CCAirwaves

Demystifying Suicide and Mental Health

The Catholic Cemeteries Association

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In this critically important episode, we confront one of society's most pressing and often misunderstood issues: suicide. With Matt Gesicki from NAMI, we aim to shed light on the factors that lead individuals to such depths of despair and the preventative measures that can make a difference.

Resources

  • Find local support and intervention for mental health challenges at NAMI (National Alliance on Mental Illness): or call NAMI Helpline at 800-950-NAMI. In a crisis, text "NAMI" to 741741.
  • Call or text the 988 Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States.
  • Reach out to organizations such as Suicide Prevention Lifeline. It is available confidentially and 24/7 for everyone in the United States at 1-800-273-8255.
  • To know the risk factors and to learn more about the warning signs, visit www.suicidepreventionlifeline.org.


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Understanding Suicide and Mental Health

Speaker 1

Before we dive into today's episode , we want to offer a word of caution . Today's topic revolves around the sensitive and deeply personal subject of suicide . We understand that this is not an easy topic for many and we want to be sure that all of our listeners are mentally and emotionally prepared to engage with it . For those who decide to continue listening , we hope this conversation is insightful , compassionate and contributes positively to the broader understanding of mental health and well-being . Thanks for listening to CC Airwaves . Hello everyone and welcome back to CC Airwaves . My name is Peej Matillo and I'm here with my co-host , joel Hansel .

Speaker 2

How are you doing Peej ?

Speaker 1

Doing good . I am ready for today's episode and we actually have a guest joining us . We have Matt Gasecchi from the National Alliance on Mental Illness . How are you doing today ?

Speaker 3

I'm doing great . Thank you for having me .

Speaker 1

No problem , we're excited to have you . We want to shed a light on this delicate topic and we thought that your organization would be the best way to do this .

Speaker 3

Absolutely , you're to help .

Speaker 1

So we will go right into the questions . So , Matt , what is suicide ?

Speaker 3

Yeah , so just at a very basic level , suicide is the taking of one's own life , a lethal attempt at taking one's own life . A suicide attempt would be defined as a person trying to take their own life but being unsuccessful .

Speaker 2

Matt , who is at risk for suicide .

Speaker 3

Yeah , so there are specific populations that are more at risk for suicide than others , and I have some statistics here that can highlight that a little bit more .

Speaker 3

Suicide is the second leading cause of death among people ages 10 to 14 , and it is the third leading cause of death among those aged 15 to 24 .

Speaker 3

Suicide is also the 12th leading cause of death overall in the United States , and it's reported that 45% of people who die by suicide had a diagnosed mental health condition . Now , to clarify that a little bit more it's believed that around 90 , 90 , 90% of people who die by suicide may have experienced some symptoms of a mental health condition . According to family , friends , medical professionals , these interviews that are conducted after a suicide are known as psychological autopsy . 79% of people who die by suicide are male and just to clarify that a little bit more , although women are more likely to attempt suicide in general , men are more likely to attempt suicide using more aggressive means , which are more likely to result in a successful or I should not say successful , but in a completion of suicide . So , for example , the use of firearm as opposed to pills or medication . So those are some of the populations that we see having the most associated risk factors for suicide .

Speaker 1

And what are the warning signs of suicide ?

Speaker 3

Yeah . So that's a really important question because these are things that folks in the community can recognize on their own as potential , as potential warning signs . These include things like increased alcohol or drug use , aggressive behavior , withdrawal from friends , family and community , more social isolation . You may see dramatic mood swings . You may see impulsive or reckless behavior . There may be collecting or saving kind of hoarding away pills or buying a firearm , giving away possessions , tying up loose ends like organizing personal papers or paying off debts , saying goodbye to friends and family , kind of facilitating what feels like closure . Those can all be examples of signs that someone is seriously considering suicide .

Speaker 2

Does anyone asking about suicide put the idea in their head ?

Speaker 3

Yeah . So that's a really good question because it's a common myth or misconception about suicide . It does not plant the idea . It's not . A—asking about suicide is not inherently suggestible to the person . That's a myth . And in fact , asking someone a question like are you thinking about suicide ? What is actually opening the door for a more open conversation with the person about what they're really experiencing ? You're kind of giving them permission to share what may feel otherwise shameful or embarrassing or frightening that they are in fact considering taking their own life . So that's—I'm glad that question was asked .

Speaker 1

And do people threaten suicide to get attention ?

Speaker 3

Yeah , so that's another really good question , because it is a common myth or misconception . So I would say that the idea that threatening suicide is a form of emotional manipulation is rooted in very stigmatized understandings about—and negative perception about mental illness in general . And , yeah , the idea that someone would use their symptoms of major depression , for example , as a form of emotionally manipulating the people around them is unlikely and , furthermore , any suicidal ideation or behavior should be taken seriously , because the worst outcome that you could have of not taking someone's suicidal ideation or behavior seriously and thinking it's just a form of manipulation would be the inevitable result of that person ending up taking their life .

Speaker 2

Could you discuss what treatment options or therapies are available to someone with those type of thoughts ?

Speaker 3

Yeah , so any licensed mental health professional , like a therapist , a counselor , a social worker , a psychologist or a psychiatrist , a physician any of those individuals are qualified to conduct an assessment on a person's degree of suicidal ideation , which can kind of allow them to conclude what next step should be in like formulating a safety plan if the person is seriously considering suicide .

Speaker 3

I would say also that there are certain mental illnesses that are more commonly associated with suicidal ideation , and that includes something like major depressive disorder or bipolar disorder or borderline personality disorder , and the most effective evidence-based treatment methods for those conditions are CBT , which is cognitive behavioral therapy , and DBT , which is dialectical behavioral therapy , and these are very common modalities in mental health , and the easiest way to find a provider that is competent in something like CBT or DBT is to search an online directory such as the one that is available through the website Psychology Today . Most therapists practicing throughout the nation have profiles on Psychology Today , and users can search for providers by zip code and by keywords , and by gender or race or religion , if there's any preferences around that , as well as specific specializations or therapeutic modalities that therapists practice , such as CBT or DBT .

Speaker 1

So , matt , we're obviously in an age where social media is very prevalent , and especially with those age groups that you were talking about earlier that were more at risk for suicide . So what should someone do if they see a suicidal message on social media ?

Speaker 3

Yeah , I think there's a couple steps that you can take . I think that if it's a person that you know , you can reach out to them privately through a direct message , whether it's something like Facebook or Instagram or Reddit and if you're not able to reach them personally and privately , it's in your , it's definitely within your range of options to contact local authorities to report that you're concerned about their well-being and , if nothing else , most social media platforms , if not all , now have reporting features that will allow you to report content as indicating suicidal ideation or thoughts of self harm , of other self harm , and this is kind of at the . This is a kind of a minimal option , but that is something that can now be reported , and a follow-up message is sent to the account of the person that is posting that Self-harm related content with information about calling , for example , 988 , which is the new three digit nationwide suicide prevention lifeline that is now in place across the country and which routes a caller to their county's local mobile crisis hotline response team .

Speaker 2

Could you talk a little bit about the about mobile crisis and frontline services that are available ?

Speaker 3

Yes , so at least in the state of Ohio , every county is served by a mobile crisis agency . If you're located here in Cuyahoga County , our mobile crisis team is provided by the organization frontline service , and mobile crisis is a 24-7 mental health crisis response division . So anyone can call at any time , any hour , any day and Speak with a hotline representative who can listen , provide affirmation and validation and Deescalation on the phone as much as possible , perhaps resolve what's being experienced on the phone with the caller . If not a team Usually they are in pairs a team of crisis counselors or crisis clinicians . Clinicians can be Dispatched to the caller's location , at which time the issue could be resolved on site . However , if that is not possible , they can facilitate transfer to a hospital or crisis stabilization unit for treatment If they are at , if they are seriously ill and at imminent risk of harm to self or others .

Speaker 3

The one qualifying statement I will make about 988 and about mobile crisis is that it's for Crisis and not for emergency . So what do I mean by the difference there ? Well , the emergency is a truly lethal situation . Let's say a person has had an overdose or Taken some lethal , potentially lethal , steps to ending their life . In that case , that is a call to 911 for an immediate dispatch within two minutes or so . Mobile crisis 988 . A more appropriate context for a call to 988 would be something like a Person's feeling unsafe . They're starting to become elevated , maybe they're in a safe place with someone else , but they're worried about their well-being . But they could potentially wait . You know they won't receive an immediate dispatch necessarily Because of the inundation of calls , the volume of calls and the availability of clinicians to arrive , but they they're in a , they're in a safer place . They may be experiencing a mental health crisis , but it's not to the urgency of a mental health emergency . And I share that information just to provide accurate context for when to call 988 and when to call 911 .

Speaker 1

That's an important distinction , though , especially for our listeners , who may need those numbers in the future .

Speaker 3

Yeah , absolutely .

Speaker 1

So , matt , how can someone find help if they are experiencing these suicidal thoughts ?

Speaker 3

Yeah , so I had mentioned before that you know a great way to find a therapist is to use the online directory of the website psychology today , and that is psychology todaycom . As I said , you can search using a variety of filters to find someone that's in your area , takes your insurance , specializes in the issues that you're experiencing or in the treatment modality that you're interested in . And you can also find other treatment providers through the treatment locator tool that is provided by the database of SAMHSA , which is S-A-M-H-S-A , which is a federal organization . It is the Substance Abuse and Mental Health Services Administration and , similar to the directory on psychology today . You can find agencies , residential treatment options , group homes , things like that for family members , for example , who need that level of care . You can search using your zip code and insurance taken and other filters to find agencies in addition to therapists that are in your area .

Speaker 3

And I would also like to make a plug at this time for the NAMI Greater Cleveland Helpline . If you're here in Cuyahoga County , you can always call our number . It's not a hotline , it's not for emergencies , but you can call us between 9 and 5 , monday through Friday at 216-875-7776 . And we provide information and referral so we can send follow-up messages in calls and in emails with relevant information about resources and services in the community that can help for one's mental health and well-being , as well as other resources too .

Speaker 1

Those are great resources and I will be sure to link them below for our listeners . Matt , I was just curious how did you start getting involved with NAMI ?

Speaker 3

Yeah , so I have been with NAMI for about two and a half years and I have also been working . Since about the time I started working at NAMI I've been working on my master's degree in clinical mental health counseling at Cleveland State University . Prior to working in mental health , I worked in hospice , so I have some background . I know that bereavement services and grief services are provided by the Catholic Cemetery Association , so I have some familiarity with some of the issues and dynamics surrounding end-of-life and bereavement services and still have an interest in that as a future counselor .

Mental Health Advocacy and Education

Speaker 3

But I also have personal experience with mental health .

Speaker 3

There is a history of suicide attempts in my family . There is a history of mental illness in my family . I also am a person living with symptoms of depression and anxiety , have some childhood trauma that I'm recovering from and as an adult I'm doing that deep work in therapy with my counselor . And one of the good things about working at an institution like NAMI is that we are a grassroots movement that prioritizes the personal lived experience of mental health consumers , families , caregivers and professionals to end the stigma and perpetuate the message that recovery and resilience are in fact possible , and also just to educate the broader public about what it's like to live with a mental illness and how we should treat and communicate and better help people in our local communities who live with mental illness . And that's one of my favorite parts of my job is providing education to the greater public about mental illness , how to recognize signs and symptoms of mental disorders , how to recognize signs and symptoms of suicidal ideation , and to make a more welcoming and inclusive community for folks living with mental illness .

Speaker 1

That's wonderful . Thank you so much for sharing your background .

Speaker 3

Absolutely .

Speaker 1

So thank you so much again for joining us , matt . We really appreciate you coming on and talking about this topic . I will link all of those resources in the description below for our listeners , and that is all we have for today , thank you .