The incorrect and stigmatizing messages of "warning signs" & mental illness made you feel guilt you shouldn't bear.
You did nothing wrong.
You didn't miss anything.
The death you grieve was complex and unpredictable.
/1
Our brains do terrible things to us when we know someone dies of suicide: straight line cause connections (always wrong), fantasies of rescue (rarely possible), and imagined hindsight-driven redoing (never testable).
You did your best with your knowledge, skills, and position.
The best advice I can give about "warning signs": they are over-broad and useless to you.
Instead: 1) check in on people you care about 2) express your concerns when you see it 3) let people you know your willingness to help them 4) be genuinely kind and compassionate to people
In America, every day, about 7800 people die, during that day's events.
Some of these events (driving without a seatbelt, kissing a possum) will be related to their death, some (watching Judge Judy, choosing marmalade over strawberry jam) will be unrelated.
/1
In the past 95 days in America, 77 million people have received one COVID-19 vaccine and 44 million have received a second dose.
That makes 121 million worth of days in which a covid vaccine was given (1.2 million doses per day).
/2
1335 deaths have been recorded in VAERS.
14 deaths per day. 1 death per 90,000 "days events" worth of vaccines.
In these 95 days, we would expect about 743k deaths. 1335 are in the system "possibly" associated with vaccine.
/3
More of X means don't care about Y is a really really really bad argument.
There is no signal yet in the various pockets of youth suicide information that has been published to suggest that 2020 has had an increase in suicides, despite the media panic.
Unsurprisingly, AIER has libertarian and right-leaning economic policies. Like many with such a political bend, they use the fear/headline-grabbing of "suicide" to advance their political agenda, which is beyond shitty.
Even worse when it's a "what about the children?" thing.
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I have done a survey of american counties and states, and though there isn't enough for me to say anything definitively, I can say that in North America so far, suicide rates in kids were right around 2019 levels. No fantastic increase or decrease has been seen.
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1/ Me: a thread about the importance of getting to know your patient, respect them, and create spaces for appropriate clinical care when rote guidelines would introduce harm.
An "expert":
Cruel, pedantic, and thoughtless.
The worst of people can beleive they're righteous.
2/ In case you're wondering about my thread which prompted it, it was this one.
I created it specifically to outline an example of when "going through the checklist" would be cruel and heartless.
3/ Please, if you take care of patients, never forget this important lesson.. you will always have rigid academics and administrators telling you that X, Y, and Z are required. And truly, a majority of the time you should do X, Y, and Z. Guidelines can be very helpful.
/1 Thread: Do better, American Suicide Organizations.
(content warning, obviously!)
If @afspnational incorrectly states "White middle age" as the peak rate of suicide, ignoring the Indigenous youth/young adult suicide crisis, that's a fail. Part of systemic racism.
4 Pics:
/2 LOOK AT THIS! AHHHHH! How could a major national organization not put this front and center about statistics?!?!
The rate of 15-19 year old Indigenous males is as high as almost EVERY white age bracket!
/3 For the past 21 years, the highest rate of suicide is Indigenous males, by 7%. The peak rate is between 18-27y at 33.6/100k
For White males, the "middle age peak" between 48-57 is 31.5/100k.
Since I've looked, I've not seen the AFSP mention this in their statistics page.
Because the media is obsessed with Japanese suicide data ("suicidal" Japan is a lazy, one-sided trope in Western news)...
First, here are the graphs for who suicides in Japan for the past 5 years, to Feb 2021!
2/ If we zoom into the men, we can see that there was a decrease in early 2020, an increase at the end, and things are back to normal-ish for 2021. In fact, 2021 is a record low for January and 2nd lowest for February.
3/ If we zoom into the women, we can see that there is again an early mild decrease followed by a SUBSTANTIAL increase at the end of 2020. Though things are still elevated in Jan-Feb 2021, much less so and hopefully on the way to normalizing.