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Women suicide=Want attention help
Men suicide=Want to die


I'm glad you're a medical professional.
:|

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The single leading cause of suicide is....stupidity mental illness.


That statement shows stupidity, or at least ignorance.
:|


Either that or it shows what happens when someone sees that kind of thing *repeatedly* over a period of years. If you see that kind of crap enough times, hell yeah it starts to look stupid.

In fact, when you consider how archaic the whole field of psychiatric medicine is relative to other areas of medicine, you can make a really good case that for many of the chronically mentally ill, life really *is* hopeless for many of them.

Do his comments show stupidity or ignorance? Probably not any more or less than yours. They just show a different point of view.

Walt

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Kudos to those who give folks a hand up when they need it.

linz



...and to those who do it the next time, and the next time, and the next time....

Walt



absolutely!
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A conservative is just a liberal who's been mugged. A liberal is just a conservative who's been to jail

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Kudos to those who give folks a hand up when they need it.

linz



...and to those who do it the next time, and the next time, and the next time....

Walt



absolutely!



Obviously I was being sarcastic and you are not. At what point do you say, "fuck it--just do it or STFU!"?

Walt

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Kudos to those who give folks a hand up when they need it.

linz



...and to those who do it the next time, and the next time, and the next time....

Walt



absolutely!



Obviously I was being sarcastic and you are not. At what point do you say, "fuck it--just do it or STFU!"?

Walt



It's apparent that you were being sarcastic and that I, obviously, was not. If you're in the medical field, you should NEVER say "just do it or STFU." If you're a friend or family member of the suicidal person, then I guess you say it when you want to. I won't say it at all even if I do feel annoyed or inconvenienced, and I'm glad there are others who also won't.
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A conservative is just a liberal who's been mugged. A liberal is just a conservative who's been to jail

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In fact, when you consider how archaic the whole field of psychiatric medicine is relative to other areas of medicine, you can make a really good case that for many of the chronically mentally ill, life really *is* hopeless for many of them.



Can you explain more about what you mean by that? Mental health has come a long way from institutions and lobotomies - some would say perhaps too far in the other direction as de-institutionalization has led to a lot of people who are without any services at all. But there's certainly been great strides in pharmaceutical therapy in the last 20 years, particularly for depression, allowing a lot of people to lead functional lives.

I'm not being sarcastic. I really am curious.
"There is only one basic human right, the right to do as you damn well please. And with it comes the only basic human duty, the duty to take the consequences." -P.J. O'Rourke

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In fact, when you consider how archaic the whole field of psychiatric medicine is relative to other areas of medicine, you can make a really good case that for many of the chronically mentally ill, life really *is* hopeless for many of them.



That's what I'm thinking, but I guess it's a pretty cynical thought.

And I also find it interesting that when a person commits suicide without ever asking for help or showing "signs," everyone wonders why the person never said anything about it. But when someone mentions being suicidal and asks for help (in whatever way), they are usually accused of just wanting attention. So it's no wonder to me that a lot of people just don't mention it.

Anyhow, as you said, I have my doubts about how much someone with a chronic mental problem can be helped anyway, but it's at least worth a try. We have a long way to go in understanding and treating mental illness, but we do seem to have made a little progress over the years.

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Women suicide=Want attention
Men suicide=Want to die
Seen a BUNCH of so called suicide attempts by women seen 1 that did it right... used a gun
never seen a suicide attempt by a man, but seen 3 or 4 get it done right



This statement really bothers me at a deep, personal level. I know it shouldn't, seeing how this is the Bonfire and all, and I wasn't going to reply to it, but I just can't help it.

I have been "lucky" enough to only have had one person I was close with commit suicide...and SHE succeed on her first attempt. She didn't actually die until several days later, at the hospital, but never woke up from her coma and was brain dead from the time she was found. From your vantage point you probably would have classified her as "unsuccessful". From my vantage point, she sure did it "right", even though she did not use a gun.

She did not want attention. She was not stupid. She was sick, and I would give anything for the chance to have at least tried to help her. Maybe she would have attempted again, but we'll never know.

I know this is only one example, and it might be statistically unusual, but making broad generalizations about people who commit or attempt suicide is pretty ignorant.

Enemiga Rodriguez, PMS #369, OrFun #25, Team Dirty Sanchez #116, Pelt Head #29, Muff #4091

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I am no longer in the medical field but I did spend some time working in a state psychiatric hospital. For most of our patients, it was the end of the line. They had destroyed their lives and, in many cases, the lives of their famlies and others.

We were the warehouse that would serve as their home for the rest of their lives.

The place had been around for a century or so when I worked there. In the oldest of buildings, there were a couple of walls that showed remnants of when the most out-of-control patients were chained to the wall.

Much later, the more "humane" chemical restraints were developed. Many of the patients got their daily 2000mg of Thorazine in a single dosage. I don't know that a dosage like that would kill that average person but at minimum it would put them *far* beyond the reaches of reality for a good long while. It hardly even phased these patients.

Overall, it was a place where hope visited on very rare occasions.

Then, some possibly well-meaning activists and policy makers decided that drug holidays, reduction of maximum daily dosages, and "mainstreaming" was the way to go so we started dumping them on the streets. Many of the homeless people you see on the streets and a significant portion of the prison population are from that kind of background.

Of those who had been suicidal, did we really do them a favor by "treating" them? It's questionable.

I'm not saying that I think we should shoot them or anything, but it's not clear to me that we are serving a higher purpose the way we treat the mentally ill in our society. At best, I think we are too uncomfortable with the issue to really deal with it at all and just sweep it under the carpet.

So, back to the topic of kudos to those who help others when they need it. Are we really helping them? It's not always clear.

Walt

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[replyCan you explain more about what you mean by that? Mental health has come a long way from institutions and lobotomies - some would say perhaps too far in the other direction as de-institutionalization has led to a lot of people who are without any services at all. But there's certainly been great strides in pharmaceutical therapy in the last 20 years, particularly for depression, allowing a lot of people to lead functional lives.

I'm not being sarcastic. I really am curious.



I put some of my thoughts in this post but the bottom line is that with the exception of the mild-to-moderate cases of mental illness, I don't think there is any more hope than there was a hundred years ago. We just don't understand the workings of the brain all that well.

Walt

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with the exception of the mild-to-moderate cases of mental illness, I don't think there is any more hope than there was a hundred years ago.



Aren't the majority of people who are mentally ill a mild to moderate case? I would venture a guess that mild to moderate cases of mental illness are waaaay more prevalent than people with a full blown mental illness who can't function in society.

Enemiga Rodriguez, PMS #369, OrFun #25, Team Dirty Sanchez #116, Pelt Head #29, Muff #4091

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with the exception of the mild-to-moderate cases of mental illness, I don't think there is any more hope than there was a hundred years ago.



Aren't the majority of people who are mentally ill a mild to moderate case? I would venture a guess that mild to moderate cases of mental illness are waaaay more prevalent than people with a full blown mental illness who can't function in society.



Very hard to say, but by most points of view you are probably correct. The problem is that what is considered a mental illness changes a great deal over time.

For example, being gay was officially considered to be a mental illness in the not-too-distant past. Being an alcoholic or drug addict was considered more of a lack of self-discipline.

With the advent of SSRI antidepressants, there seemed to be a HUGE increase in the incidence of depression.

Walt

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With the advent of SSRI antidepressants, there seemed to be a HUGE increase in the incidence of depression.



Or at least an increase in the diagnosis of depression, if not the actual incidence. Maybe once depression lost some of its stigma and a treatment was available people were more willing to seek help and be diagnosed as depressed??

Good point about what is considered a mental illness being subject to change. I did know that homosexuality was considered a mental illness in the not-so-distant past, but hadn't considered that in the context of this discussion.

Enemiga Rodriguez, PMS #369, OrFun #25, Team Dirty Sanchez #116, Pelt Head #29, Muff #4091

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The majority of the people who were institutionalized in a place like where you worked, who were deinstitutionalized and became homeless and often imprisoned are chronically, seriously mentally ill people. There are certainly people among that population who do or would commit suicide. And if these people are suicidal and want help, then it should be given. Treatment for the chronically mentally ill is, obviously, difficult.

Even though the definitions of what we consider mental illness do change over time, it's the behavior of suicide that's important here. Regardless of how definitions change, I think it's clear that a person who attempts or considers suicide has psychiatric problems, no matter which DSM you're looking at. And, with the exception of the chronically, seriously mentally ill (most of whom carry diagnoses other than major depression), I DO think that treatment for depression over the years has improved dramatically.

There are also people with personality disorders. A lot of people with personality disorders make failed suicide attempts. Personality disorders, on the whole, aren't particularly responsive to current treatments. They're likely to have more frequent episodes of suicidality than others with major depressive episodes. BUT having a personality disorder does not preclude one from having bouts of depression too. In my opinion, you still have to respond to their suicidal behavior.
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A conservative is just a liberal who's been mugged. A liberal is just a conservative who's been to jail

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Like Chris I know someone who has used the “I am going kill my self” line over and over again.
I know he has some mental issues but I guess every thing is considered a mental issue nowadays.

Can’t someone just be an ass hole? This person basically uses suicide as a weapon against the people who care about him the most in an attempted to get his way. What do we call that?
I honestly don’t know. I just think he is spoiled and self centered


I guess all i a m trying to say is some people use it as a tool to get sympathy.
I'd rather be hated for who I am, than loved for who I am not." - Kurt Cobain

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The majority of the people who were institutionalized in a place like where you worked, who were deinstitutionalized and became homeless and often imprisoned are chronically, seriously mentally ill people. There are certainly people among that population who do or would commit suicide. And if these people are suicidal and want help, then it should be given. Treatment for the chronically mentally ill is, obviously, difficult.

Even though the definitions of what we consider mental illness do change over time, it's the behavior of suicide that's important here. Regardless of how definitions change, I think it's clear that a person who attempts or considers suicide has psychiatric problems, no matter which DSM you're looking at. And, with the exception of the chronically, seriously mentally ill (most of whom carry diagnoses other than major depression), I DO think that treatment for depression over the years has improved dramatically.

There are also people with personality disorders. A lot of people with personality disorders make failed suicide attempts. Personality disorders, on the whole, aren't particularly responsive to current treatments. They're likely to have more frequent episodes of suicidality than others with major depressive episodes. BUT having a personality disorder does not preclude one from having bouts of depression too. In my opinion, you still have to respond to their suicidal behavior.



I agree with most of what your saying but would qualify the depression treatments for the mild-to-moderate cases.

As far as having to respond to suicidal behavior, I agree in terms of what medical people should do. They *should* respond. As for family members, I would probably not judge them either way in most cases.

One of these days I may post some scans of writings I collected from severely mentally ill people. It's a mix of funny, tragic and interesting.

Walt

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In many cases the original quotes are correct.Your corrections show an ignorance of many of the types of people out there.



Maybe in Medic0007's case it's a cry for attention sometimes. But to my mind, using something as serious as a suicide attempt as a cry for attention means, quite simply, something is not right and you need help. But to put a blanket statement on it and say all women who attempt suicide want attention? C'mon Spence - that's ignorant.

And Andy is wrong. I'm not arguing with you or him on that. There are people who kill themselves out of stupidity - we call them Darwin award winners. But they are not suicides in the definition of the word.




I transported a woman who overdosed on tylenol because her hubby wasn't paying attention to her. Was taking her to get a new liver. BTW she had coke in her toxscreen
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Can’t someone just be an ass hole? This person basically uses suicide as a weapon against the people who care about him the most in an attempted to get his way. What do we call that?
I honestly don’t know. I just think he is spoiled and self centered



I'd call that selfish. I do think suicide is ulitmately a selfish act, both the threat of it and the action.

Enemiga Rodriguez, PMS #369, OrFun #25, Team Dirty Sanchez #116, Pelt Head #29, Muff #4091

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Women suicide=Want attention
Men suicide=Want to die
Seen a BUNCH of so called suicide attempts by women seen 1 that did it right... used a gun
never seen a suicide attempt by a man, but seen 3 or 4 get it done right



Exactly. Women have a way of going over the top in sending a message.

And not just in action, but in language also. For example when my wife says "You do that all the time and it drives me nuts" it means I did something at least once and she doesn't like it.

Another: "You never (insert anything here)" means you don't do it enough.

Me, I have the manly habit of just saying things directly, or as someone famous once said, "If I want to send a message I'll use Western Union."
" . . . the lust for power can be just as completely satisfied by suggesting people into loving their servitude as by flogging them and kicking them into obedience." -- Aldous Huxley

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It surprises me that there's such a difference between the state with the highest (22/100K) and the lowest (6/100K) suicide rates. I wonder why that is.



Most of the Top ten.. Red States...

Most of the bottom 10 Blue states....

Interesting

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It surprises me that there's such a difference between the state with the highest (22/100K) and the lowest (6/100K) suicide rates. I wonder why that is.



Most of the Top ten.. Red States...

Most of the bottom 10 Blue states....

Interesting



Indeed. You'll find more homicides and OD's in blue states. And you'll find a lot more people in prison there, too, where they won't be allowed to off themselves.

It's tough for a murder victim to commit suicide. And it's difficult to figure out how many OD's are accidental versus deliberate,


My wife is hotter than your wife.

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BTW she had coke in her toxscreen

which *could* be contributing to her emotional state. She needs help. I'm surprised that she was actually getting a new liver. Those can be hard to come by, and are usually reserved for people who are not expected to abuse the new one. A person with an active cocaine addiction would not be a typical candidate.

When I get people in the ER who are actively suicidal or have made a "gesture," it's appropriate to put them in the hospital, against their will if necessary. Treating the problem as serious does not mean ya' have to feed into a lot of overly-dramatic behavior. Just don't let the person's screwed-up emotional state cloud your judgment about the need for intervention. Even though you're not in a position to determine treatment, I hope you at least treat these folks with respect.
--
A conservative is just a liberal who's been mugged. A liberal is just a conservative who's been to jail

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