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The Comforting Friends Newsletter has published many great articles. These articles are written by experts in the field of suicide and by grieving survivors. We hope that some of these excerpts from our newsletter will bring you some comfort.
The Unanswered Question by Brenda Ann Tielking, Franklin, Indiana Dedicated to my mother, Linda Ann Hance, a wonderful woman who I miss and love. Linda lived from November 12, 1954 to July 9, 1992
Why do people take their own life? Do they not realize how much they will be missed or how much they will miss. A child will miss the chance to grow up and become whatever they want and give their parents a hard time. A parent will miss their child growing up, getting married and having children of their own. A spouse will miss the chance to grow old with someone who loves them and to share all their good memories with. Do they not realize that not only do they take their own life but they also take a part of our life with them. A child takes away the part of our life when we want to watch them grow and become very special people. A parent takes away the part of our life when we need advice or their support. A spouse takes away the part of our life when we need a loved one to help raise the children and spoil the grandchildren. Why can't they see that they are loved and that we want to be there for them when they need us. Why do they have to end their life and take part of ours with them. When they leave they leave a big empty hole that we will never be able to fill again. We are left with this hole in our hearts that hurts like a knife. The pain will eventually become dull but it will never go away. The unanswered question is WHY? Why do they feel that they have to end a life that could be the best thing that happened to them. WHY?
WHAT TO DO WITH ANGER by Penny A. Blazej, TCF/New Canaan, Connecticut
Anger is one of the most difficult emotions for me to express. Reared as a "proper" young lady, I was taught that anger was not becoming. Many of the women I have spoken to were similarly taught. I found, however, I did not have the tools to deal with the deep anger that came shortly after the death of my daughter. My anger was spilling over to people who did not deserve it, or I vented excess anger by overreacting to some situations. With the loving care and patience of several people, I developed some tools that helped me to express my anger. Rather than trying to suppress my angry feelings, I learned to release them in constructive ways. Hopefully, some of these coping techniques will be helpful to others.
EXERCISE - This is a great way to release anger, plus get into shape! I joined the YMCA, swam twice a week, did the "Y's Way to Fitness" three times a week and walked three to five miles each day. At first, I was concerned about doing so much exercise because I have a very bad back, so I took it easy and worked my way up to my present routine. I always feel much better after a good workout, and I had the extra benefit of getting out of our home and back into society. After my daughter's death, my life felt so out of control; but as I became more fit, I regained some control. This renewed strength aided in my recovery. Exercise decreases stress levels and aids in controlling depression. Since grief can also make us more vulnerable to physical illness, exercising and taking care of our health is important, Even daily walking is good therapy.
WRITING - When the anger bubbled up in me, I would write. Many times I didn't know where to begin, so I just started by writing. "I am angry because.." Soon, my thoughts were coming faster than I could write them down. After I had expressed my anger in writing, I often discovered that the sources of my anger were different than I had imagined. It usually sifted down to just being angry about my daughter's death. The technique of writing about your feelings is especially nice because you can just throw away or burn your words and the anger with them.
PAINTING - There is nothing like taking bright oils or acrylics and stroking them over an open canvass. I had not painted in over fifteen years, but I went up into the attic and got down the easel, brushes and paints. I always felt better after a good painting session. Those times were very private for me and no one ever saw my creations, but they were helpful in expressing my anger.
TALKING - Sometimes I would call a good friend and just rant and rave. My friend was a very good and non judgmental listener. She realized that most of what I said in anger I did not mean. She never gave advice or held me to my "anger" statements. She just lovingly listened. This technique calls for a careful choice of friends who can maintain confidentiality and are not afraid of anger. It is even more helpful if the friend has had a similar loss.
ENERGY - Convert anger into energy and use that energy to change the world. Angry with the limited support that mothers of children with Spinal Muscular Atrophy (SMA) had in their communities, I converted that anger into action. I joined several nationwide support groups and helped to bring their support into our community. My anger was further converted into energy which I used to raise money for SMA research. I baked over 700 loaves of bread (a lot of anger there!) for a fund raiser. My friends saw my energies and joined in to help. Together, our efforts raised over $6,000 in under six weeks! This kind of energy can be contagious. Reaching out to others can help in healing. If something good can come from our tragedies, it can add meaning to their deaths. (Editor's note: The entire issue of suicide awareness desperately needs YOUR energy. Please call us)
EGGS - Yes, eggs! When I just could not resolve my anger with any of the above techniques, I would take a dozen eggs and a black felt-tipped pen and go into the back yard. Writing the reason I was angry on the egg, I threw it at the back fence. At first, I thought this was a little crazy, but after throwing the first egg and watching it shatter, I felt so much better! I always used just one word to describe my anger. It might be: Death, SMA (the disease my daughter died of), Husband, a friend's name, God. No one need know what you write on that egg! Afterward, the birds would have a treat eating the eggs; and listening to their happy noises while having their treat, eased my anger. These are some of the techniques I used to express my anger. It is OK to be angry, and it is important to express, not suppress, anger. Suppressed anger can result in deep depression. It is also all right to be angry with God. He is forgiving and understands our emotions. He would rather have us be angry with Him than shut Him out. reprinted from The Compassionate Friends, Sacramento Valley Chapter Newsletter, August 2002
THE AFTERMATH OF SUICIDE (A Sibling's Viewpoint) I had never experienced the death of a close loved one before my brother died. When David died, my world came crashing down around me, shattering me into a million pieces. My brother and I were close, but I had no suspicion that he was contemplating suicide and had been for a long time. The night my sister called to tell me he was dead is etched into my memory forever. If I shut my eyes, I can go back to that time and place almost three years ago and still hear her voice. It is a very painful memory and one that I don't call up, but it is there, nonetheless. The overwhelming feelings of shock, disbelief, numbness, despair and sadness are very vivid. At the same time, I was outraged at what he had done to us, to me. How dare he do this! I couldn't even begin to guess how many times I said, I can't believe this is happening. The first six months was a confusing and emotionally draining period for me. I was obsessed with wanting to have answers, especially from him. I read many books on suicide and finally, after reading Iris Bolton's book, "My Son, My Son," I came to realize that what she said was true: You can ask why a million times, but you finally have to let it go, because the person you need the answers from is not here to give them to you. If only for the sake of your own sanity, you have to stop asking, "Why?" Our family drew closer together from this tragedy, and it made me more aware of how much I value and love them. I also had the support of a good friend who was willing to spend hours talking and crying with me. I still get very angry at my brother for changing our lives so irrevocably. That anger inevitably turns to sadness. I cannot see his smiling face, or hear his laughter, or watch him grow into adulthood. Yes, I had dreams of him too. He was an intelligent, warm, sensitive and caring young man, and I was eager to see what direction his life would take. I can't help but wonder what he would be like today. I miss him very much. I will never agree with his solution, but it was his choice to make and I have to learn to live with it. I am absolutely certain beyond a shadow of a doubt that I will be with him again. Only then will I get answers to my questions. I have no choice but to wait until that time. by Nicki Wright, TCF MO-KAN, Kansas reprinted from TCF, Orange Coast Chapter, Oct. 1998
AFTER THE FIRST YEAR, THOUGHTS FOR THE BEREAVED by Jean G. Jones The first year of bereavement brings raw pain, disbelief, reality and many other deep emotions - emotions many of us have never experienced or at least not to the same depth. The time period after the first year is usually not quite as pain filled as all the firsts were. Although we may be a little better, often we are not nearly as healed as we would like. It helps to understand this next period and to learn some skills for coping. It is most helpful if we lower our expectations of ourselves and work on our grief. Remember grief is different for everyone. It is like fingerprints or snowflakes, no two are alike. Everyone grieves differently so don't compare yourself to others or place yourself on a timetable. Some of the following suggestions/observations may help you: 1. Beware of becoming critical of ourselves, either consciously or unconsciously, due to unrealistic expectations. 2. A different level of reality may hit us. We usually no longer deny the death, but now face the reality of and its long run implications. 3. If the death was unexpected, some say that the second year is even more difficult. 4. It may be the time to struggle with a new life pattern. We may have handled grief by over-activity (workaholic, etc.). If our previous style of grieving has not been helpful, we must be willing to try new approaches such as: becoming more active in a support group, finding telephone friends, reading about grief, developing coping skills, becoming determined not to become stuck in our grief. 5. It is so important to find friends with whom we may talk. This is the one significant factor that prevents people from sliding into deep depression. 6. We should carefully consider the phases of grief. (Sub) consciously one or more phases may be giving us trouble such as anger/guilt. If so , recognize the phase and work on it. Don't push it down or ignore it. 7. Other events in your life may also be grief situations (trouble with spouse, children, work, other family members, friends.) Realize this happens to many grieving people and it does complicate your grief. 8. You may or may not cry as often but when you do, realize it is therapeutic. Don't fight the tears. As the author Jean G. Jones says, "cry when you have to - laugh when you can." 9. Physical symptoms may become more severe (stomach disorders, headaches, sleeplessness.) Have a checkup. 10. Insufficient sleep plagues many bereaved. It may be helpful to give up all caffeine (colas, coffee, tea, Anacin, etc.) Beware of alcohol which is a depressant. Some findings indicate that alcohol causes insomnia. Physical exercise helps to relax and tire one. Often bereaved awaken very early or during the middle of the night. Sometimes it helps to go to bed earlier. 11. Check frequently that you have balance in your life - rest, read, recreation (including exercise), and work. 12. Depression may enter your life again or for the first time. Coping with the depression is very difficult. Again we need determination, understanding friend(s) and possibly the help of professional counselor if our depression is deep and long. 13. Our grief may seem "out of control." We may feel as if "we are going crazy." This is common in bereaved people. It is important to realize grief work takes time. Much more time than we think it should. Be patient with yourself. 14. Be a "fighter" against giving up and becoming stuck in grief as 15% do. A determination to work through grief may be one of the common denominators of those who recover. 15. We had no choice when our loved one died but we do have a choice to get better. It may be the hardest work we will ever perform. reprinted from Orange Coast Chapter TCF, Dec. 1997 and Legacy Newsletter, Layton, UT, Jan. 2001
CARRYING ON AFTER SUICIDE by Bob Sheldon, Westerlo, New York
As I look into the beautiful face of my five-year-old niece, she brings me much joy. Yet there are also silent sighs of sadness as I remember her father's death. Her father, my brother-in-law, completed suicide in 1995. When I listen to the voice of my best friend's brother on the phone, and he reports the latest positive changes in his life, it brings me encouragement. But I also feel disappointment as I reflect on why I am talking to my best friend's brother and not to him. His brother, my very best friend since childhood, committed suicide two years ago. I could never have prepared for the shock of the suicide of someone I love, nor the aftershocks that keep vibrating in the very core of my existence. The initial damage causes much confusion, but over time, when one is able to step back and survey the damage, one sees that the devastation of suicide is greater than first anticipated. Life is forever changed. Nothing will ever be the same again. There is no going back, and there are no quick fixes for what is ahead. There are no easy answers. Suicide is a knockout punch. Two suicides threatened to keep me down for the count. As one who works with troubled youth as a profession, I have studied suicide and know the statistics. I have counseled suicidal youth and parents. But I really didn't know about suicide until the impossible, the unthinkable, "It can't happen to someone I love" became a reality. Two of the very closest people to me on earth, two of my key relationships, two of "my people," chose to end their lives within the span of fifteen months. My brother-in-law, Chris, and my best friend, Bill, were very different people, but they each chose suicide. Different paths eventually led to the same end. I gave the eulogies at both funerals. I quickly learned what suicide was all about, not from study but from life. Not secondhand but a first-heart experience, that gave way to a bruised, battered and broken heart. As John Claypool reflects, "Just like a broken leg, a broken heart heals slowly and cannot stand much touching right after the break." It takes so long, and we wonder if our hearts will ever be made whole or be healed. I'd like to believe that Ernest Hemingway's statement, "The world breaks everyone, and afterward many are stronger at the broken places." As a person of faith, I call out to Jesus to heal my broken heart and lighten the deep hurt within me. I am reminded of the prayer of the psalmist who cried out to God, "When I called, you answered me, you made me bold and stouthearted." (Psalm 136:3.) Though one needs to be stouthearted and determined to come out on the other side of this terrible darkness, every part of me wanted to flee from the suffocating darkness that hung over my head. Sometimes I still want to turn around and run. Yet it seems to me that the only way out of this grief is through it - not around, under, over, or retreating from it. I must let the deep pain hurt. I must sorrow. I must question. I must cry. I must unload on friends and not keep this bottled up in me. The darkness is so great, and I am afraid. Yet I know I cannot outrun it. It's like an metaphor I once heard: "As the sun is setting, the darkness is coming, and if I try to outrun the darkness and keep running west, the sun will surely set and I will be left in the dark. I cannot outrun or avoid the darkness. But if I decide to face the darkness and run east, it will be dark, but eventually I will run into the sunrise and into the light." I am able to choose which direction I will go. I have very little control over whether another person chooses to live or die, but I can choose the direction of my own life. Since the darkness is unavoidable, I can absorb it and learn what it has to offer. It is only by stepping into the darkness that I can ever hope to see the sun come out again. As I survey the landscape of lives in the aftermath of suicide, I see some shattered lives because poor choices were made. Survivors are physically alive, but they have also committed a sort of suicide. Their former lives are unrecognizable, and they are dead to things they once held dear. They have not recovered. Then I see others who were shocked into living better lives and have chosen to be different now. Why the difference? I'm not sure I know. I do know that avoiding the reality is not the path to take. The narrow path, the uphill climb, the facing of the darkness, is the slow road. It's slow because grieving is such exhausting work. One must trudge through all sorts of stuff to move on, because it's an uphill climb and it's uncharted territory. We haven't been there before. No one can prepare for this marathon of misery. We have been suddenly thrust into this exhausting race wondering if we will get our second wind. Since I couldn't prepare for this ahead of time, I must look to others who have been thrown into this race as I was - others who have experienced the death of a loved one through suicide. How did they climb the mountains that they faced? How did they stumble through the darkness without falling off the narrow path? How did they manage to take another breath when they felt suffocated? How did they come out on the other side? Questions with no easy answers, but questions that need to be asked out loud to allow us to tell our stories. There is a healing in speaking about suicide, by calling on our memories and using metaphors. Suicide is a harsh word, but it is fitting because it is such a harsh loss. Speaking about it breaks not only the silence and secrecy but the chains that hold me back and threaten to choke the life out of me as well. I will continue to remember these two precious ones I lost to suicide. I will continue to tell their stories and my story to those brave enough to listen. I will continue to acknowledge my loss and admit that when they died, some things deep within me died as well. I will continue to help those who are losing their hope, not to choose suicide, for I know the devastation and multiplication of pain it causes. I will continue to trudge through my rocky road. I will walk on with those who have lost as I have and help them on their journey. I will keep looking into the eyes of my beautiful niece even if I see her father. I will keep talking on the phone to Bill's brother even if I hear Bill's voice. I will continue on. I will carry on. Bereavement Magazine, Jan/Feb/2000 reprinted with permission from Bereavement Publishing Inc., 4765 North Carefree Circle, Colorado Springs, CO 80917, 888-604-4673, www.bereavementmag.com
COPING WITH LOSS HARVARD MEN'S HEALTH WATCH, December 2000
Loss is part of every life. The death of a loved one is perhaps the most dreaded loss, but there are others: the loss of good health, the loss of a physical or mental capability, the loss of a job, the loss of a relationship, even the loss of a treasured possession. No loss is welcome, and all are painful. Still people recover from loss, though for some the recovery is protracted and difficult. And with recovery come the opportunity to learn and grow, to be wiser if sadder. Grief is the inevitable reaction to loss; it is a painful state that can lead to psychological and physical disorders, even to death, but it can also prepare a bereaved individual for the changes that invariably follow. Grief can be the doorway to recovery and rehabilitation. More than 200 years ago, the poet William Cowper said that "grief itself is a medicine." He was right; like all medicine, grief can be bitter, but it can also promote the healing process. The work of grieving is difficult but crucial. Since all people will experience loss, all of us should understand the process of grieving and should be prepared to help others---and ourselves--- to cope with loss. Doctors have rated the loss of a spouse as the most painful and stressful of all losses. That seems debatable, since the loss of a child cannot be far behind. Still the loss of a spouse is surely the most common cause of severe grief and bereavement. And it is common: about 12 million Americans have been widowed, and about 800,000 men and women join their ranks every year. By age 65, 10% of all men have been widowed at least once--and because men die at a younger age than women, more than half of all 65-year -old women have lost at least one husband. The loss of a spouse is more common for women, but it's more serious for men. A 1995 investigation from California suggests just how serious it is. Researchers measured not the enormous psychological and socioeconomic burdens of bereavement but the mortality of the surviving spouse. The study tracked 12,522 married couples from 1964 to 1987. During that time, 1453 men and 3294 women lost their spouses. Subsequently, 30% of the bereaved men died themselves while only 15% of the women succumbed. Healthy men who lost a wife were 2.1 time more likely to die than healthy men who were not bereaved, even after age, education, and other predictors of mortality were taken into account. For men who already had medical problems, bereavement boosted the risk of death 1.6 times. The risk was greatest from 7 to 12 months after the loss, but an elevated death rate persisted for more than two years. Shakespeare was right when he wrote of "deadly grief." Why do widowers face an increased risk of death? Doctors can only speculate about several possible explanations. The loss of a caregiver could be part of the answer--but since the impact is substantially greater in healthy men than in ill men (who may depend on a spouse for care), that can't be the whole story. Most likely, intense grief adversely affects the body's stress hormones, nervous system, and immunologic apparatus; it's the same way extreme fright and natural disasters can trigger sudden cardiac death in men (see Harvard Men's Health Watch, Oct. 1996) The California researchers were unable to determine if men who died of broken hearts had been experiencing excessive or abnormal grief before they died. Doctors do know, however, that there are both normal and abnormal ways to grieve.
DEPRESSION & ANXIETY DISORDERS by Dennis Charney, M.D., Nat'l Institute of Mental Health
Dr. Charney focused on the devastating toll of mood disorders, exciting advances in treatment and what the future may hold. He began with some staggering statistics to illustrate the magnitude of the problem in the U.S.
* Ten percent of Americans suffer from major depression in any given year. * 2.3 million people suffer from bipolar disorder. * Two out of three Americans who have mood disorders do not get proper treatment. * Even when the diagnosis is made, treatment is frequently not obtained.
"There have been several recent studies that indicate that mood disorders are among the most serious of all medical diseases, not only psychiatric diseases," Dr. Charney noted.
It also makes other health problems worse because it effects the entire body. "Some forms of depression are associated with high level of stress hormones, as if the body is under stress all the time," Dr. Charney explained. In some patients the sympathetic nervous system stays hyperactive as if the body is under constant stress. In addition, depression can affect the prognosis of certain illnesses, such as heart attack, Parkinson's disease, etc. Anecdotal evidence also suggests that the prognosis for certain forms of cancer may be altered if one is depressed.
Major depression and bipolar disorder appear to have many different causes. Researchers believe environmental factors interact with one's genes to increase risk. Factors hat may increase vulnerability for depression include:
* Loss of social systems. * Loss of a parent before age ten. * Childhood history of physical or sexual abuse. Sophisticated imaging studies show structural abnormalities in the brains of depressed patients. An important finding replicated by a number of research groups is a reduction in the size of the hippocampus in patients with major depression. One of the areas of focus in the chemical study of the brain has been the serotonin system. Most drugs used to treat depression affect this brain chemical. There are a number of different parts of the serotonin system that researchers can now see using PET imaging. The hope is that their discoveries will eventually lead to better ways of diagnosing the disease to better tailor individual treatment. In the quest for new medications, one area of focus is CRH, which is a neuropeptide. There may be abnormalities in this peptide in the brains of patients with anxiety and depression. Research indicates that in some depressed patients there are increases in function of CRH, and pharmaceutical companies are trying to develop a medication that will block the function of this neuropeptide. Other future areas of research concern possible abnormalities in a brain system called the glutamate system, glutamate being an excitatory amino acid, high levels of the stress hormone, cortison, and neurogenesis - a process where new cells can be made in the brain.
Excerpted from NARSAD Research Newsletter, Volume 14, Sprint 2002
VACATIONS By Judy Kaplan and Beverly Pfeiffer Bereaved parents need to be aware of what vacations can and cannot accomplish. Each of us who has experienced the death of a child comes to realize that there are no simple answers or solutions to getting through the grief experience. We do, however, come to understand that there are things we can do to make life easier for ourselves, and we need to remember that there are no absolute "shoulds" or "should nots" to living with grief. There are no right or wrong way; we do the best we can under difficult circumstances. Some of the following guidelines may be helpful as you plan your vacation. • Previous Vacations: Remember previous family vacations. Not all of them were tension-free or without periods of adjustment, but that did not mean they were not successful experiences. Family life and raising children are never easy, and vacations provide one more avenue of learning about each other as well as learning to live together. We still have to live with the everyday upsets and annoyances of marriage and family life as well as the added stress that grief places upon these relationships. • Expectations: Share your expectations and your hopes about the vacation. Do not assume that your spouse and children know how you feel. If you need time to share your feelings, to remember the past, or to be alone, make sure these needs have been expressed. • Realistic Planning: Plan a vacation that is neither totally relaxed time without a schedule, nor totally hectic sightseeing. Arrange time for planned activities as well as time to relax and to recoup your energies. Discuss the pros and cons of going back to a familiar place or visiting a new area or having a new experience. Neither option is a perfect solution, but talk about what might be most comfortable for your family. • Coping with Grief on Vacation: You do not leave grief at home. It goes with you in your suitcase, on the airplane, and in your car. It is important to be realistic about what a vacation an accomplish. • Anticipation: Remember that the anxiety created by the anticipation of an event is often more intense than the actual event. Whether you leave town or remain at home while on vacation, it is important that you take that time for yourself. Grief takes its toll; it is physically, mentally and emotionally exhausting. And, imperfect as they are, vacations do afford us an opportunity to become re-energized. Over-analyzing a vacation can be hazardous. It is helpful to discuss how things are going, what helps, and what does not, but trying to figure out all the answers can be an overwhelming task itself. It is important to allow your self to be distracted, to relax and to do what you can to enjoy yourself. There are no quick fixes, easy answers, or perfect solutions. We do the best we can. That's true for vacations, just as it is true for everyday life.
A SINGLE PARENTS GRIEF by Jim O'Connor, Huntsville, AL As a single parent a special bond existed between you and your child. Perhaps this bond was akin to "us against the world" mentality. As an entity, the twosome of you and your child were a team taking on the world each and every day. Even if you were a single non-custodial parent the bond was just as strong as if you had daily interaction with your child. Then, all of a sudden, your teammate, your partner is gone-permanently-leaving you behind in your anguish and a newly imposed loneliness to bear the burden and pain of separation alone. No longer can we nurture or counsel or discipline our child. Knowing that we will never hear the voice, the laughter, the cries, or feel the touch of "our partner" in our earthly existence is something that is so very difficult to accept. Two is now one. This intense pain of separation is the point of the vortex that all the grief channels down to. The loneliness, the acceptance of what has happened, the guilt, the regrets, the anger, all of this funnels down and becomes components of your new status of being a bereaved single parent. If you were non-custodial, the loss may even be more acute in that your time with your partner was already reduced due to a set of divorce circumstances. You feel cheated - maybe by your ex-spouse; maybe by the system. Maybe both. Bitterness is added to the pain. But remember, if there was an ex-spouse involved, he/she lost a child too. He/she is the only person on this earth that can begin to know what you feel. At some point you need to reach out to this person as part of your healing process and dilute the bitterness until it is gone. Channel that emotional energy back into your own recovery. The loneliness of the single parent is very difficult to overcome. Even with family and friends, the loneliness can be daunting. This is where seeking out support groups and religious organizations that coincide with your belief system can be sources of comfort and support. This can help you survive and, in your own time, begin a renewal of life. Faith and sharing are two of the cornerstones of any healing process. A single parent's grief is a unique form of suffering that carries its own special set of conditions and identities. This journey, usually taken alone, requires the single parent to reach out in a more active way. It is widely accepted among grief counselors that the death of a child carries a deepened pain; the death of an only child (or all the children) goes deeper; and if you are a single parent beset by this tragedy, the crevasse of grief and pain extends even deeper. As a reinvestment outlet, try to come up with ways to stay "connected" with your child, your partner. Maybe through objects or songs or activities or anything that both of you identified with, a connection can be maintained so that, in your own special way, your partnership is preserved.
James Ryan O'Connor, almost 17, son of Jim O'Connor, drowned on July 19, 1998. reprinted from ALIVE ALONE newsletter, February, 2000.
ALIVE ALONE is a non-profit organization to benefit bereaved parents, whose only child or all children are deceased. The newsletter is published bi-monthly. Kay & Rodney Bevington created Alive Alone in 1988 after the death of their only child, Rhonda. For more information: online accessed on the Alta Vista search engine by typing in Alive Alone, also linked from various other bereavement sites; email, alivealon@bright.net or write: Alive Alone, Inc., 11115 Dull Robinson Road, Van Wert, Ohio 45891.
Suicide and Panic Among Teens Piloswky, D.J., Wu, L., & Anthony, J.C., (1991). Panic attacks and suicide attempts, in mid-adolescence, American Journal of Psychiatry, 156, 1545-1549 Most survivors are aware that one of the most important contributing elements to suicide is that of emotional disorders. Suicide almost always happens to people with significant emotional problems, such as depression, alcoholism, drug dependence, and schizophrenia, as opposed to people who are simply under stress. This is not to say that stress isn't important - it is - but stress is more difficult to handle when one also has an ongoing emotional disorder. One of the ongoing controversies in the field of suicidology is whether panic disorder puts a person at risk for suicide. Some research studies seem to say "yes" whereas other do not. All of the studies on panic disorder so far have been of adults. Panic disorder is an emotional disorder in which people have recurrent panic attacks (or anxiety attacks). These panic attacks come "out of the blue," for no apparent reason, and during one a person typically feels fearful, panicky, or extremely apprehensive. A panic attack usually lasts for a half-hour or so. They are very scary, especially when a person doesn't know what the panic attack is. Often people think they're going crazy, or they're having a heart attack. Along with the fear, an attack usually has a variety of physical symptoms. These include sweating, a rapid heartbeat, a dizzy or unsteady feeling, hot or cold flashes, tingling in the extremities, an upset stomach or nausea, chest pain, and sometimes a feeling that one is about to do something out of control. All of the physical sensations are that of the "fight-flight" reaction, but the problem is, there's nothing around to be afraid of. About 1-2% of the population have panic disorder (frequent recurrent attacks) sometimes in their lifetime, but many more people have occasional panic attacks. One study found that 12% of a group of 14-year-old's had had at least one panic attack in their lives. This study focuses on whether panic attacks in adolescents increases their risk for suicide, and the tentative answer appears to be "yes." At least in this study, teens, with panic attacks had a higher rate of previous suicide attempts (not completions) and of thinking about suicide than those without panic attacks. The researchers had to be careful to separate out those who did and did not have major depression, since it is well known that major depression increases suicide risk, and panic attacks often occur in people while they're depressed. This study was a health survey of 1580 13-and 14-year-olds in an eastern urban location. In this group almost 23% reported having had at least one panic attack, 4.9% reported having had thoughts of suicide at some point (but no attempts), and 5.8% reported a suicide attempt. Teens with panic attacks were over 3 times more likely to have serious thoughts of suicide than those without and twice as likely to have attempted suicide than those without. It should be noted, however, that major depression was an even larger risk factor, and the teens with the highest rates of suicidal ideation and attempts were those who had both major depression and panic attacks. This study adds to the evidence that, at least for teens, panic attacks increase the risk of suicide. In many cases it appears that the elevated risk is due to the unknown nature of the attacks - teens can't understand what's happening to them, they think they're gong crazy or out of control, or that they may die, and they're terrified. This is another case in which knowledge can be life-saving - just knowing that panic attacks are scary but harmless is an extremely valuable piece of information. by Jay Callahan, Ph.D., reprinted from Obelisk, March 2000
A SISTER'S MESSAGE....... by Michelle Linn-Gust, Albuquerque, New Mexico Dear Denise: It was two weeks ago that I came home to cover the men's basketball team in the NCAA Tournament. I only spent the night before the game at home because Mom and Dad live 45 minutes from Rosemont Horizon. But I had no idea that when I knocked on your door the morning of the game, to see if you were awake, that it would be the last time I would talk to you. And to think I couldn't understand what you said to me. I still can't believe that as I was searching for my seat on press row for the Ball State-Kansas game, you were walking in front of a train -- just two weeks before your 18th birthday. I'll never understand why you did what you did. We can only speculate about what was going on in your head. Everyone thought you were getting better, but apparently you thought the bulimia had gotten the best of you and you would never get control of yourself again. Everything I watched you go through in your high school years was nothing out of the ordinary. It took me to this year to really be happy with myself but I couldn't tell you that because you wouldn't listen. You were so close to graduation and college -- starting all over. Instead you chose to end your life and leave the mess for the five of us to clean up. I was angry when the high school principal called the weekend after your death to tell us how the school would be open for students needing someone to talk to. A number of the faculty were going into the school on the weekend because of you. And then I watched so many students walk by your casket to pay their last respects. I wonder if you built a wall around yourself and couldn't feel that so many people cared about you. Mom let those who came to the house after the funeral up in your room. They stood in a bunch in the middle of it staring, unsure what to say or do. Remember Mrs. Martin, the high school journalism adviser? She came to the wake and asked me to stop by the school the next day. The newspaper staff was having a hard time deciding what to print. She thought with my being a journalism major and because you were my sister, I might be able to help them out. When I got there, I saw how uncomfortable they seemed in talking about your death. Some didn't want to print anything about your death because they knew how unhappy you were at the school. But that would have been denial that you even died! You shocked them and everyone else because your smiles and laughter hid so much pain. We knew how you had been depressed for so long and how you tried to kill yourself last fall, but we also thought you had put that behind you. The night before you died, you were telling me what a great time you had at the spring dance the weekend before. I'm glad you did get to go to one dance, because there are so many things you'll never get to do, and that bothers me. You only made it halfway up to the 'M' on the mountainside at the University of Montana last summer. But then, you thought you'd return and have the chance to climb the whole way up. You never got the chance to use the towel I bought you for Christmas to take to college. You life was just beginning. Mom and Dad just wanted to get you out of high school because they knew things would get better after that, but you couldn't do it. When we went to find a cemetery plot for you, I watched them sit in the first pew in the chapel. They are probably hurting more than you could ever imagine. Instead of four of us kids, there are now three. My name will come after the "and" in all the Christmas cards. I hate that. I don't want to after the "and" -- that's your spot. I wanted to come back to school right after the funeral but I felt strange going back to my classes and the newspaper . My life has changed so much and everyone else's is the same. I'll never see you again. Who will trim my hair? You taught me the game of baseball when I was in high school and now who will go to Kane County Cougars games with me? I find comfort in the thought that you are out of pain now. I know there is a reason for everything that happens. Your death is no exception, but it bothers me that you had to be everyone else's lesson. April 1993
Michelle Linn-Gust has just published her book on suriving the suicide loss of a sibling, "Do They Have Bad Days in Heaven?". for more info: www.siblingsurvivors.com, www. boltonpress.com, Order from Bolton Press, 1090 Crest Brook Lane, Rosewell, GA 30075, $14.95 + 2.50 S/H per book.
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FRIENDS FOR SURVIVAL, INC.
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