A few weeks ago in response to a poetics prompt to write about a first time for something, I thought of something that I have only done once, and am thankful I’ve never had happen again. But there are people who have had this happen so many times they maybe can’t even remember the first time.
My prayers are with them, my hope that they recognize the lie that suicide is the answer to pain and suffering and that our loved ones would be better off if we were dead.
Not Better Off Dead
Clearly I recall the first time the thought entered my mind They’d be better off if I was dead
I immediately knew it was wrong but still a method to my madness began to form in the recesses of my deeply troubled mind
I could picture the bottle of pills designed to make me better but could just as easily be my demise
Then they’d be free, I’d be free
The Psalmist wrote The angel of the LORD encamps around those who fear him, and he delivers them That first time His angel was encamped around me
He delivered me from that first thought made me know it was wrong ensured it was the last time that thought ever entered my mind
Now we are free and together because the Lord let me know I was not better off dead
I write candid memoir and fearless poetry and delve into hard issues others tend to avoid. I want you to know God’s redemption and healing are just a story away.
It’s very real and it’s very possible. Often we see suicide as the only way out. It becomes an option for us. We can plot it, and entertain it. I have personally seen it first hand, and I understand its seductive pull. It seems logical. Suicide has become a real possibility.
We feel like a magnet; bad stuff gets pulled into our thinking, and we plunge into dark thoughts and a deep pain. I know, I’ve been down this road. I’ve had to walk through this stuff myself. It scares me. Once (or twice) when we make our way down this trek, it becomes easier and quicker to make the slide into what ending it all.
It happens to Christian believers. I was a pastor of a church and a teacher in a Bible college. I acquired a degree of having a competent religion but without real knowledge. I professed but never attained. There were moments though, when I got quiet enough to listen, that I knew it really wasn’t working.
Will we go to hell if we commit suicide? The answer evades me, and I can find no definite direction in scripture. King Saul in the Old Testament, and Judas in the New, are those who come to mind. Both men found themselves in a very ugly situation. There isn’t any positives for them both.
Somehow, deeply ingrained in our hearts, we know it’s wrong. Maybe it’s genetic or a societal convention. Deep down we know it can never, ever be an option. It’s completely beyond the pale. And yet, we arrive at a terrible point when it does seem it’s the only thing left open to us. We’ve become our own worst enemy.
“Suicide doesn’t take away the pain, it gives it to someone else.”
Suicide devastates those who are left behind. Our terrible pain gets passed to those who knew us; the closer they are to us, the more it will damage them. Husbands, wives, children and friends will know trauma first-hand. Our decision to die will scar their hearts forever.
We are all connected. We are each tied to each other. Family and friends, churches and communities. We all have relationships that, like it or not, bind us to each other. We’re not solitary entities existing on our own. Consciously or not, we effect others. We will never know the scope of our influence.
There are stages an afflicted person will go through. These are just generalities, but having been down this path I do see them as steps to self-destruction. They blend with each other and sometimes they can be slower or faster, depending on the individual.
Step One: Ideation.
Thinking about it, is it even possible?
Step Two: Fascination.
When the idea begins to become more real, more seductive. We see a burnished glory in it. Suicide seems like logical to us. It seems the only way out. (Besides, isn’t there a certain ‘hubris’ to killing yourself?)
Step Three: Planning
How am I going to do this? What method makes the most sense to me?
Step Four: Committing.
This is the final, ultimate step. Everything up to now is just setting me up for this.
One of the 10 Commandments expressly tells us that “You shall not murder.” Suicide is essentially “self-murder.” This I suppose, is the ultimate
Suicide is never logical. It’s a slide into that which is irrational. It isn’t normal to want to kill yourself. And it does seem that mental illness (schizophrenia, depression, anxiety etc.) can be an incredible factor. Physical illnesses or diseases also can make suicide logical. Or honestly, it can be a ‘blend’ of all that is listed here.
Suicide prevention
If you think someone is at immediate risk of self-harm or hurting another person:
• Call 911 or your local emergency number. Get help as quick as you can.
• Stay with the person until help arrives. Don’t let them alone with their ‘demons,” real or imaginary.
• Remove any guns, knives, medications, or other things that may cause harm.
• Listen, but don’t judge, argue, threaten, or yell. All of these only increase the possibilities.
If you or someone you know is considering suicide, get help from a crisis or suicide prevention hotline. Try the National Suicide Prevention Lifeline at 800-273-8255.
Most of all, PRAY! Get help from a pastor or elder of your local church. (That’s what they’re there for.)
Love,
Bryan
Commentsbb@yahoo.com
Visit my new site at: redletterstudy.wordpress.com
Sept. 10, is World Suicide Prevention Day. Why there is but a single day of the year devoted to preventing suicide, I do not know. We should endeavor every day to provide the hope the hopeless need to get them through the pain that leads to suicide.
Often we hear it said that those who kill themselves are selfish because they hurt the people they leave behind. But if you’ve ever had suicidal thoughts or tried to die by suicide, you know that is not the case.
If you never have, it is difficult to understand.
I’ve only been truly suicidal once, but my thoughts were far from selfish. At the time, my actual thought was that my husband and son would be better off without me because I was so depressed and broken that I was no good to them. I truly believed this terrible lie.
Thoughts of suicide often follow a long pattern of trying to get well with little or no success. It stems from hopelessness and a sense of feeling like you are a burden to those around you. To consider suicide is to desire to unburden others and put an end to endless pain.
Unfortunately, the thought processes of a person who is suicidal are just simply wrong. I know mine were. I can’t imagine where my husband and son (who was 1 ½ then and is 26 now) would be if I had gone through with it. They certainly would not be better off. That thought was a lie.
There is always hope, even when things seem the most hopeless. What a person struggling with depression and suicidal thoughts needs is love and hope. They need understanding and reassurance that the rest of us would not be better off if they were gone. They need to know we are there for them and that they matter to someone.
They need to know that God loves them and wants what is best for them, and that “This too shall pass.” But in the meantime, we are there to be a shoulder to cry on and a heart to confide in.
Professor Mitchell, what is the difference between being depressed and just feeling bad about yourself?
Sometimes it’s easy to tell the difference; sometimes you’re not certain. I look for clinical indicators of depressive illness: whether the person’s life is becoming impaired by these bad feelings, when it’s starting to interfere with people’s sleep, appetite and weight, when it’s interfering with their work and concentration, they’re having suicidal thoughts, they can’t buck up. Those symptoms help me to sort out whether it’s just life problems or whether it’s more.
So depression is an illness?
Yes. Even though there are both psychological and physical parts to it, it makes sense to think of severe depression as an illness. There are good medical and psychological treatments that can help people get out of it.
What proportion of the population is depressed?
Figures vary, but over a lifetime about 15% of the population are prone to getting depression on at least one occasion. So it’s relatively common. Some people only have one episode, but for at least half of those who suffer depression once, it is a recurring experience.
Is depression the sort of thing that certain personality types are likely to suffer?
I think that’s true. Anybody is vulnerable to becoming depressed, if things get difficult for them, but some personality types are more prone than others. For instance, if you tend to look for your own failings and weaknesses, if you expect disasters, you are prone to becoming depressed. People who have fragile self-esteems are prone; people who are excessively perfectionistic can be thrown when things don’t go quite right; people who have long-term high levels of anxiety.
Can you describe what it is like to be depressed?
Patients find it quite hard to describe. They often use analogies, like there is a ‘black cloud’ or a ‘weight’ on them. They say that they just can’t enjoy things any more, that they can’t get the drive to do anything; they stay in bed because they just have no energy or enthusiasm. They tend to ruminate and think about their failings, their hopeless situation. But many people find it hard to communicate the experience; even very articulate people have told me how difficult it is to communicate the experience to other people.
On the other side of the fence, what is it like to be close to someone who is depressed?
I think it’s very wearing. It never ceases to amaze me how couples stay together, particularly when it’s prolonged. Even with the best of good will and human kindness, long-term depression can be a very tiring experience for a spouse or close friend. You may get little response from a depressed person, little enthusiasm, withdrawal. They don’t want to interact socially and sometimes they can be quite irritable. Within a marriage, tension may be increased because the depressed person has no interest in sexual activity. So these things exacerbate the problem.
I sometimes hear it said that depressed people ought to just ‘snap out of it’. Can they do that?
Not when the depression is severe in the way we have been talking about. If someone can snap out of it, usually they have by that stage. In general, a depressed person doesn’t like the experience and if it was a matter of just getting on and doing something, they would have tried it. Sometimes people need to learn psychological ways of getting out of the depressed state. But sometimes there is a biochemical process going on that means the person isn’t physically able to snap out of it, without professional help.
Often there is a mixture of the physical and the psychological. It’s very rarely one or the other. The more I see depression, the more I see a complex interplay between personality, the biology of our brains and our life experience.
So depressed people can’t snap out of it, but they also can’t explain very easily what is actually troubling them. It’s a very frustrating illness!
Absolutely. It’s hard for people who haven’t dealt with it professionally to have any idea what it’s like to be depressed. So people have this difficulty understanding it, and this tendency to think that the person should be able to get out of it, and the depressed person has difficulty explaining the experience and feels frustrated and stigmatized when people are telling them to snap out of it, because they know they can’t snap out of it. There is enormous tension.
I suppose the big question is, for both the depressed person and those around them, can depression be cured?
Most people with depression can either be cured or significantly helped by available treatments. These days, we have very good treatments. We can’t help everybody, but we can help the vast majority of people we see.
Is it always a long-term cure, or can it happen quickly?
It varies. Often within a few weeks many people have benefited significantly. Some forms of depression require more long-term psychological treatment, others respond very quickly to medication. And there are grades in between.
Is depression like alcoholism, where you can get it under control but never really be beyond its reach?
For most people, that’s probably a realistic comparison. I tell people that they are always going to be prone to becoming depressed, so they need to be wary about relapses in the future. They need to be sensible about their medications, learn techniques to help them, think about whether there are aspects of their lives that they need to change. We can’t always prevent future episodes, but we can usually make them less likely.
William Cowper, Poet 1731-1800
The poet Les Murray recently has been very public about coming out of his depression. It’s interesting that some of the best poetry is written by people who have been depressed. Look at William Cowper, a Christian poet and hymn writer who wrote some of his most moving material during periods of profound depression. So depression can be both creative and destructive.
This raises an important issue for Christians. How do we connect our mental and our spiritual lives?
Cowper became very doubting at times, during his depression. One thing many Christian patients say is that God seems very distant during such periods. I’ve come to accept that as part of the depressive experience rather than a problem with their faith. I’ve seen people with a very deep faith, who yearn to be close to God, and who when depressed feel very barren and remote from God. For instance, J. B. Phillips, the Bible translator, was profoundly depressed for much of his adult life. He has described this sense of distance from God.
JB Phillips, 1906-1982
That is very distressing for Christians. They begin to worry that it is a lack of faith or lack of spiritual growth. But having seen it enough, I think it is just an expression of the depressive experience. Many Christians also feel that depression is a sign of weakness, of spiritual inadequacy, and they have a strong sense of guilt. Unfortunately, I think that often the church, explicitly or implicitly, has encouraged that—that if you have depression, it’s a reflection on your spiritual life. This adds an incredible burden to people who are already feeling guilty and self-critical. It’s a bit like Job’s encouragers, who basically made him feel worse.
Why does there seem to be a large number of depressed people in our churches?
It’s often the more sensitive people who become depressed, and there are often a lot of obsessional and sensitive people in churches. My experience is that there is a lot of depression in our congregations and that we don’t handle it at all well. We often infer, explicitly or implicitly, that the Christian shouldn’t have the experience of depression—that it’s not part of the victorious Christian life. And that causes enormous guilt and makes people less likely to talk about it. I think we have a lot of silent suffering going on in our churches. People just aren’t getting helped, because they feel guilty about having depression. We need to bring out into the open the fact that depression is a common experience, even within the church. And that being a Christian doesn’t stop you from getting depression. And that having depression is no more a failing than having diabetes.
In general, the church deals very badly with mental illness. In the middle ages, it was considered demon possession; in the late 20th century it’s considered a symptom of spiritual inadequacy. But it isn’t necessarily either of these things.
Are people in very demanding ministries especially prone?
They are prone; I don’t know about especially. They are in line for so many of the factors that contribute to depression: burn-out, demoralization, excessive demands, not looking after your own emotional needs, not having time to yourself. I see some of the casualties, and often by then it’s too late because someone has resigned from the ministry or become completely disillusioned. And it’s all too hidden, too hush-hush. We’re dealing with it no better than the secular world; in some ways we’re doing worse.
What then are the ways that a depressed person can be helped, both by individuals and by the church?
Well, especially in the early days, one can be supportive, help people get back into their lives—those normal things of friendship and support, being a sounding board, willing to listen to difficulties. These things might be sufficient to alleviate the early experience of depression.
But if we’re looking at a fully formed depression that’s been going on for a while, the person should be encouraged to seek proper professional help. That doesn’t always mean a psychiatrist; it might mean a GP or a counsellor. Just someone with the skills and training to help. So that’s the first thing, when the support networks have been stretched to the limit.
While that process is happening, it’s important to be around for the depressed person, accepting the fact that it might be a frustrating experience until that person picks up. Not feeling that you have to do everything yourself. There has to be a point where a friend accepts that they can’t provide everything the person needs. That point is usually indicated by signs like someone crying constantly, their work falling apart, withdrawing inexplicably, perhaps losing weight. These things indicate that the depression is getting severe.
Finally, do you think depression has become more of a problem today than it used to be?
It’s an area of debate. There’s no doubt that depression has always existed. The old Greek medical writers are clearly describing patients with depression. There was a book written in the 17th century called The Anatomy of Melancholy which described what we would call depressed patients. So it goes back through the ages; it’s part of the general human experience.
The issue is whether it has become more frequent. People have looked at the occurrence of depression in groups of people born in different decades in this century, and the frequency of occurrence seems to go up as the decades continue. People born in the 60s are more prone to depression than those at similar ages, but born in the 30s. Now, the significance of that is debated. It could be that people in recent decades simply have become more willing to admit to their depression, hence the higher rate of reports. Or it could be true that it is becoming a more common experience, and presumably that reflects changes in society. What those changes are is a very difficult question to answer.
So it’s hard to say whether the loneliness of urban living is a major factor?
Well yes, and it’s a very interesting area of debate. The World Health Organization has released predictions of the impact of different illnesses over the next century. They are saying that depression will be the 21st century’s most disabling condition, in terms of the impact on the individual, frequency and cost to society, on a worldwide basis. That survey included all medical conditions, including cancer and heart disease. So there is a recognition that it is a very prevalent condition, and that it is a very disabling condition to have. Whatever is causing it, we’re going to have to deal with it.
Philip Mitchell is a Professor at the School of Psychiatry, Prince Henry Hospital in Sydney, Australia.