My post on kevinmd.com today

http://www.kevinmd.com/blog/2017/03/why-do-people-kill-themselves.html

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5 thoughts on “My post on kevinmd.com today

  1. I enjoyed your articles pretty much on people don’t want to live. One thing I think your forgot was some people are at peace with their decision to end their lives. To Lose your life family ptsd by some one else actions certain things are unrepairable can’t move forward backwards your stuck in years of loneliness pain and memories then as time goes along comes physical pain and totally takes away whats left of an independent loving mother wife grandmother. No more sunshine no more smelling the followers flowers to leave now would be a joy to close your eyes and know more suffering is peaceful. I realized to late what abuise was to late before the damage to grown children didn’t want to hear more get involded . I was the one who raised them for years as a single mom keep my house never dated for 5 years were close my best friend remarried a pill addict after 20yrs I was as straight as could be , well 10 years have gone by since I found out he’s here and not my home but there’s no one who cares if I’m alive or eating I use him for help don’t talk despise him sleep, eat apart , watch tv apart, I use him for extra money not a Healy situation if I had my beautiful family I put so much into he would be history. So I cry daily over my loss 10 yrs therapy,dr said he’s never saw anyone so lonely with no one except a cat . So yes to have peace and no more pain and hurt and memories and physical pain you know

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  2. You state in your post that if you are turned away from one service, to call another. And I am wondering:
    What’s the rate of completed suicide after someone is turned away from the ER?
    Is mental health per dollar more expensive to treat than other illnesses?
    And secondly, why is it such a low priority and receives so little funding?

    Having attempted suicide a few years ago and was released from hospital 3 days later, still suicidal and psychotic, I genuinely wonder if there is any humanity at all in mental health care providers. I’m lucky that I now have a great team and the right medication, but that kind of treatment is akin to giving someone heart surgery and sending them on a marathon 3 days later. And you state “If you are turned away when you call, call somewhere else” so I can assume that the level of service provision is known to clinicians.

    Not knowing anything about how the system works, I wonder that surely things can be done better? Surely there is more that we can do?
    What do you think can and should be done to improve mental health treatment and services?
    Because I believe that what we have is not good enough.

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  3. I realize that some people my decide that the decision to commit suicide is the most practical or best for them. My thrust as a psychiatrist is to make sure that if someone is feeling that way that there is no clouding of their thinking from depression, substance abuse etc that might keep them from thinking things through the best they can and then making the best decisions they can make for themselves. I have been trained to help people get past the point of hopelessness and despair and to look toward a future that is more positive.

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  4. I will attempt to reply to some of your questions the best I can.

    “What is the rate of completed suicide after someone is turned away from the ER?”
    I’m not sure that this statistic is tracked. What I can say is that if someone comes to the ED and has made a serious suicide attempt, then is turned away, they are at much higher risk of a repeat attempt that is likely to be successful.

    “Is mental health per dollar more expensive to treat than other illnesses?”
    Acute mental health care is not nearly as expensive as, say, surgery for heart disease or long term treatment of severe diabetes. The way that mental illness costs more and more money is in chronic disability, lost time from work, lost wages, etc.

    “And secondly, why is it such a low priority and receives so little funding?”
    I believe that most lawmakers and others who hold the pursestrings for medical funding feel that 1) mental illness is not a “real” medical illness and does not deserve the same consideration as heart disease or diabetes or cancer, 2) people with mental illnesses are often homeless, do not work, and are on the bottom of the social scale so that they are forgotten by many, and 3) hospital treatment does not generate as much revenue for these illnesses as it does for more acute problems.

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