Tag Archives: suicide

Relapse and Suicide

Share

Relapse and Suicide

World Suicide Prevention Day is coming up on Sept 10th. If you have been in recovery for a while chances are you’ve known someone who has committed suicide while on a relapse. In fact, it’s not unusual to have been touched by suicide even before coming into recovery. A life spent in both active addiction and recovery carries within it a lot of tragedy and grief. There’s usually a body count.

We know that drugs kill yet I have seen many people protect their own recovery by avoiding friends who have relapsed. They may reach out once or twice but when the friend doesn’t get clean right away, they get cut off. I’m not suggesting that people in recovery need to open their lives up to the level of drama an active addict can bring into it but I do think it’s important to open up a discussion around what we can do for our suffering friends. The loneliness, hopelessness and self-hate may be what bring them back into recovery but it may also be a level of pain (especially after having lost substantial clean time) that makes the idea of suicide an option to them.

I’ve had several friends commit suicide while they were on relapses. One had tried getting clean repeatedly and had burned out most of his friends by the time he killed himself. He’d been a popular well-liked guy and the funeral was attended by at least a hundred recovering addicts. His closest friends were racked with guilt for having cut him off but believed it was the only way they could maintain personal sanity. The question on everyone’s lips was “What could we have done?”

It’s important to have boundaries, especially with people who are in active addiction. No one wants someone showing up at the door unannounced, constantly being asked for money, or having to live in fear of break-ins and theft. But we can’t forget the loneliness and hopelessness of active addiction. Small acts of kindness go a long way – and it can be done without surrendering your safety or sanity. A regular phone call, dropping by with some sandwiches, offering to accompany them to detox or a 12-step meeting can be done with support from other recovering addicts. By showing unconditional love they’ll know they can come to you when they’re ready to get clean. It requires a level of commitment to be consistent with contact – whether daily, once a week, or you divide it up among friends. It’s important that the person on a relapse knows they can call you to talk about anything without being judged. But remember, when it comes to thoughts of suicide, many addicts hold them secret. They may never confide these thoughts to you because their experience has taught them they will be judged for having suicidal feelings. Look online or contact a local suicide prevention center and ask if they have an information card that you can give to someone you are worried about. It’s okay to hand this to your friend and say “I don’t know if you would ever tell me if you feel like killing yourself but keep this card if these thoughts ever come up”. Also tell them you will always take them to the hospital if they ever feel like they are a danger to themselves. Check the laws in your area to see if they have a 72-hour psychiatric watch in place for people suspected of being a danger to themselves or others and get information on it. Some states call this the Baker Act. If your friend refuses to re-enter recovery, suggest seeing a therapist to treat depression. If you can get them to do this, it is one step closer to helping them move toward recovery.

Handling a friend who’s on a relapse requires unconditional love, patience, and compassion with boundaries. A group effort is less emotionally taxing. Do not neglect your own self-care. Share your feelings with others. While ultimately we are powerless over what another person does, we are not powerless to provide them with information and options. Relapse is reversible but suicide is not.

Share

National Suicide Prevention Week and the Addict

Share

tumblr_msiwtpy3kP1sgdgjso1_500I want to honor National Suicide Prevention Week September 8-14th here because sometimes addicts and alcoholics, both using and in recovery, start to consider suicide as an option when they feel trapped by feelings or circumstances. In recovery, we’re taught share these feelings with someone in our support network to diffuse the power, gain clarity and seek practical solutions to whatever ails us. Talking about what we are going through is always the first step toward change. To hole up in isolation with suicidal thoughts, emotional despair, or hopelessness is dangerous. It’s so easy to lose perspective and fall deeper into the darkness. The disease of addiction gets a lot of power and leverage from emotional pain and benefits from secrets and isolation because if an addict is in pain long enough, drugs and alcohol will begin to appear as the only logical solution for relief. I have known a number of people who have committed suicide while on a relapse. In almost every case, they ask for help getting clean again but always give up after a few days and begin to isolate. I don’t know what anyone is thinking when the kill themselves but I think it’s fair to guess that whatever they are thinking or feeling all they want is for it to stop. This is why it is so important to make time to listen to anyone who is asking for help and to extend ourselves by checking up on them and making sure they are connecting with others. Whether you are on a relapse, have never stopped getting high, are suffering from depression or have experienced a terrible event – no matter what you think or believe right now, don’t give up. If you have anyone to talk to, make the call or stop by and let someone know what is going on. Call a suicide hotline. Get help for yourself. Do not trick yourself into believing that there is no help because you have no money. The suicide hotline will have resources for therapists or support groups. You can go into any 12-step group and raise your hand and say how you feel or grab someone when the meeting breaks up and tell them you need help. If you feel you are a danger to yourself go to a hospital and tell them. Go and talk to your spiritual advisor if you have religious beliefs. People will listen. The first action is to break the cycle of obsessional thinking. This is done by sharing your thoughts and feelings with another human being and asking for help. Do not stay alone with your pain. A friend once told me that however big and dark the feelings feel in the moment, this is like one groove in a record album that the needle is stuck on but that there is so much of the album left to hear. Remember – these feelings are not permanent no matter what your thoughts are telling you.

Share

National Survivors of Suicide Day

Share

National Survivor’s of Suicide Day November 17 2012

Today I spent time thinking about those I’ve lost to suicide and their families.

I got news this past week that another friend from my early recovery overdosed and died. This makes six friends since March. Five had been in recovery at one point for anywhere from one to twenty years before they decided that they could drink or smoke weed without getting caught up in old ways.  The news is never easy. Over the years I ‘ve been clean, there’s been a lot of death. Overdoses and suicide top the list followed closely by AIDS and Hepatitis C. I’ve spent a lot of time searching for meaning, contemplating life and death, and coming to terms with it in a way that makes sense to me personally. At one point I started to numb out. I would hear of a new death and mentally delete their number from my cell phone – gone! They were gone. Over! The end! I noticed my lack of emotional response and figured, really, how much death can one take? Nowadays, I’m back to feeling that funk land hard in my stomach and the sad sound as my head whispers “Fuck!”

My best friend committed suicide in the mid-80s. I wrote about her in an earlier blog on my other site http://www.pattypowersnyc.blogspot.com/2011/09/finding-one-day-at-time.html. That death hit me at a time when my own life was spiraling out of control. I felt I understood what she was feeling at the time -that feeling of not wanting to play anymore, of being tired, of not believing things would ever change. Little did I know that within three years I’d find recovery and my life would change radically.

I’ll confess that, for years, I held a little idea at the back of my most private thoughts: I would do this life-on-life’s-terms recovery thing as long as I could but if I ever got tired and want off the ride instead of getting high, suicide would be my way off.

At seven years clean I was hit by a depression I’d never experienced before – coming out of the blue and unattached to any plausible explanation. There was nothing going on in my life I could pin it to. I felt like I was inside a bubble preventing me from feeling a connection to anything or anyone.  I spent days laying on the sofa telling myself “This too shall pass.” The next day I’d awaken to realize nothing had changed. I had no desire to get high and wondered how long I could live this way.  When would enough be enough and I’d check out? I was also writing a novel where the main character would attempt suicide so a variety of methods were at my fingertips. Needless to say, it wasn’t a good time to spend days alone with my mind. Was this feeling ever going to pass?  The day I woke up feeling alive again was one of joy and relief. Shortly after this, a friend’s son hung himself.

While laying in my self-absorbed darkness fantasizing about suicide, it never occurred to me to consider how my death would affect others. Witnessing first hand how his suicide impacted the lives of his family and friends eradicated suicide as my exit strategy.

There was a hint that the latest death may have been intentional because of his history with depression.  Addiction and depression are closely linked. Perhaps this has played a role in all the earlier suicides. Much has been discovered and documented linking addiction and depression since my early years in recovery. Back then many recovering addicts shunned the idea of taking any sort of pill. Instead they believed in toughing it out, working a stronger program, finding a god. Many struggled with undiagnosed mental health issues for years, living in pain, until they finally sought help. It wasn’t that recovering addicts wanted to martyr themselves. Antidepressants were a new concept and many of us twelve-steppers were naïve and ill-informed.

I think a lot about my friends who’ve died, wondering how many of those overdoses were suicide.  How many kept their depression a guarded secret in recovery? How could we have helped?

That is the biggest question survivors of suicide torment themselves with – “What could I have done?” It’s heartbreaking to see and hear the grief lingering years later, wrapped around them like a blanket for the remainder of their lives. If a loved one has committed suicide please find support groups and professional counseling. The impact of suicide can be trauma.

For anyone who is considering suicide I will pass on something someone said to me during a particularly difficult time:

Patty, life is like a long phonograph and right now the needle is skipping but there is still a long beautiful song left to play. I know the pain is so big you can’t breath and it feels like it will never go away but this is really just one moment in time of a very long story and when you get past it, you will always look back and remember this period as a hard one but you won’t even be able to connect with the pain that right now feels like its going to kill you.  It will just be a memory that things were rough. While you’re in it, it feels so much more meaningful – but it’s really a just rough patch in a skipping record. Not worth killing yourself over. Because then it’s over forever.

Hang on and ask for help!

suicide2

 

Share