Review: Critical Suicidology

Book Review Critical Suicidology

Critical Suicidology Edited by Jennifer White, Ian Marsh, Michael J. Kral, and Jonathan Morris

This book comprehensively talks about suicide and suicidology. It asks where suicidology is going and how to do the research needed to understand it better. I have broken down this review with a sum of the chapters in the book. The first chapter talks about suicidology and what is meant by the term. It also talks about defining suicide research. Nomenclature was discussed and I thought about the tower of babel paper written by O’Carroll (O’Carroll, Berman et al. 1996). Agree with author that you cannot diagnose suicidality like this paper and later Silverman points out (Silverman 2006). It is too fluid and changes on sometimes an hourly basis. The complexity of suicide and suicide ideation varies between individuals. I was also disappointed that Dr. Julie Cerel’s work on suicide survivors was not mentioned despite being published at the time of the book. There was mention that at least 7 people are affected by suicide which Cerel’s research disputes. According to her research, as many as 125 people can be affected by one single suicide. Bereavement research is not mentioned.

Chapter two was a bit confusing as it gave grounds for quantitative research but then changed gears and wanted qualitative research as the “best”. Author appears a little disgruntled that the editor of the leading US based suicide journal, Suicide and Life Threatening Behavior, seems to say one thing but do another. They looked at a few years of studies and found most of them were quantitative yet the editor wanted qualitative. It goes back and forth. At the end, the author sides more on mixed studies (qual and quant) analyses.

Chapter three is about Indigenous youth. This is a special population that needs more attention. Prevention efforts should be what the youth is needing rather than someone else. A power struggle of whether the intervention needs community support or individual support is discussed.

Chapter four talks about youth in general. It was a hard chapter to read as it reminded me of my past struggles.

Chapter five discusses women and how they were expected to care for others and shamed which caused them to be depressed or they were abused. Help seeking was encouraged but some women were shamed further so was not good help. It’s true that men are at greater risk of dying by suicide than women as they often choose more lethal methods. Women have less lethal suicide attempts and gender norms need to be included in the character of women who attempt or self-harm.

Chapter six talked about narrative therapy of suicide survivor loss. Interesting to learn of narrative therapy and that someone got their PhD in suicidology. The narratives of a bereaved survivor were touching. Very sad.

Chapter seven deals with collaborative care, no us/them directive. No diagnosis to prevent stigmatization in treatment. Like that they use whole person rather than diagnosis to treat suicidal ideation and behaviors. Works of Jobes, Lenaars discussed.

Chapter eight is a lived experience chapter written by someone with BPD and how positive psychology helped her. Interesting but thought author was talking around in circles. Kept saying she had recurrent suicidality but then would talk about lived experience and being an academic.

Chapter nine talks about social violence and hate that cause suicide rather than individualize a person’s suicide. Solidarity helps to mitigate when a person dies by suicide. An interesting chapter.

Chapter ten talks about youth suicide among queer identities. How gay men are attributed in film to be sad and suicidal to forming the identity of lesbian/gay/bi. Confusing as fuck with the verbiage.

Chapter eleven discusses poetry in facing suicide survivors. Interesting chapter about how words can convey feelings.

Chapter twelve is about Inuit suicide and how it was high before prevention programs took hold in the community. Best treatment was at the community level rather than individual involvement. Youth suicide decreased when there were peer support and increased when peer support networks weren’t available. Brilliant example of how a sense of belongingness can help to decrease suicide.

Chapter thirteen talks about reimagining youth suicide. Goes back and forth about chapters throughout the book and other research.

Overall, a very important book to have if you are serious about suicidology.

O’Carroll, P. W., et al. (1996). “Beyond the Tower of Babel: A Nomenclature for Suicidology.” Suicide and Life-Threatening Behavior 26(3): 237-252.

              Suicidology finds itself confused and stagnated for lack of a standard nomenclature.  This paper proposes a nomenclature for suicide-related behavior in the hope of improving the clarity and precision of communications, advancing suicidological research and knowledge, and improving the efficacy of clinical interventions.

Silverman, M. M. (2006). “the language of suicide.” suicide and life threatening behavior 36(5): 519-532.

update and other things

We had a death in the extended family a couple of days ago and today is the wake. I wasn’t planning on going to the wake because I don’t like them. I knew my mother wouldn’t be watching TV so I took the opportunity to binge watch Bones. I had, or thought I had, the last 6 episodes of the season’s finale. The 2 hour show turned out to be about Tom Brady and Deflategate. I go to the episode where Cam is in the Middle East, and it’s a partial recording. UGH!!!! I did watch the episode where Brennan lets Booth stay for the night. I am glad they are working things out and he is doing his best to not be a gambler anymore. It still sucks not having them together but at least it hasn’t affected their work. I really love the show. The next episode was going to be about a serial killer that haunts Brennan and I couldn’t watch it so I am done with the TV for now. I might watch Rizzoli and Isles next. Thing that sucks about Rizzoli is that they live tweet the episode. I try not to be around that time but then they go all west coast and I am like AAAGGHHHHH. I don’t want to hear it because I haven’t watch it yet!! I like to watch it in my own time and binge watch the episodes.

After I had my breakfast and coffee, I didn’t go back to sleep like I planned on doing. I was able to borrow my sister’s car and get my prescription as well as do some shopping. I got my burgers and buns so I can have them to eat. I like them better than ordinary hamburger. My mother was asking whether it was cheaper just to buy the hamburger and I said it’s about the same. I like getting the pre-made burgers whereas she gets the ground beef. It’s the same just already made for cooking burgers, if that is what you are using it for. Like if I am making manwich, I will buy the ground beef. But if I want burgers, I will get the pre-made stuff. It costs about the same so it’s not like it’s costing me a fortune. But if I go to the meat market, I get more burgers than at Stop and Shop for the same price.

I am feeling a little bit better than I was this morning. I still feel down, but not like a ton of bricks down. I hope this morning was a one time thing. I can’t remember a morning where I ever woke up so depressed in the last three years since I have been on disability. Sure, I would when I had to go to work. I remember waking up and wanting to call out because I just couldn’t face the day. Or my therapist made me call out because I was too depressed to work. One time I refused to call out, so she called out for me. It’s funny now but it wasn’t back then. She was giving the line of if I call out now it will benefit my future or some shit like that. My therapist is whacked. I miss her though. I will be seeing her in a few days. I am sure she can’t wait to get back to her office tomorrow.

***Trigger warning***

I have been bitten by a mosquito in my room. The sucker bit me four times in one night so it was hungry. I didn’t wake with new bites this morning so I think it left my room. But the bites are so damn itchy it’s making me want to cut them off. Like if I cut them open, it will go away. The center of the bite looks pussy like so I am thinking if I cut that out, it will stop the itch. I did that with one of the bites and it helped. But now I have another bite that is just so damn itchy. I have been putting hydrocortisone cream on to calm it down. Unfortunately, the cream is not near me at the moment, but the razors are. I am trying my best to distract myself from the itch and the urges to cut. It is so difficult. I don’t want to cut to self-harm, per se, I just want the itch to stop. I hate bug bites. One of the bites are on top of old scars that I have (all the bites are on my cutting arm). So scratching the old scars is triggering me more than anything.

I got productive after I posted my last blog post. I printed off some suicide research articles. It made for interesting reading. But I stupidly got O’Connor confused with O’Carroll in my thoughts. I am glad I didn’t write to O’Connor telling him how great I thought his article was when he didn’t publish it. It would have been such a blunder. I was checking his citations last night (O’Connor’s) and I couldn’t find the “Babel” one. It really shaped the way suicidology should be moving forward to get rid of the ambiguity of what is meant by a suicide attempter. But it was really O’Carroll that wrote the article. I felt so stupid. But at least I didn’t write something publicly stupid! I did read what O’Connor has written over the last 10 years. He has a couple of paper about suicide and rumination. Maybe it can help me understand why I ruminate so much about suicide so much and also help me try and stop it. I think that if I try that, maybe I won’t get so suicidal anymore? It is just a theory that I have about it. I have read somewhere about how rumination can be damaging. I don’t know if it was his articles or someone else’s. The analysis that he did in one of the articles was about how the studies of rumination scales different with each study he found. No two studies used the same scale items because of various reasons, which stinks because if they did, it would have given “power” to the analysis. You always want a little of that to validate a study. I am not familiar with the scale they were talking about so I can’t really comment on it, but I do know a little about statistical analyses. I took Stats three times so I should know something!