suicide

Mental Health Awareness Month; Be Wary of Loneliness

May is Mental Health Awareness Month.

Even as quarantines, physical distancing, and other measures have been put in place and practiced to protect us, they have also created a dangerous uptick in loneliness. Domestic violence, situational depression, substance abuse, and suicide have risen to cause a side-by-side epidemic.

Extreme loneliness was already referred to as “The Loneliness Contagion” two years ago when I first penned a resource for ChaplainUSA.org. The recent coronavirus measures have only intensified an already critical situation. John Cacioppo, PhD from the University of Chicago believes it is spreading from person to person like a disease. Though experienced inordinately among millennials, it is increasing across the generations.

Where Is This Loneliness Coming From?

Dr. Shannon Monnat says that we live in an era of individualism, disinvestment in social safety nets, declines in social cohesion, and increased loneliness. Isolation due to lots of time spent on social media sites while glued to cellphones is one of the reasons for decreasing real life interactions and what is being called the Fear of Missing Out. Though there are multiple chatting contacts, swapping of photos and other kinds of interaction, people are feeling lonelier than ever. This is strikingly similar to the social isolation commonly known as an experience affecting the elderly due to decreased mobility and loss of friends and partners. Despite the fact that younger people have massive quantities of friends online, this increasing loneliness stems from a decreasing quality of relationships. In other words, a person may have a lot of friends but still find that their needs for social contact are not met.

We have a fundamental need to belong. This is what gives life meaning. In order to feel a sense of belonging there must be the presence of authentic as opposed to virtual relationships. They must be based on mutual caring responses in which we feel loved and valued. It is also necessary to have frequent interactions with other people. Loneliness diminishes or disappears when we feel like we matter.

The Extreme State; Loneliness and Repetitious Behavior

I am not a mechanism, an assembly of various sections.and it is not because the mechanism is working wrongly, that I am ill. I am ill because of wounds to the soul, to the deep emotional self, and the wounds to the soul take a long, long time, only time can help and patience, and a certain difficult repentance, long difficult repentance, a realization of life’s mistake, and the freeing oneself from the endless repetition of the mistake which mankind at large has chosen to sanctify. ~ D.H. Lawrence

Dr. Corinne Gerwe has done extensive research on what she calls the Extreme State. Her research shows that loneliness can be a predominant feeling which is responsible for igniting addiction and chronic relapse. Her book, The Orchestration of Joy and Suffering: Understanding Chronic Addiction (Algora Publishing 2001), explores the relationship between childhood experiences resulting in extreme feelings and subsequent behaviors that relieve or diminish the intensity of the feelings. She demonstrates that the behavior patterns, including addiction can persist throughout a lifetime. Dr. Gerwe found that when loneliness is experienced in the extreme (or for long durations) that the brain begins to search for relief found in behaviors. Neuronal pathways provide quick solutions to resolve or lessen the intensity of the feeling. Even behaviors which have proven to be destructive such as drug and alcohol abuse are repeated and repeated. It is a cycle that feeds on itself. For example, one set of behaviors that results from loneliness is isolating oneself. It would seem counterintuitive yet is one of the most common responses. As a person withdraws from the world, isolates and avoids, they become even lonelier and more likely to use substances for relief. Is it any wonder that powerful opioids, which practically eliminate physical/emotional pain and suffering are being used to combat chronic loneliness?

Health Issues Result from Loneliness

Loneliness is killing us. It has been reported by Richard Lang, MD of Cleveland Clinic that loneliness affects 60 million Americans and that chronic loneliness poses a serious health risk. New research suggests that loneliness and social isolation are as much a threat to health as obesity and smoking cigarettes. It can impair cognitive performance. Loneliness is one of the feelings most associated with suicide. Socializing and interacting with other people is a basic human need. If social needs are not met, a person can start to feel lonely which leads to depression and possibly suicidal thoughts. Finally, studies show that loneliness increases the risk for early death by 45 percent and the chance of developing dementia in later life by 64 percent. There seems to be no doubt that loneliness is an epidemic, a contagion and one of the most serious health risks facing us today.

Relationships Overcome Loneliness

I once counseled a young man who was suffering from intense loneliness. He had just started his freshman year at a local college and had changed from a happy, confident, outgoing high schooler to an isolated, self-conscious, anxiety ridden guy. All of his friends had gone away to other schools and he was the only one left behind. There were no more service clubs or sports teams in his life. His studies were going nowhere. Jeff was considering suicide. It was not that he was alone. He had a roommate, lived in a busy dorm, had joined an intramural football squad and was attending church on campus. He was a busy as he could be. But there were no real quality personal or community relationships. He might as well have been a hermit for the overwhelming loneliness he was experiencing. Jeff’s situation is not uncommon. Senior citizens who retire from their life’s work know well what he was going through. Folks who relocate to another part of the country for great work opportunities understand it. Suddenly, what I call a ‘peopled life’ becomes vacant. The answer cannot be found by busying oneself. For Jeff, and all the lonely people, the solution lies in connecting and creating personal relationships through belonging to meaningful community. A feeling of being understood and valued creates a closeness that is being craved in loneliness.This closeness doesn’t have to be something that happens randomly or by accident. For Jeff, we connected with a religious fraternal campus organization. He joined and was embraced by the members. He had a new family of friends. He also began attending AA meetings at a nearby community center. There he found other people who were struggling just like him. The members met for coffee and had frequent social events. His loneliness faded into oblivion. It was as simple as that.

As we rejoin and reopen, it is important to reconnect. Community is within our control to create. This contagion or epidemic of loneliness can be mitigated just like COVID-19. We have the power to help others find the way out of loneliness. That power is found in real relationships.

Grief and Vulnerability; So Hard to Go There

Someone once told me that vulnerability is what we most want to see in others and least want to be seen in ourselves. Becoming vulnerable can be one of the most difficult and uncomfortable experiences. Exposure of secrets, mistakes, flaws, and sins leave a person open to scrutiny which is hard to bear. We seem to be set up for all kinds of personal loss. Reputations painstakingly built up over long periods of time are rendered precarious or come crashing down in unmendable pieces. The grief which follows is almost impossible to bear.

We live in an age where it is increasingly difficult or even impossible to escape from who we are.  Rabbi Moshe Scheiner recently taught that suicide rates are increasing in adults partly due to the dynamic of transparency created by instant background checks on the internet.  Good names are destroyed every day. Children who suffer the loss of character due to perceptions of peers, bullying and cyber victimization can feel so trapped and hopeless that they consider or commit suicide. Becoming vulnerable can create the deepest feelings of shame when those whom we trust wound us. 

When we are grieving we become vulnerable.  In fact, it has been said that grief and vulnerability go together hand-in-hand.  Either can come first but neither walk alone. The word vulnerable comes from the Latin word vulnera which means to wound.  In our most wounded times, we are laid bare.  Lost is our stature and resolve.  No longer can we appear strong and self-reliant.  Our pain is visible to everyone. This begs a rather obvious solution.  Just never allow yourself to become vulnerable and then the grief would remain private. manageable, and controlled.  Voilà. Unfortunately, there is a horrible downside to that.  If we don't allow vulnerability, we will never experience authentic friendships, belonging, trust, or love. What we all have in common is our brokenness and when the risk of vulnerability is rejected true connections are impossible. If all of this is true then how could vulnerability and grief be so discouraged in our society? I guess because it is just so hard to go there.

Ivan the Terrible and His Son Ivan on 16 November 1581 is a painting by Russian realist artist Ilya Repin made between 1883 and 1885. The picture portrays a grief-stricken Ivan the Terrible cradling his mortally wounded son, the Tsarevich Ivan Ivanovich. The elder Ivan himself is believed to have dealt the fatal blow to his son

Perhaps we could find some answers from Dr. Brené Brown, a research professor at the University of Houston Graduate College of Social Work, author, and popular TED Talk personality. Dr. Brown has made it her mission to explore the power of vulnerability.  She emphases how important it is to dare greatly in order to live life fully and to achieve success. And more can be discovered in the spiritual wisdom of Richard Rohr, founder of the Center for Action and Contemplation who tells us that vulnerability is the path to wholeness and holiness.

In the final analysis, we have to come to the realization that it is not only okay to grieve and to become vulnerable, but it is also necessary.  If we are to heal we must be touched.  The work can never be accomplished alone.  There are big risks associated with all of this to be certain.  But from our perceived weakness will come a new kind of strength. Not the strength of the invulnerable but the strength of love.  For, as scripture tells us, the one who stumbles "shall mount up with wings as eagles; they shall run and not be weary," (See Isaiah 40:31).

Suicide Prevention (1-800-273-8255): A Way to Prevent, Understand and React to Suicide Death

by Robert Kenneth Jones

This is the truth. We are experiencing a dramatic rise in suicide in The United States.

While other causes of death are on the decline, suicide is climbing…and it's doing so for every age group under 75. Suicide is the second-highest cause of death for 15 to 34 year-olds with the phenomenon of ‘suicide contagion’ or copycat suicide ever-increasing among teens.  The suicide rate in the United States has grown by 24 percent over the last 15 years. Don’t you wish this was fake news?  But it’s not.Music and Youth Culture Raise Suicide AwarenessLogic, the American rapper, singer, songwriter, and record producer has released a track on his most recent and third studio album called Everybody with the title, “1-800-273-8255” featuring Alessia Cara and Khalid in an effort to increase awareness and put a personal face on suicide.  The song offers up the 800 number to guide people, especially his young audience, to the National Suicide Prevention Lifeline. The hit song turned out to have an incredible impact in 2017. The National Suicide Prevention Lifeline (NSPL) says they received a 50 percent surge in calls last year after the April release of his new track.  Logic performed the record at the 2018 Grammys.  The NSPL revealed that in the two hours following Logic's performance of the track counselors received three times the number of calls they usually receive in that time period.It Feels Like It's My FaultI am no stranger to suicide.  My work as a human services provider has all too often brought me to the broken hearts of those who are contemplating suicide as well as those that have loved a person who ended their own life. It’s hard to find anyone who is untouched by this.  My own family has suffered through several. Each one has left us in a state of confusion and self-blame. I can never forget the awful notifications.  I can never forget having to then break the news to loved ones. The memories are so vivid.  I can never forget.Along with the fact that suicide is devastating and painful, it is also highly stigmatized. Its illusion of shame elicits a code of silence creating an even deeper misery.  By ending this code of silence and destigmatizing suicide (and other mental health issues) the desolation they cause will be diminished. John Nieuwenburg is an award-winning business coach who addresses the way that we might move beyond silence and shame. His TEDx Talk is a must-see for those who suffer, family members, friends, human service providers, and Chaplains.New Trends in Suicide Prevention: Brain Science and ACESPrevention is possible.  It is important to understand the risk and to know the facts. We are beginning to better understand the suicidal brain through new scanning techniques.  Studying differences in the brains of suicide attempters and depressed individuals who never attempt suicide may help in developing better treatments. The incredible work being done with adverse childhood experiences (ACES) is leading us to believe that cumulative trauma in children increases suicide ideation in adults.  A whole new treatment protocol is being established in communities like Memphis where schools, parents, hospitals, physicians, and other human service providers are being trained to recognize, screen for, and deal with trauma with its long term consequences. We have learned that 50 percent of lifetime mental illnesses like depression, anxiety, personality disorders, suicide ideation, and PTSD begin by age 14. Do you want to be the one to help?  Here is a useful hashtag tool that might lead you in the right direction. #BeThe1ToThe Startling Truth of Blue SuicideThere is an alarming increase in police officer suicide that escapes national attention.  ‘Blue Lives Matter’ is more than a slogan. These men and women who bravely serve and protect us face trauma or the threat of trauma every day they go to work.  Like veterans of war, they are likely to think about suicide and act on those thoughts much more frequently than the average adult.  Dr. David J. Fair, President, and C.E.O. Homeland Crisis Institute Crisis Intervention, Training, Consulting, and Response wrote recently that; “Police officers must deal with  Traumatic Stress Disorder (PTSD) daily. With officers being killed on almost a daily basis PTSD is raging. Not just for the officers where the shooting happened but on a national basis with something called Secondary PTSD. You can't work in law enforcement and not be affected by a police officer being injured or killed.”  The Action Alliance for Suicide Prevention has created a study guide for Chaplains and other counselors.  We are told that more law enforcement officers in The United States die by their own hand than are killed by felons. We must help break the silence and elevate suicide prevention efforts for the sake of our dedicated public servants, their families, and communities.Creating Suicide Programs and Ending the SilenceThere is so much more to be said.  Worldwide, 350 million people (that’s 5 percent of the population) struggling with depression every day. They are suffering and sometimes dying in silence because we can’t seem to talk openly about it. We must push the conversation forward. Middle and high school health classes would be a perfect place to begin the dialogue. But precious few programs exist. Instead, remain silent or we continue to put most of our efforts into postvention.Let’s get out of our cycle of denial by admitting openly that these issues are real and lethal.  Perhaps then, a Power Greater Than Ourselves can restore us to sanity.