniversary. At the end of each chapter, there are follow-up questions to explore in counseling sessions, support groups, therapy sessions, or at home. At the end of each chapter, Alex, at the age of 21, reflects back on how his father's death has changed his life, wounding him, but also helping him to grow. 

This award winning book explores a trauma-informed and grief-informed approach to helping those who are traumatically bereaved. 


For those who'd like to borrow But I Didn't Say Goodbye: For parents and professionals helping child suicide survivors, you can contact the funeral home and borrow it from our bereavement library.

If you'd like a copy of the newest edition of But I Didn't Say Goodbye, you can purchase a copy by visiting Barbara Rubel's website by clicking here.


 








Thursday, September 1, 2022

September is National Suicide Prevention Awareness Month

 

It's okay to not be okay.

Since the start of the COVID-19 pandemic, many of us are finding it harder and harder to be okay. That's to be expected with everything we have had to face, and it's hard to imagine that everyone will be okay and that we will ever go back to being fully okay like before the pandemic. In fact, according to research done by the Ohio Suicide Prevention Foundation, 1 in 5 people are living with mental health or substance use disorders, which are major risks for suicide. 

As we begin Suicide Prevention Awareness Month, we'd like to use our blog posting tonight, to share with you an article we found on the Purdue University website that was just posted before the start of the Fall, 2022 school season. 

September is National Suicide Prevention Awareness Month 

Suicide is an uncomfortable topic to discuss but one that should be discussed openly and honestly. To help raise awareness and open the dialogue, September is recognized as National Suicide Prevention Awareness Month. 

According to Psychology Today, suicide is a difficult topic, but silence can have tragic results. And those who are the sounding board for a suicidal friend or family member also need resources to help them navigate their journey in that role. 

It's important for everyone to remember that suicide's reach goes far beyond the individual who is having suicidal thoughts and even actions. Those around them-family, friends, co-workers, neighbors, associates, etc.- are impacted as well. In addition, while a suicidal person may not directly ask for help, that doesn't necessarily mean they don't want help. So, what can someone do to help?

Recognizing warning signs
An important part-the first step actually-of suicide prevention is recognizing the warning signs and taking them seriously as well as knowing how to respond to them. Warning signs of suicide include:
  • Talking about suicide.
  • Looking for access to guns, pills, knives, etc.
  • Having a preoccupation with death.
  • Sudden mood swings or personality changes.
  • Hopelessness.
  • Self-loathing/hatred.
  • Neglecting appearance.
  • Changes in eating and sleeping patterns.
  • Saying goodbye.
  • Withdrawal.
  • Self-destructive behavior. 
Suicide prevention tips
  • If someone is worried about another individual, they are encouraged to speak up and start a conversation. Giving a suicidal person the opportunity to share their feelings can provide relief. 
Melissa Covarrubias behavioral health counselor at the Center for Healthy Living (CHL) on Purdue's West Lafayette campus, suggests starting a conversation with a simple statement that reflects the concerns. For example, "You haven't seemed like yourself lately, so I wanted to check in," or, "How are you doing? I've noticed some changes in you and want to be sure you're OK."

"Remind them that they are not alone and that you are in their corner. Let them know the way they are feeling now will change and that you care about them and want them to be OK," Covarrubias says. 
  • Respond quickly. It's important to try to determine if the individual is in immediate danger. 
HelpGuide offers the following suggested questions to ask to help assess the immediate risk of suicide:
  1. Do you have a suicide plan?
  2. Do you have what you need to carry out your plan?
  3. Do you know when you would do it?
  4. Do you intend to take your own life?
Determining the level of risk-HelpGuide offers the following risk assessment. 
  1. Low-Some suicidal thoughts. No suicide plan. Says he or she won't attempt suicide.
  2. Moderate-Suicidal thoughts. Vague plan. Says he or she won't attempt suicide.
  3. High-Suicidal thoughts. Specific plan. Says he or she won't attempt suicide.
  4. Severe-Suicidal thoughts. Specific plan. Says he or she will attempt suicide. 
"It's important to pay attention and take them seriously, even if you do not think that the person you're trying to help is in immediate danger," Covarrubias says.
  • Offer help and support. "Trying to help someone who is suicidal can be emotionally challenging," Covarrubias says. "While trying to offer support, remember not to put the responsibility on yourself for making the individual better. You can offer support, but only the individual in question can make the decision to get help and commit to ongoing treatment and therapy." 
Some things to do to offer support:
  1. Help find professional help for the individual and encourage him or her to go see someone.
  2. Be proactive in regard to reaching out. Don't wait for the person to call or ask for help. Stop by to visit, keep calling and invite the person out for dinner or even a walk.
  3. Encourage lifestyle changes that will positively affect the individual. Things such as a healthy diet, getting plenty of sleep, getting outside and so on. 
  4. Make a safety plan. Assist in developing a plan for the individual so he or she can identify triggers and follow the steps that are determined to be most helpful. Include the contact numbers for the individual's therapist (if applicable), crisis center hotline, Suicide Prevention Lifeline and other contacts who can help in an emergency. 
  5. Continue supporting the individual long-term. Keep in touch, periodically stop by to visit, call to check in and remind the individual that there is hope. 
  • Get training:
  1. Suicide Prevention QPR Gatekeeper-QPR stands for Question, Persuade, Refer-three simple steps that anyone can learn to help prevent a suicide and save a life. 
  2. Additionally, the American Foundation for Suicide Prevention offers many training resources, as does the group, Suicide Awareness Voices of Education (SAVE), by providing tools to community leaders to help prevent suicide. 
  • Get involved. During September, when the focus is on raising awareness for suicide prevention, it's easier for individuals to join in to support those around them and in their communities. However, that support is needed all year long regardless of whether an individual is directly helping someone in need. 
There are many ways to get and stay involved. Share information about suicide and suicide prevention on social media to help reduce the stigma associated with it. Keep the dialogue going with family and friends about the need for increased awareness and support. Volunteer at a local crisis shelter or similar organization. Donate to agencies who work nonstop to provide support and services for individuals in need.

Suicide prevention resources
  • 988 Suicide & Crisis Lifeline-The Lifeline provides 24-hour, confidential support to anyone in suicidal crisis or emotional distress. 988 has been designated as the new three-digit dialing code that will route callers to the National Suicide Prevention Lifeline. Call or text 988 to connect with a trained crisis counselor. Support is also available via live chat (https://988lifeline.org/).
  • American Foundation for Suicide Prevention (AFSP)-Offers resources for suicide prevention for anyone in need, including resources supporting diverse communities and the LGBTQ community. 
  • Centers for Disease Control and Prevention (CDC)-Shares resources, facts, risk factors and more.
  • National Institute of Mental Health-Shares action steps to help someone and more.
  • Suicide Prevention Resource Center (SPRC)-Shares multiple resources on suicide prevention.



As September is National Suicide Prevention Awareness Month is penned for Purdue University News, we have left out some information that pertained directly to the university. However, we encourage you to visit the link below to read the entire article as well as to visit the numerous helpful links within the article. September is National Suicide Prevention Awareness Month