TMI, in Honor of World Suicide Prevention Day

While I was pregnant with my fifth, the whole world fell apart. Some nut jobs flew planes into the twin towers and the Pentagon. People started getting envelopes with anthrax. My girl scout co-leader staged a coup. ("Good news! We have enough girls from our school to start our very own troop!") The city came into my home under the guise of a rehab loan to insulate our ceiling and get a safe water heater, and decided that a third of my home had been built illegally and needed to come down. I already was experiencing my usual pregnancy depression, and things went south from there. I couldn't take it. I didn't want to take it. Thoughts of death filled my every spare thought. I wanted to die with every iota of myself.

It was obvious that I needed to get back on anti-depressants. I'd gone off mine because I didn't want the extra risks for the pregnancy, but the truth was that suicide was 100% deadly to a fetus. The benefits clearly outweighed the risks. I happened to have insurance at that point so I called Kaiser to get an appointment with a therapist and/or psychiatrist. They asked basic questions to ascertain whether I was planning on killing myself. I knew that a yes to any of those questions would result in a "5150," an involuntary stay at a psych hospital. My kids were 10, 8, 5, and 3 at the time. Where would they go?  The only possible answer: "No, I am not going to kill myself." The Kaiser employee, having determined that she didn't need to send the police to save me, scheduled me for the next available appointment, four months from then. Four months. Luckily, I got into my primary care physician after only a month for an SSRI. I just "talked back to the crazy" while I waited.

My crazy brain thought of caulking myself and the kids into the kitchen and having a "movie, ice cream and pizza party" while the gas was on, and I told the crazy brain to SHUTUPSHUTUPSHUTUP, I'd ponder snow camping and freezing to death, and I told myself that it wouldn't work and to SHUTUPSHUTUPSHUTUP. Envying people with cancer, wishing for a meteorite to take me and my house out, hoping for a deadly car accident, all were greeted with my standard SHUTUPSHUTUPSHUTUP. Never underestimate the power of telling the horrid thoughts no. It got me through while I waited for help.

Eventually, I got my SSRI and I started meeting with the Kaiser therapist, a kind of crappy therapist actually. It was enough to keep my domino up. Kaiser eventually got me in to see a psychiatrist and she was a delight. I later found a private therapist who was willing to do phone therapy with me and I worked hard to find my joi de vivre again. The meds stopped the death thoughts. The therapy gave me tools to deal with the emotions that come with life's trials. I was out of my house for fifteen months with a young family. It sucked in the biggest possible way, but I stayed alive. And I got better.

My husband later told me that while crazy me and sane me were fighting it out in my brain, I was calmer than usual and easier to get along with. He couldn't tell that I was on the edge of the abyss. I was running girl scout meetings and interviewing contractors and meeting with midwives and homeschooling and wanting to die with every iota of my being. I talked to some of my closest friends about it. I talked to my husband about it. They all knew I was stressed, but they didn't know how tempted I was. How close I was. Even though I was saying it, they weren't seeing it.

One of my closest friends saw it. She was similarly tempted. She and I made a living pact, similar to a suicide pact, with a happier outcome. The image of the line of dominoes falling and standing strong to hold up the dominoes that depended on me came from this pact of ours.  If I were to kill myself, people would be affected. Period. A lot of people.

I don't say this because I am immensely popular. I say it because when Carla jumped off the Golden Gate Bridge, it affected me. We weren't close, but she was my friend. She bought cookies from my girl scouts. She was a Pampered Chef host for me. We'd talked about life, parenting. I say it because when the daughter of one of my best friends from college took her life a few weeks ago, when the sweet girl from my first married ward and sister of my good friend killed herself last week, those deaths affected me. When they died, my domino took a hit, a big hit. Every domino that falls hits so many others. Some we would never suspect. I do not want to knock other people's dominoes over.

I'm not blaming people who kill themselves. Depression is a real illness.When people kill themselves they are not being selfish. They are being sick. Their brain chemicals and their hormones are out of whack. When I started taking the SSRI, my death thoughts stopped. I didn't have to shut them up. They went away because my chemical imbalance was being corrected. It wasn't magic. I had to try several different kinds of SSRIs and fiddle with the dosages with my doctor, but it worked. I'm healthier.

I'm not sharing all this for a big pity party or a love-on-Jami-fest.  I'm sharing it because I know right now there's someone doing all the stuff they are supposed to be doing while envisioning their own death, while googling painless suicide methods, while trying to figure out how to do it with the least amount of harm to those left behind. I'm begging those people to stay, to please get help, even though it all seems insurmountable.

There are happy days ahead even if you can't imagine them now. Believe me. Believe all of the survivors before you. Please seek help. For every time I've thought that life was hopeless and there was no point in going on, I've had a dozen where I experienced peace and joy that I would not have happened if I'd given up. It's not all fields of daisies, but it's do-able with moments of delight.

Those of you who are supporting someone who is tempted by suicide, I need to tell you that if they decide they are going to kill themselves no amount of following them around and trying to fix it will stop them. This is their battle. BUT you can help. You can be there. You can not judge. You can not make it worse by making it about you. You can not give up on them. There are many resources (some conflicting) that you can explore, including seeking therapy on your own. Here's a nice starting point.

For those of you who are on the edge, have been on the edge or might be on the edge in the future,  I give you one of the best self care lists I've ever run into.  Seriously, click on it and try a few of the things. I also give you the number to the National Suicide Prevention Lifeline, 1-800-273-8255. Also I remind you that no one can be you. Not to your kids or your friends. Not to your mom or dad. Not to your mail carrier. You are the only you that is ever going to be and you are precious. Please stay with us. Stay to experience those bright moments of joy that will surely come. Stay to someday hold the hand of someone else who wants to die. Don't buy the lie that it won't get better. It will. Don't buy the lie that we'd be better off without you. We won't be. Stay. Please.

Long Poem, Worth the Read

I've been pondering suicide a lot since my friend Carla jumped of the Golden Gate Bridge last Thanksgiving. Why some of us who experience suicidal tendencies commit suicide and others don't. Carla had therapy and every form of treatment imaginable. She was trying to cling to life. And one day she didn't any more. And there's her whole family and a myriad of friends left behind wishing they'd gotten that "net" up sooner under the bridge. That maybe if someone had been able to catch her and place her in care one more time, she could have made it. We'll never know. Apparently Robin Williams also killed himself today. There's just something about brilliance and despair that attract one another, isn't there? Know someone brilliant and sensitive, chances are they are in the pit of despair from time to time.

I don't normally post long poems, though I enjoy reading them, but this one has spoken to me for years and I wanted to share it. The images in this poem speak to a deep belief in my soul of a loving Heavenly Father welcoming us home, loving us, blessing us to the extent that we let him. The final image keeps me glued here on earth until God calls "Olly olly oxen free!"

The Suicide

Edna St. Vincent Millay

 

“Curse thee, Life, I will live with thee no more!
Thou hast mocked me, starved me, beat my body sore!
And all for a pledge that was not pledged by me,
I have kissed thy crust and eaten sparingly
That I might eat again, and met thy sneers
With deprecations, and thy blows with tears,—
Aye, from thy glutted lash, glad, crawled away,
As if spent passion were a holiday!
And now I go. Nor threat, nor easy vow
Of tardy kindness can avail thee now
With me, whence fear and faith alike are flown;
Lonely I came, and I depart alone,
And know not where nor unto whom I go;
But that thou canst not follow me I know.”

Thus I to Life, and ceased; but through my brain
My thought ran still, until I spake again:

“Ah, but I go not as I came,—no trace
Is mine to bear away of that old grace
I brought! I have been heated in thy fires,
Bent by thy hands, fashioned to thy desires,
Thy mark is on me! I am not the same
Nor ever more shall be, as when I came.
Ashes am I of all that once I seemed.
In me all’s sunk that leapt, and all that dreamed
Is wakeful for alarm,—oh, shame to thee,
For the ill change that thou hast wrought in me,
Who laugh no more nor lift my throat to sing
Ah, Life, I would have been a pleasant thing
To have about the house when I was grown
If thou hadst left my little joys alone!
I asked of thee no favor save this one:
That thou wouldst leave me playing in the sun!
And this thou didst deny, calling my name
Insistently, until I rose and came.
I saw the sun no more.—It were not well
So long on these unpleasant thoughts to dwell,
Need I arise to-morrow and renew
Again my hated tasks, but I am through
With all things save my thoughts and this one night,
So that in truth I seem already quite
Free,and remote from thee,—I feel no haste
And no reluctance to depart; I taste
Merely, with thoughtful mien, an unknown draught,
That in a little while I shall have quaffed.”

Thus I to Life, and ceased, and slightly smiled,
Looking at nothing; and my thin dreams filed
Before me one by one till once again
I set new words unto an old refrain:

“Treasures thou hast that never have been mine!
Warm lights in many a secret chamber shine
Of thy gaunt house, and gusts of song have blown
Like blossoms out to me that sat alone!
And I have waited well for thee to show
If any share were mine,—and now I go
Nothing I leave, and if I naught attain
I shall but come into mine own again!”

Thus I to Life, and ceased, and spake no more,
But turning, straightway, sought a certain door
In the rear wall. Heavy it was, and low
And dark,—a way by which none e’er would go
That other exit had, and never knock
Was heard thereat,—bearing a curious lock
Some chance had shown me fashioned faultily,
Whereof Life held content the useless key,
And great coarse hinges, thick and rough with rust,
Whose sudden voice across a silence must,
I knew, be harsh and horrible to hear,—
A strange door, ugly like a dwarf.—So near
I came I felt upon my feet the chill
Of acid wind creeping across the sill.
So stood longtime, till over me at last
Came weariness, and all things other passed
To make it room; the still night drifted deep
Like snow about me, and I longed for sleep.

But, suddenly, marking the morning hour,
Bayed the deep-throated bell within the tower!
Startled, I raised my head,—and with a shout
Laid hold upon the latch,—and was without.

* * * *

Ah, long-forgotten, well-remembered road, 
Leading me back unto my old abode, 
My father’s house! There in the night I came, 
And found them feasting, and all things the same 
As they had been before. A splendour hung 
Upon the walls, and such sweet songs were sung 
As, echoing out of very long ago, 
Had called me from the house of Life, I know.
So fair their raiment shone I looked in shame
On the unlovely garb in which I came;
Then straightway at my hesitancy mocked:
“It is my father’s house!” I said and knocked;
And the door opened. To the shining crowd
Tattered and dark I entered, like a cloud,
Seeing no face but his; to him I crept,
And “Father!” I cried, and clasped his knees, and wept.

* * * *

Ah, days of joy that followed! All alone
I wandered through the house. My own, my own,
My own to touch, my own to taste and smell,
All I had lacked so long and loved so well!
None shook me out of sleep, nor hushed my song,
Nor called me in from the sunlight all day long.

I know not when the wonder came to me
Of what my father’s business might be,
And whither fared and on what errands bent
The tall and gracious messengers he sent.
Yet one day with no song from dawn till night
Wondering, I sat, and watched them out of sight.
And the next day I called; and on the third
Asked them if I might go,—but no one heard.
Then, sick with longing, I arose at last
And went unto my father,—in that vast
Chamber wherein he for so many years
Has sat, surrounded by his charts and spheres.
“Father," I said, “Father, I cannot play
The harp that thou didst give me, and all day
I sit in idleness, while to and fro
About me thy serene, grave servants go;
And I am weary of my lonely ease.
Better a perilous journey overseas
Away from thee, than this, the life I lead,
To sit all day in the sunshine like a weed
That grows to naught,—I love thee more than they
Who serve thee most; yet serve thee in no way.
Father, I beg of thee a little task
To dignify my days,—‘tis all I ask
Forever, but forever, this denied,
I perish.”
        “Child," my father’s voice replied,
“All things thy fancy hath desired of me
Thou hast received. I have prepared for thee
Within my house a spacious chamber, where
Are delicate things to handle and to wear,
And all these things are thine. Dost thou love song?
My minstrels shall attend thee all day long.
Or sigh for flowers? My fairest gardens stand
Open as fields to thee on every hand.
And all thy days this word shall hold the same:
No pleasure shalt thou lack that thou shalt name.
But as for tasks—" he smiled, and shook his head;
“Thou hadst thy task, and laidst it by," he said.

Giving Thanks--6

I started this on the 6th, but I had a nasty headache all day. Everything came out "Bad noun passive verb typo typo no ending punctuation," and I decided I'd be better off writing later. So ANYHOW, on with the thanking.

I am thankful for medicine. I am thankful for migraine medicine and antibiotics and cold medicines, but most of all I am thankful for psychiatric medications. SSRIs and all of their cousins have saved the lives of countless people. They have kept people off of drugs and out of drunk tanks. For generations, my family has dealt with broken relationships, broken spirits, and addiction issues. One of my direct line ancestors died of "wood alcohol poisoning and exposure." Seriously.

My chemical imbalance began when I was very young. When I was ten I wanted to die with every part of myself. I tried to kill myself by sitting with a wet towel on my chest in front of an open window in winter. A character in a book I'd read had been successful in contracting pneumonia and dying through this method. I failed to grasp the futility of attempting it in a Northern Californian winter. My family laughed at me and called me Sarah Bernhardt, queen of melodrama. Except I was serious. Deadly serious.

The darkness lightened eventually, but it came back, again and again. At thirteen, at seventeen, at nineteen, at twenty-four, and at twenty-seven. Between ten and thirteen I gained an irrefutable testimony of the existence of God (see Giving Thanks--1), a God who did not want me to kill myself, and a firm belief that I would continue to exist past death. So I never tried to kill myself again. But I wanted to. Oh, how I wanted to stop. Just stop existing. Never to feel the pain and hopelessness and sorrow again. At those moments a sure knowledge of God's love was less than joyous.

One day, in the middle of my major depressive disorder, something changed. I realized that my misery wasn't just affecting me. My beautiful two year old son had lost his "expensive" belt (twenty bucks) that I'd purchased for church. I found myself ranting some crazy thing about the belt and my son was crying and my daughter was searching frantically for the belt and I saw clearly. I saw how my mother and father had destroyed portions of me with their craziness and how their parents had destroyed portions of them and how I would destroy my children if I kept it up. I saw how my hours of silent crying and envy of people who contracted deadly diseases and died in car crashes, all of that crazy was bending my children toward the dark that enveloped me. I realized that my children would only get the one childhood.

And I saw a doctor. I'd seen a psychologist when I was ten and then again when I was seventeen and again when I was twenty-two and I'd learned a lot of useful skills. Skills which frankly were keeping me alive. I'd learned how to write through my feelings and recognize cognitive distortions. I'd learned how to talk back to the crazy. Useful. But still the darkness remained and that longing for death.

The doctor prescribed an SSRI. And I was healed. It wasn't simple. I had to try different kinds of SSRI and I had to work through the side effects. But it went away and stayed away. I quit taking them twice to have two more babies, during the non-medicated second pregnancy a combination of hormones and situational issues plummeted me to a level I'd never been before. I got to the point where I was sure everyone would be better off without me and a deadly suicide plan formed in spite of my best cognitive efforts. I began taking an SSRI again, because regardless of the risk to my baby, she would be 100% dead if I killed myself. Again it was like magic. I took my pill every day and the thoughts stopped. I could write. I could think. I could laugh, play games. Feel the Spirit. Love God. Love my family.

So, yes, as odd as it sounds, I am thankful for meds. I'm thankful that my now 20-year-old daughter and my 19-year-old son love me and don't fear me. If I was diabetic and took insulin because my pancreas couldn't meet my needs, I would take it and feel perfectly reasonable mentioning it in any setting, but because it's my brain, I feel a little cautious in mentioning it. Will telling come back to bite me in the butt? Given the stigma of mental illness, it might. Yeah, my brain has some sort of genetic brain chemical imbalance, but if I take my medicine, I am fine. It's really a modern miracle. I imagine how differently my family history would read if my mother and father and their mothers and fathers had taken an SSRI. The past doesn't get to be rewritten, but I sure as heck can write the future. I can tell my children and my children's children that it isn't necessary to drink away or smoke away or scream away the dark.

If you currently are experiencing depression and suicidal feelings, I encourage you to seek help. Medications and counseling can save your life, can save the quality of your life and the life of those you love. Please reach out. 

 Here is a link that can start you on a path to healing: http://www.helpguide.org/mental/suicide_help.htm