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Newsletter Number 10
November 2002
Recently we appealed to Federal and State Politicians Australiawide, from all political parties, informing them they are to blame for the inadequate Mental Health System we have in place today, and that collectively they can change the present system if they wish.
Their responses were absolutely appalling. Mainstream media has also turned its back on mental health issues, and shirked their responsibility to the Australian people to be the watchdog of Government. With the exception of talk back radio, local television coverage and local community newspapers, the commercial networks and news services have done nothing more than parrot the Government.
The White Wreath Association Inc. is dedicated to having mental illness and suicide recognised as a very serious and life threatening condition. We will continue to fight for "Action Against Suicide."
Our research from the people who have contacted us, such as families and carers directly affected by mental illness/suicide, clearly indicates that the first point of contact with the mental health system and the health system generally, highlights the fact that accurate and effective assessment of patients is falling down.
QUESTIONS
If it is agreed that suicide is life threatening (as it self-evidently is) then the question arises "Why don't these people receive the sort of speedy emergency services/help that anyone else would receive with a life threatening disorder" eg heart attack/stroke/serious injury etc.
All replies to date are in fact bureaucratic delays and multiple interpretations at a time when delays could cost a life.
What other life threatening emergency is subject to such delay.
Confidentiality must not be allowed to cause loss of life. Common sense, natural justice and good professional practice dictate that preservation of life is the paramount consideration.
The key question that has been ignored is: "What happens when a suicidal, mentally ill person, their friend or loved ones first appeal for help?"
We know from our own research that these people are routinely turned away, and this is where early intervention should be occurring.
Fanita Clark
Director
The White Wreath Association would like to also thank Logan Central shopping centre for giving us mush support over the past couple of years.
The effect of suicide on family and friends can be devastating and long lasting. It alters everyone's life, and often the tragedy is difficult to discuss without adopting a morbid approach. Family and friends need to talk about what happened. They need each other's support. Open discussion is hard to achieve at times of trauma. We are holding a support group for this very reason. For more details Ph Donna on 07 3265 3751, or mobile 0402 781 884.
It is vitally important that The White Wreath Association Inc. - Action Against Suicide be seen and heard to advise people to seek help from qualified health professionals. We cannot, and do not, offer professional or clinical services at the moment. If you are approached by a suicidal person/friend or loved ones about an impending or possible suicide, please direct them straight to medical services. Particularly their own psychiatrist if they have one, Emergency Services, GP, Mental Health Clinic etc. By all means we offer comfort and moral support as non-professional people acting from our own experiences. If you are in any doubt as to how you should handle a particular call please refer them to the Director, Fanita, at Head Office.
The outcome of this inquiry states what we, the White Wreath Association, have been claiming from the beginning of incorporation.
How many more inquiries must there be before Action Against Suicide is implemented?
Our findings, whether directly from people who have been affected by suicide or mental illness and have either telephoned, emailed or written to us, clearly indicate the lack of services, lack of treatment and the consistency of not involving family and carers in treatment by using their knowledge of their loved ones who are suffering mental illness and are suicidal. Instead the medical profession treat the family and carers as though they are paranoid or schizophrenic rather than drawing on their knowledge and respecting their opinions in determining the health and happiness of their loved ones. Hiding behind the "Confidentiality Law" and denying sufferers appropriate treatment by not working with family/carers obviously is not working as suicide statistics are increasing.
Being in denial and not accepting the seriousness of suicide and mental illness is working against us all. We must work as a team to help combat this epidemic that is in plague proportions.
Extracts from the report
Real team work is fundamental, including proper inter-agency co-operation, effective liaisons and not hiding behind confidentiality. Involving and listening to all members of the clinical team and, essentially to listen to carers and relatives as well as the service users so that the working alliance with the professional team is a truly one.
To improve the accuracy of risk assessments practitioners must address the issue of involving relatives and carers in understanding a person's mental illness. It is time to look again at any tendency to hide behind misguided belief in confidentiality.
A person discharged from a psychiatric hospital had not wanted his/her family views sought by the clinical team. So on the grounds that he/she was an adult and therefore had the right to withhold consent, his/her parents were not consulted and confidentiality was considered to be one of he factors that adversely influenced professional practice. The issue of consent and confidentiality needs to be addressed in order to make progress with these particular elements of risk assessment.
Inquiries often draw attention to the value, which would have been gained in risk assessment from careful attention to the experience and understanding of relatives.
Feelings and views of relatives are not seen to carry the same value or objectivity as those of clinicians. It is most important to understand the patient's view of the world, but also, "professionals need to be trained to trust the experienced judgment of close family, rather than rely on their own impressions made at one isolated assessment". Effective risk management requires needs and rights of relatives to be involved in care and treatment plans.
The issue of underestimating the risk by not listening to relatives and carers is such a strong feature of inquiry reports that examples are almost too numerous to mention.
Neither information from research nor institution can be of value in the absence of an accurate and comprehensive history, drawing on all sources of available information and evaluated by experienced professionals.
The key principle of risk assessment is to use all available sources of information - a proper assessment cannot be made in the absence of information about a patient's background, present mental state and social functioning, and also his or her past behaviour, carers, friends, the police, probation officers, housing departments and social workers, and also local press reports and concerns expressed by neighbours.
On 23 October 2000, my beautiful 24-year old daughter caught a taxi to the Kuraby Railway Station. She walked onto the platform and headed north walking between the train tracks. As the train driver to Beenleigh travelled down the slight incline towards Kuraby Station, the driver saw my daughter with her arms outstretched almost welcoming her certain fate. Although he took immediate evasive action he was unable to stop the train in time and my daughter Belinda was killed instantly.
Why had this beautiful, talented girl - a much loved daughter, sister, mother and friend ended her life in such a seemingly tragic manner?
Belinda was the middle of three daughters born 3 years and 3 months apart. She and her sisters were much loved, encouraged, disciplined and praised and raised in a close family, which in turn was supported by many extended family members and friends. Although Belinda appeared to have it all - good looks, talent and a caring sensitive nature she had always seemed to have problems. I remembered early constipation problems. She had her first asthma attack at 7 years old, an illness that plagued her all her life. She was often anxious and suffered panic attacks. Through it all, though she was a bright student and she excelled at sport and music.
At 12 years of age Belinda started experimenting with alcohol and marijuana, became sexually active, once ran away from home and her schoolwork deteriorated. She became disruptive in class and became well known to the school administration. The stress started to take it's toll on the family. I took Belinda to school and church counsellors but no one seemed able to help. She was labelled uncontrollable, a bad influence, promiscuous and rude. She was a round peg in a square hole. We encouraged her to join lifesavers and at 15 years of age, while attending lifesavers' camp, she overdosed on tablets and alcohol. She was hospitalised overnight and discharged the next morning. As a family we were shattered and confused and did not know where to turn.
Our GP referred us to her first psychiatrist and after 5 weeks we were finally given and appointment. She was labelled bipolar and put on antidepressants. During the ages 15 - 20 she remained difficult and unstable but was able to complete Year 12 and then attend university and graduate as a registered nurse. During these years there were several more suicide attempts - cutting her wrists, overdosing on medication, running in front of cars and once swimming out to sea at night. She was under the same psychiatrist this whole time but his only form of treatment was adjusting her medication.
At 20 years old Belinda moved away from home into a flat with another nurse. Before long both girls were heavily into the drug scene. Belinda became addicted to amphetamines almost immediately her life spiralled downhill fast. On her 21st birthday she arrived at our door in an emanciated psychotic state and after trying all day to have her admitted we were finally able to get her admitted into her first psychiatric hospital. She weighted 41kgs and all her body organs were ready to collapse. That was just the beginning of the nightmare.
Over the next three years she endured 20 psychiatric admissions (various private and public hospitals) and several drug rehab admission. Once discharged from hospital she was never offered support. She was labelled bi polar, schizophrenic, suffering schizoaffective disorder and drug addictions. She was told she was delusional, paranoid, depressed, worthless, unmotivated and lazy. She heard voices in her head, had hallucinations, spoke in different voices and was catatonic a lot of the time I was once told that she was possessed by the evil. The various psychiatrists prescribed an assortment of anti-psychotic medications, tranquillisers and antidepressants. These medications nearly always had horrendous side effects, which rendered her fidgety, gave her blurred vision, made it unable for her to concentrate and made her sleepy and unmotivated. She once told me that when she first used speed she felt really happy for the first time in her life. Unfortunately it was too late once she realised how devastating the descent into drug addiction can be.
During a period between hospital admissions she became pregnant. Although strongly advised to terminate this pregnancy she felt that having a child may give her the incentive to become drug free. She cut down the usage considerably and a healthy daughter was born in October 1999. Unfortunately she went into psychosis just after the birth and she was separated from her child and regulated in hospital again. Over the next twelve months she tried so hard to be a responsible loving mother to her child, finally admitting herself into a drug rehab when the going became to tough. She knew that if she did not beat her drug problems she would lose her baby. The Department of Families had become involved. However a couple of weeks after her daughters 1st birthday, the separation from her baby had become to painful and she could not break her addiction. She ran away from rehab and took the final steps to end her life.
I had never given up hope of her getting her life together and the shock was overwhelming. As a family we had done the very best we could to support her, we were all in our own private hell. It was so hard to come to terms with the fact that my beautiful, perfect baby girl born 24 years ago had such a miserable life and had literally self-destructed.
Several weeks after her death I called into the drug rehab where Belinda had spent the last couple of months of her life. Along with her meagre effects, I was handed her journals - a partial record of her life during the previous 3 years. That night when I opened one of the journals I was shattered to read one entry that had been written a couple of years previously, during her most successful hospital/drug rehab admittance when she was about 80 days clean of all drugs. Amongst the many daily entries detailing her daily struggle with life and drugs there was a poignant entry detailing the sexual abuse she had been subjected to by someone trusted by the family, when she was 4 - 5 years of age. At that very spiritual moment I realised why she had taken her life. How I have been so blind? How could I not have known what was going on in my daughter's life? How could I have missed all the signs? I had trusted this person without question. He had always seemed so fond of all my girls - a father figure in fact. Why had I believed the health professionals when they told me my daughter was mentally ill? Why couldn't I have seen the extreme anger and pain my daughter was experiencing every day
I have spent the last 18 months coming to terms with this knowledge. I have had extensive counselling and help from a variety of alternate therapists and friends and come to recognise my own spiritual journey. I have educated myself on sexual abuse, addictions and mental illness. It is my belief that my daughter's psyche was irreversibly damaged at such a young age by cowardly acts of abuse. Those acts had defined her and she had been unable to see that she was so much more than someone of shame and low self worth. She had never been able to reach anywhere near her potential because she had been damaged. I believe her brain blocked out these deeds so she could cope but the feelings of shame and pain kept surfacing and she acted out in an attempt to control them. I have recently been told by one of her friends (someone who was also abused and had travelled a similar path) that the memories surfaced when Belinda started using drugs. I can only surmise that she felt she would not have been believed. She could not face that as well as all the other disappointments she felt she had brought on her family. The counsellor who she was under when she wrote the entry said that when he tried to get her to talk about it she would disassociate. He said he believed that about 80% of girls in rehab have been sexually abused. He was unable to get Belinda to talk about it at all, a not uncommon occurrence with sex victims.
On looking back on Belinda's life I wonder what would have happened if I had recognised why she was so angry and in such pain and despair. Would the medical fraternity have diagnosed her differently? Would society have been kinder? Would I, her mother, been more understanding? Would Belinda have been able to face her demons and find ways such as counselling, the 12 step program, religion, exercise, nutrition, hypnosis, meditation, yoga, massage, reiki, reflexology and acupuncture to repair the damage that was done to her soul. I am sure that when Belinda died she had a chemical imbalance in her brain but I seriously doubt that she had one when she was born.
I know my daughter is in a better place now. Her soul is soaring. My hope is that we as a society stop labelling people whose mind is distorted and feelings are overwhelming because of psychological damage. Lets start looking for causes and not just treating the effects. We must acknowledge the mind/body connection. We must look for many different strategies and therapies and not just rely on pharmacology. For every person labelled "mentally ill" I am sure there is a personal story and their spiritual progress is determined first by their own empowerment and then by finding their own path to healing. Let's start looking at the relationships between sexual, physical and mental abuse and the onset of so called mental illness in later life. Finally we must learn to love one another and acknowledge that we all have a special place in this world. Until we change our mindset from "survival of the fittest" to "brotherhood of man" our world will continue to disenfranchise so many wonderful souls.
What is depression?
Depression is a common mental disorder that presents with depressed mood, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration. These problems can become chronic or recurrent and lead to substantial impairments in an individual's ability to take care of his or her everyday responsibilities. At it's worst, depression can lead to suicide, a tragic fatality associated with loss of 1 million lives per year.
Depression is the leading cause of disability as measured by YLDs and the 4th leading contributor to the global burden of disease (DALYs) in 2000. By the year 2020, depression is projected to reach 2nd place of the ranking of DALYs calculated for all ages, both sexes. Today, depression is already the 2nd cause of DALYs in the age category 15-44 years for both sexes combined.
Depression occurs in persons of all genders, ages and backgrounds.
Facts:
Antidepressant medications and brief, structured forms of psychotherapy are effective for 60-80% of those affected and can be delivered in primary care. However, fewer than 25% of those affected (in some countries fewer than 10%) receive such treatments. Barriers to effective care include the lack of resources, lack of trained providers, and the social stigma associated with mental disorders including depression.
Primary care based quality improvement programs for depression have been shown to improve the:
Schizophrenia is a severe form of mental illness affecting 7 per thousand of the adult population, mostly in the age group 15-35 years. Though the incidence is low (3-10,000) the prevalence is high due to chronicity.
Facts
More than 50% of persons with schizophrenia are not receiving appropriate care
0% of people with untreated schizophrenia are in developing countries Care of persons with schizophrenia can be provided at community level, with active family and community involvement
There are effective interventions (pharmacological and psychosocial) available and the cost of treatment of a person suffering from chronic schizophrenia is about US$2 per month; the earlier the treatment is initiated, the more effective it will be. However the majority of the persons with chronic schizophrenia do not receive treatment, which contributes to the chronicity.
Pilot programs in a few developing countries (e.g. India, Pakistan, Tanzania, Guinea-Bissau) have demonstrated the feasibility of providing care to people with severe mental illness through the primary health care system by:
I am 40 years old. Mother of 4 lovely children. I have been abused in so many ways in my childhood. Attempted suicide five times. Have been divorced. I have been through bad times. In 1989 I received Jesus as my personal saviour and baptised. I began to realise much in life is so important and how important I am, that I am created for a special purpose. It is so sad to see young people full of future taking their life away. I could share and also help.
Not long ago I fell pregnant to a guy who I was involved with. It came to the point where I tried to commit suicide and my daughter was prematurely born and I was in a coma and my liver failed. I was close to death it just wasn't funny. My daughter died and her father wanted to have me arrested for harassment as he couldn't deal with what had happened. I would really like to help others in this situation, and maybe be a motivational speaker.
Here I sit, no wife and broken hearted.
I'm in the shit, no life, I'll soon depart it.
Like you I agree suicides are covered up. When the federal pollies won't even look after their own it looks like every person for themselves. How will we ever know the total amount? One case I heard was a head-on in broad daylight a car drove into a semi no skid marks………train drivers are on stress leave over suicides, the law courts stop dad's from seeing their children, CSA forced dads to go on the dole and get depressed. IT MUST STOP.
I was so happy to hear about your organisation off a friend last evening who had just been to the ceremony in Brisbane.
I lost my best friend almost 2 years ago to suicide. I still keep in contact with her family and her mother told me last night about yesterdays ceremony.
I have attempted suicide approximately 4 times and am a self harmer I chose to cut my arms and legs instead of killing myself it relieves the pain for certain amounts of time.
I was seeing a psychiatrist for 5 years and he just watched me cut myself and sent me home when I was suicidal.
I would really like to help your organization and be part of helping society to realise the problem that is occurring.
Anyway I would love to help out in any way I can. Although at the moment with the full-time care of the two children, something like delivering notices to local libraries would be best. I hope you can think of some way that I might be able to help your association.
Hi! I stumbled across your website while searching the net for information about mental health services. I'm a third year student at Melbourne University. I'm studying abroad from America for the semester. I was just wondering if I could ask you a few questions about your organization. I'm just trying to get some opinions and ideas about mental health in Australia to generate a future paper topic. If you could reply with any information it would be such a great help.
I'm a registered nurse including psychiatric, who is extremely interested in doing something. Late last year I wrote booklets on depression and anxiety, and the response has been overwhelming. Not so much the people buying them but what they are telling me. As I work for the public health service, I am becoming increasingly frustrated at the attitude that prevails within the system.
Despite all the funds, promises, so called services, people are still not able to access help, often turned away because they aren't within the system, too few staff for too big a job, secondment of staff that causes issues because once they get used to one person, someone else takes their place.
I am also running awareness meetings to groups and the public to raise awareness and educate the community. Too many people still think there is nothing they can do once someone says they would like to end their life. Too many people still think they don't show any signs when there is. Amazingly this comes from within the health system too.
I have decided to do this as a business because I know where the money will be going as I will be the one doing it. Costs will be within the realm of the everyday person. The fact that I have suffered a severe depression and never thought of suicide but I did think that if I died it wouldn't be a problem, but it wasn't on my mind. The only time I thought about it was after I was sent to a psychiatrist through the worker's compensation board, who insisted that I did feel suicidal and refused to believe other wise, I went home and thought that maybe I should because that was what was expected. Anyone else who may not have been as positive as I was may have followed through. This is one thing that annoys me considerably by the so called professionals, who insist that all people who are depressed are suicidal and this is taught with much persistence.
I do not dispute the fact that it is a major cause but it is expected to the point where I believe that all other reasons are overlooked. Whilst there may be an underlying undiagnosed depression, I am not totally convinced that this is the whole story.
An emotional crisis, retirement, terminal illness, grief and numerous other reasons exist but a true depression must meet certain criteria for diagnosis. People are still fearful of coming out and saying they have had depression, including myself, for fear of victimisation at work, being ridiculed as weak or of people not understanding and being seen as `mad'. This is why I have endeavoured to educate the community and encourage them to see it as a community issue, that we are all responsible no matter who we are.
I have been involved in the Rotary Community Awareness forum and at the moment on the community for raising awareness in schools here in Toowoomba, but what made me feel quite annoyed was the lack of mental health workers, especially the high level managers, directors, etc, who were not there. That told me a lot and being in the system, was not surprising.
When I wrote the books, I was only doing it to get information to people but I didn't foresee just how difficult it was for people to get what they need to get through it. Some of the worst culprits were doctors who I believe need a great deal of education too.
The cost of new technology
Ruined the economy
The Government is in disgrace
Businessmen must take their place
Everything still seems the same
Still pay Tax and Medicare
For services no longer there
Still choose leaders of our own
To hide new Powers behind the throne
The captive workforce works
The captive voter vote
The captive Rulers rule
The captive Markets broke
Economic refugees
Can't take refuge overseas
Nowhere to run nowhere to hide
The only way out is suicide
Ashes to ashes, smoke in the sky
Global warming will be high
June 2002 saw the exciting release of the White Wreath's first CD!
The new CD "LISTEN 2 me", features the outstanding talents of Karen Smyth and Ewan Mackenzie and comprises regional songs and covers, including a haunting version of Bob Dylans's "Forever young"
Pure inspiring vocals and intricate guitar work make this album SHINE!
Ewan on acoustic guitar, mandolin, vocals and slide guitar, combined with double bass and Karen's incredibly versatile vocal talent have produced a work that is unique, warm and wonderful.
Karen and Ewan performed at the White Wreath Toowoomba Association Day on 29th May Brisbane, and have now produced this beautiful CD to raise money for the association's White Wreath Centre. 50% of the profits earned from the sale of this CD will go directly to White Wreath.
"It's amazing how some people can turn adversity into a positive message. I'm sure Karen Smyth's CD will be an inspiration to a lot of people"
Rod Henshaw ABC Radio, Brisbane
Orders for the LISTEN 2 me CD can be directed to the Debney Corporation Pty Ltd on:
Telephone: (07) 3257 7496
Or visit the website www.thedebneycorporation.com.au and listen to a sample of some of the great songs
Cost - $24.95 plus p/p $3.95 Australia wide
Limited stock
MEMORIALS
Proposed places and dates:
Rockhampton - March 2003
South Australia - October 2003
New Draft Mental Health Bill - UK Government
The government will modernise and reform current mental legislation by the unveiling in Parliament of a draft Mental Health Bill for consultation.
Health Minister Jacqui Smith and Home Office Minister Hilary Benn will drive forward plans to improve protection for both mental health patients and the public. Their are a small number of patients who will need to be detained for their own safety and the public's protection. The Bill will ensure that seriously ill people get the treatment they need and are prevented from harming themselves or others.
The proposed legislation is the first major overhaul of the system since the 1950's and will bring the current system up to date and in line with new patterns of care and drug treatments.
Jacqui Smith said:
"This new Mental Health Bill is a landmark in legislative reform. 21st century services are being developed in 21st century settings, but our mental health legislation remains rooted in the 1950's. It fails to recognise modern forms of treatment and it fails to properly protect patients or the public."
"Most people with mental health problems are not a risk to themselves or others and most will never need compulsory treatment. Some people, however, because of their illness can be a danger to themselves, whilst very few can pose a risk to others. In these cases government has a responsibility to ensure that treatment can be provided to these patients in the most appropriate way - to protect them, their family and the wider public."
"At the heart of this draft Bill is the need to ensure a new focus on the individual patient. Under current law patients are defined and treated differently - not on the basis of their individual needs, but depending on what category of mental disorder they have. In this draft Bill, we are introducing one broad definition of mental disorder, and one set of tight conditions, to govern the use of compulsory powers. If these conditioned are met and treatment is available, compulsory powers may be used. This will ensure better treatment of dangerous mentally disordered patients and better protection for the public."
"In the past, too many people with mental health problems were rightly moved from crumbling acute hospitals, but wrongly placed in the community with little support and poor treatment. Some lost touch with services with tragic results for themselves and their families. Some started on a cycle of detention in hospital, then discharge to the community only to be forced back into hospital when crisis hit. The reality is that patients need both acute and community care. Investment into acute services has turned round the decline in bed numbers and investment in community services is building new forms of care."
"Since the publication if the NHS Plan in July 2000 we have created almost 500 extra high secure places, more than 320 24-hour staffed beds and 180 assertive outreach teams. This is a good start and we are on track to deliver more community teams and 500 more community health workers."
"Mental health is at the heart of government's investment and reform in the
Health Service. This important piece of legislation is a key part of those reforms and we need to get it right. The Draft Bill has today been issued for a 12 week consultation and this will ensure that the final legislation is developed in a transparent and open fashion and the legislation meets the challenges of modern mental health services and delivers the best possible outcomes for those with mental health problems."
The Bill introduces a single definition of mental disorder. This means that personally disordered people will no longer be excluded from compulsory treatment on the grounds that they are "untreatable", provided they meet the criteria for compulsion.
The draft Bill updates and extends the options currently available to the courts when dealing with mentally disordered offenders. The new provisions for the compulsory treatment of mentally disordered offenders have been developed in the context of the new framework for all compulsory treatment under the draft Bill. At the same time, powers available to the Home Secretary under the current Mental Health Act are retained. These provide for the safe management of those mentally disordered offenders who are judged to present a danger themselves or to the public.
This is something the Australian Government should be considering with mental health legislation! - Fanita Clark (Director)
Drawn 28 August 2002 at Forty Winks, Mt Gravatt Store QLD
1st Prize - King Size Single Ensemble (Mrs G. Roy of Sydney)
2nd Prize - $50 (Mrs D Jones of WA)
WHITE WREATH ASSOCIATION INC
CORPORATE MEMBERSHIP
A group of volunteers, members and supporters advocating changes to the mental health system to try to combat the epidemic numbers of suicide deaths plaguing our country.
We are neither radical nor fanatical, but simply people who have lost a loved one to suicide or care enough to try to make a difference by our caring attitude towards members of our community suffering mental illness who could become statistics in the future.
Education of the community about the tragically high number of suicide deaths occurring in Australia each year and the need for governments both State and Federal to make changes to the treatment methods of mentally ill patients living in the open community.
Support of mentally ill people who are feeling suicidal by helping them on a daily basis by making sure that all appointments are kept with the medical profession and supporting them by being available by phone, fax and email 24 hours a day seven days a week.
Our organisation receives absolutely no government funding. All the hard work is done by an enterprising group of volunteers striving to make governments and the people of Australia aware of the seriousness of suicide/mental illness and the need to try to combat these unacceptably high numbers of deaths.
We are all working hard towards the Association's goal of the establishment of an in/out patient care facility for people suffering mental illness or who are suicidal. We are in the very early stages where a specific bank account has been established for donations towards this centre. Your support would be greatly appreciated in helping us to bring this vision to reality.
To assist in our fundraising we ask you to consider becoming a Corporate Member by paying the fee of $500.
Suicide affects families and friends and has a huge impact on people's ability to work. Many businesses have experienced employees who are grieving following the loss of a loved one through suicide.
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Name: ………………………………………………………………………………..
Company Name: ………………………….…..………………………………………
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Address ……………………………………………………………..………………
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I/We would like to become a Corporate Member of the White Wreath Association Inc.
q Enclosed is cheque for $500
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Your Support can be Mailed to:
White Wreath Association Inc
PO Box 1078
BROWNS PLAINS BUSINESS CENTRE QLD 4118
Email: white.wreath@bigpond.com
When you become a Corporate Member you will receive a half-yearly report outlining the Association's progress and a quarterly newsletter with your business name included in our Thank You's and your business card displayed on our advertisements page. Our Newsletter is circulated throughout Australia to members, Members of Parliament and other interested parties.
As a Corporate Member we will place your "logo" on our website. We also offer you or a delegated representative an invitation to all functions and activities that the White Wreath Association Inc organises. A promotional pack will also be sent. Should you wish to accept the inclusion of the advertisement page and displayed logo please email an attachment of your logo
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February 2004
1. Directors Report 1
2. Our Thankyou list.
3. Did you know…? Some more interesting stats on suicide
4. A/Director of Mental Health, Dr Arnold Waugh, writes to us.
5. Understanding Acupuncture – an alternative to Western Medicine
6. From “The World Today”, a report about China confronting the issue of suicide
7. More from Peter Neame, WWA Research Officer
8. Some of the many emails received by White Wreath
9. Belinda’s Journal, continued…
10. A brave lady is Desiree, read her very inspiring story
11. Why did it cost so much? The financial burden of funerals.
12. A couple of letters of thanks to WWA. One anonymous.
13. Comments in our website Guest Book just continue to grow. We are reaching far and wide…
14. Ever wondered about the "Doubting Thomas" Syndrome? Read about it here
15. Some advice from Dr David Horgan. And a link to a letter from him as well
16. A Wish list of items that will help us tremendously
17. Like to join us? Become a volunteer.
18. Like to make a Donation?. Start here.....
19. Membership renewal time…
20. Advertisers Business Cards. Please support them, as they support us.
A quick note from the editor:
We are back on-line with the web version of the newsletter. While it is not really a “printer friendly” version, we hope that it is easy to read and browse.
For those of you who are new to the newsletter, just click your mouse on any underlined word in the index to take you to that place in this newsletter.
To return to the index, press one of the “Top” buttons that you see on the right hand side of the page.
Please feel free to send any comments, feedback or suggestions to me at my email address trevor@mountgambier.net.
Views and opinions expressed in this newsletter are not necessarily the views of the White Wreath Association Incorporated or it’s members.
DirectorS REPORT
Mental illness is shockingly common, affecting almost every Australian family - directly or indirectly. It can strike a child, a brother, a grandparent, or a co-worker. It can strike people of any background, at any stage of life from childhood to old age. No community is unaffected, no school or workplace untouched.
The reality is that the mental health system looks more like a maze than a coordinated system of care. No one should have to play hide and seek to locate appropriate mental health treatment while watching a relative or loved one deteriorate. We have not found one resource to help us coordinate mental health care for people who contact our association.
Our Nation's failure to prioritise mental health is a national tragedy. However, no loss is more devastating than suicide. So many lives are at stake, so many families and communities struggle to deal with mental illness/suicide. Thousands of lives are lost annually to this largely preventable public health problem. About ninety percent of those who take their own life have a mental disorder. Many have not had the care during the months before their death that would help them to affirm life. The families left behind live with shame and guilt that has been bestowed upon them by the lack of understanding of our society.
The World Health Organisation (WHO) says the treatment of millions of mentally ill people is so poor it amounts to a human rights violation. The WHO is calling on governments to better protect the mentally ill. It estimates that 450 million people around the world suffer from mental disorders. A large number of them, it says, do not receive the health care and treatment they need. WHO reports that 50 percent of countries around the world either have no legislation, or outdated laws on mental health. The WHO's Mental Health Department said many societies discriminate against the mentally ill, and often the developed countries provide inadequate care for those with mental health disorders.
The only way we, as a nation, can overcome this terrible tragedy that is occurring is to stand up and be counted.
A Special “Thank You” to all those who have written in our “Guest Book”, “Emailed Us” and to “Parents”, “Carers” and “Loved Ones” who have allowed us to use their special stories to further the awareness about suicide and mental illness. You are the real strength of our organisation. We know of no other organisation who has such positive feedback from so many people who have been so affected by suicide/mental illness and the deficiency in our health system. This, in particular, relates to the lack of adequate assessment and early admission, bad management during admission and inappropriate discharge.
Our concerns have been borne out by the brilliant article in the “Bulletin Newsweek” Oct 7 2003 by Hall Greenland “A National Scandal”. This article clearly proves that Governments are aware of the increased death rate as a result of the lack of medium and long-term care beds for the mentally ill.
Help us to help you.
Yours sincerely
Fanita Clark
Director
We would like to thank the following organisations, businesses and individuals for all their help:
Our Special Thanks To:
Index Self Storage, Sherwood, Qld.- Thank you John Diegan for continued support with the donation of a storage unit.
Hyperdome Loganholme - especially to Veronica Thomas for her support and understanding towards our cause.
Indooroopilly Shopping Centre - Isabelle Yates
Browns Plains Hotel - for their continued support in supplying a conference room for our meetings
Lawyers for their continued support for professional services
Inala Town Centre - Tracy Hulley
Jupiters Casino Community Benefit Fund- Grant that has enabled us to purchase PA System, Lectern and Generator.
We are, as always, most grateful and appreciate your kind support.
In AUSTRALIA
DEATH DUE TO INTENTIONAL SELF-HARM, MENTAL & BEHAVIOURAL DISORDERS, ORGANIC, INCLUDING SYMPTOMATIC, MENTAL DISORDERS
(SUICIDE)
RANK IN THE TOP 10 CAUSES OF DEATHS IN AUSTRALIA
Suicide and Mental illness are like a modern cancer, everybody knows someone either directly or indirectly affected by suicide.
Suicide and Mental illness affects all walks of life, all cultures, all age groups, regardless of wealth or fame.
THINK ABOUT THIS!
DO YOU KNOW SOMEONE?
In our opinion, the latest statistics released in December 2003 by the Australian Bureau of Statistics for the year 2002, shows that 8039 deaths resulted from Suicide or Mental Illness. (The government figures are two years behind)
This figure is comprised of:-
Intentional Self-Harm 2320
Mental & Behavioural Disorders 3172
Organic (including symptomatic) mental disorders 2547
TOTAL 8039
The following deaths combined are far less than the total number of suicides during the same period.
Road Accident Deaths 1907
SIDS 119
Breast Cancer 2716
Prostate Cancer 2852
TOTAL 7594
A number of Road Accident Deaths are suicides, however we do not included these in our figures. In addition to this, number of Accidental Deaths (4906 for the year 2002), and deaths in other categories are suicides, but again we have not included these in our figures.
Note: Data supplied by Australian Bureau of Statistics
FOOTNOTE:-
:-
“It is widely recognised by researchers that official suicide mortality statistics underestimate the true extent of suicide mortality”
In support of this statement, references are available on request. Australian Institute for Suicide Research & Prevention
Discussion on the way in which Alternative Therapies can be embraced in conjunction with Western Medicine, written by well respected Brisbane Acupuncturist and Herbalist (Chinese Barefoot Doctor) Mr Graham Coombs.
There are many factors impacting on us including nature, our nature, our environment, our upbringing, our work, our relationships, our family, our spiritual connection, our friends, our wealth etc.
We could all start the ball rolling by reflecting on these words by William Jones “The most wonderful thing about my generation is the knowledge that I can change my life by changing my attitude”.
The World Today - Friday, 21 November, 2003 12:45:32
Reporter: John Taylor
When I started training as a psychiatric nurse in 1971, it was illegal to refuse a patient admission, and if that individual, his friends or relatives said he was suicidal then he would be admitted and ‘specialled’ for 48 hours or longer. A nurse would be with him, within arms length, every second of the day until the danger was passed.
“Never, on any account, even for one second, permit a patient of suicidal tendencies to leave your sight, no matter upon what excuse or however plausible his desire for privacy may be urged, until those, under whose authority you are acting, withdraw the orders issued with regard to such a patient”
(Handbook for Mental Nurses p22, 1938 Edition – first published 1885, used up to mid 1970’s)
People who are suicidal seek death as you or I would seek life. ‘Managing’ suicidal patients ‘in the community’, ‘counselling’ them, having mass ‘evangelising’ sessions that are ‘life affirming’ are absolute nonsense. They have never worked over the last 30 years. What other medical emergency would you offer counselling, ‘life affirming skills’, etc. instead of immediate admission to hospital? What other life threatening condition would a patient be refused admission? There is none, and this is the real prejudice in mental illness – not recognising how serious it is.
“It is estimated that 17% of psychiatric emergency service patients are suicidal, 17% are homicidal, and 5% are both suicidal and homicidal” (Douglas H Hughes, M.D. – General Hospital Psychiatry, 1996) [Douglas H Hughes, M.D. (1996) Suicide and Violence assessment in Psychiatry]
From: “Profile of the Mass Killer Amok Murder Madness and Badness” by Peter Neame 2003
Professor John Gunn Personality Disorders and Forensic Psychiatry
“All cases in which a health facility has declined to assist with a difficult patient suffering from a recognised disease, and which ultimately goes wrong, for example by a serious attack or homicide following release from prison, should be regarded as a medical failure.”
I just realised that I have been spending way too much time & effort testing possible but as yet imaginary people when I should be well into telling the tale of my decline into insanity – or whatever you’d like to call it. I’m very skilled at putting off the inevitable, if it was an Olympic sport I’d be famous.
Well my story begins about the time I met a popular fixture of various Valley haunts, a guy by the name of Dave-nicknamed ‘Disco Dave’ by the majority, owing to his fondness for painting his finger & toe nails outrageously bright & shiny colours, his ‘op shop’ style, his D.J.ing ability, and his ability to endlessly socialize with his extensive network of friends & associates in ‘the scene’. I met Dave (who I would never call Disco Dave, out of respect as he loathes it) while grooving on the dance floor at the ‘Beat” nightclub in Fortitude Valley which had become a regular venue for Tanya (my housemate at the time) and my twice or three times a week night out. Dave & I hit it off from the word go. We spoke for 5 minutes before we had acknowledged in each other a shared interest – shooting up speed. I had begun shooting up a few months prior to meeting Dave, but had only been supplied with cut (with glucose usually) speed and was only using once or twice a week. Dave introduced me to base, otherwise known as pure. By the time the speed got to Dave (and in the same form to me) it had usually been cut once or twice in the ration of 1:1 per cut. Sometimes mostly (after we had met Max) we would get pure Crystal Methamphetamine, which also had various potency levels depending on cooking variables etc. I began having a relationship with Dave almost straight away. I was very attracted (and remain so to this day) to his uniqueness and ability to shrug off a world that, at large, did not (& does not) agree, and in fact shuns, his chosen lifestyle. I thought he had balls, not to mention brains. A university educated guy, he takes pleasure in speaking to others in ‘the scene’ about his philosophies on life. When I refer to ‘the scene’ I mean ‘the valley scene’ which consists mostly of speed junkies, ecstasy users, the off LSD tripper and an occasional alcohol consumer. Harry users (heroin junkies) are, as a general rule, too spaced out & incoherent to have the want or ability to go out dancing. The night I met Dave we almost immediately went back to his apartment in New Farm, a 20-25 min walk or 5 min drive, (the option we chose to take) up the road.
As that song ‘Cleopatra, “comin’ at ya” or something has recently come out – (message potential here). She said she knew J.C & that he may have fucked her & her boyfriend – none other than the one & only Genges Khan. – over. She told me she had ‘burned & Genges had been bitten by insects & mosquitoes for nearly 2000 yrs & the ‘prophecy’ had finally come true about a 21 yr old (3 wks prior to my 21st) female, new millennium & all, 3 yrs prior to yr 2000 would meet with JC, Mary & Lucifer & all three would be judged by, Ann & Genges & crowd. They told me that they wanted to find out who out of the three & often became 4 had fucked them over as they weren’t quite sure. It felt like, over the 7-8 mths, I had spoken to about 30 regular ‘voices’ & maybe 50 or so other voices!
A warm welcome to readers, my name is Desiree Allan. And who am I, you may ask?
I am so lucky to have met Fanita Clark and be a mouth piece to speak for her organisation.
I am totally blind and my nerves for smell and taste have also been severed. Being positive I have the best of the two senses left which are touch and hearing as my ears and hands have become a sort of substitute for my eyes. I am now into my 13th year of darkness but hey it’s not that heavy, ugly darkness as I have accepted what has happened to myself. The past has past. Let it go as it has no power, I am living for the future where there is power and light.
In June 1990, I had a very bad day you could say. I took a rifle to my temple and shot myself hence why I am now totally blind and the rest. Yes it was a suicide attempt that was not successful and truthfully now, today I am glad for this. I now know there will be a light at the end of my tunnel or journey of life. I have faith. My sister at the age of 24, sho too died of suicide, I guess that’s when my bubble to life died within for me as well. I was 23 when I had my go.
Now this suicide attempt did not just happen over night. Looking back on it I was generally a very happy girl, manic, emotionally high sort of a girl to be truthful. When my sister died it all changed as I ran away overseas, trying to forget. Seven months into living in Australia I was too far gone in depression and felt no way out but to end my life. T his is where Fanita Clark and her organisation if I had known about it I would have sought it out. This is why I stand by her 100 percent in her great efforts to save people out there who are really suffering this mental illness. It will not just go away, we all need help to rebuild and gain confidence in living and life all over again.
After the doctors and nurses put me back together again, two weeks on life support system, one week unconscious, I came to. Blood tests confirmed I was suffering the mental illness of Bi-polar mental disorder, like a manic depression type of thing. Severe mood swings, which had moved right on down to the dark depths of crippling depression. I was burying myself in my own dark pit, but look at me I’m now full of life.
Today I live alone in my one-bedroom apartment. I have just returned from Quebec, Canada, from the world Blind Games, winning a silver medal in my major sport of judo. I am a brown belt. Next one up is the big black one which will be the icing on my judo cake as next year my goal is to be wearing my black belt to Athens as I have made the Aussie team as a Paralympian. Internationally I have represented Aussie in judo five times, winning now two silver medals and a bronze last year at Rome. My other silver was won in Thailand. I train hard 6 days a week going to the gym twice to three times a week for strength. I swim at Yeronga pool 3 times a week swimming 30 lengths of the 50 metre pool. I have represented Queensland with swimming having competed in many comps, 2 were the National Multi disabled Swimming Championships held in Homebush in Sydney in 1996/1997. I won 7 gold medals in Sydney. Now I concentrate and focus on judo at the international level. I train at nights with judo and every club member is able-bodied, meaning they all have eyes that work. This is why judo is the greatest challenge and is why I’m sticking to it and am so determined to reach the top and achieve my goal of a black belt.
Fanita Clark phoned me and asked if she could help in sponsoring me some how. As I only live on the blind pension I really do run a very, very tight budget with paying the priority payments like rent, monthly phone bill. Each and every sporting activity I travel with yellow cabs. I do possess a taxi subsidy voucher book, which allows fifty percent off my fare. The half that I pay is over one hundred dollars but we make do. Just at the right time, good kind Fanita phones and asks if I could do with a freshen up of all my gym clothing. I might not be able to see but hey I like to look good, bright colours, the trendsetter of “Blinkies” I will be.
To go shopping with Tina, Fanita’s daughter in October, I cannot wait and am very excited for new fresh clothing. This is a huge help as money and spending on extra things other that my living costs does put me short. I need food for my performance and my energy towards being a winner. Fanita will embroider her White Wreath emblem on my new gear, which I shall wear very proudly. People may stop and ask what is this on my singlet or whatever? Never fear, I am just the right mouth for you Fanita and your organisation. I really believe depression and mental illness is on the rise and we need you and your good volunteers of the White Wreath Association on the beat so as to speak, keeping hearts and minds pumping and alive to let people know that this world is liveable and is quite a nice place when you have the right chemicals to balance you out. Yes I take my lithium tablets each and every day since I came to in 1990. I promised myself and to my parents and friends in New Zealand that I will never ever try to take my life again and that I will prove to myself and others that I will rise from this suicide attempt and make a new life blind and will find a purpose.
I give many thanks to you Fanita. I look forward to wearing my new clothing, embroidered with your good name – White Wreath Association. I will wear it with a big smile. I will shine for the White Wreath Association. I want to get your wheels really turning. Remember, every day above ground is a great day.
Early one morning 28 years ago, I saw my mum crying. I was 11years old. Why! I thought. After trying to find out what was going on, a friend of the family told me that my dad is going to die. Shocked, scared and with disbelief in my heart I wanted to see him and no one was going to stop me. The last thing I remember was looking at him lying on a hospital bed, tubes in his nose to help him breath. I still can hear that sound, a deep long breath with a rattle as if water was in his lungs. “A sound I’ll never forget”. My father died many years ago and I will never get over it but I have learnt to live with this loss in my life and in time so will you when and if you have lost someone in your life. What stood out as I got older was the price of the funeral, my mum was left with not much after the funeral service, and she was taken for a ride “so to speak”. I wanted to know why it cost so much to have a funeral service, so I found out. At the time dad died mum was at her most vulnerable time, so a funeral director took advantage of her.
I joined the funeral industry because I wanted to know what happened to my father as it was taboo for children back then to know anything about death, also to show people that you don’t have to spend a lot of money to lay your loved one to rest; you and your family can respectfully have a funeral service for a loved one with care and dignity with out going into to debt. Most other funeral directors, funeral services cost about $4500 and on T.V they advertise $5000 for this same service. In my opinion I believe that is too much for a funeral. I can do this same funeral service with no drop in professionalism from $2875. Keeping in mind I will always respect the wishes of the families loved one. This goes to show you that not all funeral directors are the same. There is a service that we provide for families who do not want a funeral service due to their loved ones wishes; this is called a Memorial Service Cremation or Burial, this is were the family or the loved one wishes is to have no funeral service but to be cremated or buried privately, then have a memorial service after or at the time of the cremation. For this type of service the cost of a cremation is $995 and burial $995 + the cost of the cemetery plot. We do not charge you any other cost, eg: if your loved one passes away after hours and we transfer them from your home, if we see you after hours, Doctors Certificates, after hours Doctors and the death certificate from Birth, Death & Marriages. Some funeral directors call this service a Direct Cremation or Burial and will charge between $1600 & $2500. They also charge other fees on top.
I believe if a family would like to have a full funeral service, then so be it, they have a right to say good-bye, “or shall I say, see you later”. If they don’t want a funeral service no matter what the reason, they are also entitled to say see you later in their own way.
If at any time you would like to know more or you and your family would like to talk to my staff, or me please feel free to do so. We are open 24hours 7 days a week.
Our free call number is 1800 151 514.
Just recently I found myself in a financial embarrassing situation and needing help.
The White Wreath Association Inc found out about my predicament and came to my aid.
I was embarrassed to have to accept but am truly grateful to this wonderful organisation for the help they have given me and helping others.
They also helped me cope after the suicide of my son and deserve to be recognised for their caring and helpful ways. I wish them the best in their endeavour to get the building they are so desperately trying to get built.
So please if anyone can help in any way, please do so. This way we may show the terrible suicide rate.
ANONOMOUS
LETTER OF THANKS
25/11/2003
We would like to say a great big Thank you to Stradbroke Island 4 Wheel Drive for a wonderful tour.
We saw things we had never seen before. The whole day was beautiful and we would recommend it to anyone to take a tour. They were so courteous in every way.
A Thank you to the White Wreath Association Inc for giving us the chance to win this great prize in their raffle, and to Straddie 4 Wheel Drive for donating it.
Sincerely
Gail & Tianna Ker
Permission to reprint the following article has been granted by Gavin Bird from the Schizophrenia Fellowship of South Qld Inc.
HUMAN RIGHTS CAN KILL
There are sufferers from serious mental illness being denied treatment because of undue concern for human rights, according to reports to the Schizophrenia Fellowship’s Council of Australia.
“We have been to too many funerals of our sons and daughters and of our brothers and sisters. And too many of our people are in prison for offences committed after the system turned them away from treatment,” said one report.
The Council is concerned that a balance is maintained between human rights to protection from danger and to freedom from torment, as opposed to the legalistic notion of the right to freedom per se.
The Council recommends the “duty of care” principle to guide the determination of professionals confronted by this dilemma.
Statement from the Schizophrenia Fellowships’ Council of Australia meeting in Townsville in 1993.
The above statement is as pertinent today as it was in 1993. It was in Townsville that I first became aware that the communication barrier between sufferers of serious mental illness and their carers on the one hand, and the mental health system on the other, was not a local aberration.
Delegates from each of the Australian States reported that the experiences of our members in South Queensland were common throughout Australia. It was in Townsville that I first encountered the Doubting Thomas Syndrome.
Thomas, we are told, was a good man but he was unable to believe unless he should see in His hands the prints of the nails and put his finger into the wound and thrust his hand into the pierced side. (From John 20:24-25)
The essence of this syndrome is: ‘Unless I see it myself, I cannot act. If the police report it, I cannot act. If the parents or the spouse or the siblings or the children report it, I cannot act. If the distraught sufferer reports it, I cannot act.’ To continue the Biblical analogy, many of our members attest that it is as hard for a camel to pass through the eye of a needle, as it is to secure sanctuary and treatment in our mental health facilities.
Despite the closed mind-set to any evidence provided by sufferers and carers, if a nurse reports it in-house, it is a fact. If a colleague reports a veiled threat, it is a cause for alarm. If a chair is thrown at the clinic, it is dangerous.
But if a cheekbone is broken at home, it is merely unfortunate.
We believe the Doubting Thomas Syndrome is a common affliction of modern psychiatry. We believe the public system has been peculiarly spooked by the spectre of civil liberties that is more in the collective psyche of the system than in reality. The psychiatric profession is rightly mindful of the excesses of commission that occurred at Chelmsford (NSW) and Townsville’s Ward 10B. However, it is in danger of losing its soul through the excesses of omission that are now occurring under the guise of the Doubting Thomas Syndrome.
It is a strange irony that those with the most intimate knowledge of a particular case, the carers and sufferers themselves, are the ones who are routinely excluded from decision-making processes. There is particular jeopardy when they and the police are excluded from the admission process, because they alone have the precedent history. We have all encountered people with a psychotic illness who become quite rational as soon as the doctor appears. This period is usually brief, but it is long enough to make an inexperienced or overworked doctor conclude that nothing is wrong if collateral evidence is excluded.
The mantra of civil rights is no excuse for neglect of responsibility or abandonment of common sense. Consumers and carers are still in the process of discarding the cloak of stigma that shamed them into the shadows. The mental health system needs them as part of the treatment team and they need encouragement to take their place alongside the mental health team.
By Gavin Bird
MB BCH BAO(DUB) MPHIL DPM MRCPSYCH FRANZCP MD(MELB)
I enclose the information given to callers on my Suicide Prevention telephone line. I think your readers will see that I share your group’s concern about the importance of early intervention. (Read his letter here….)
The following is the message that is transmitted to callers ringing the free Australia-wide telephone service Suicide Prevention Medical Specialist Information Pty Ltd: Phone 1300 360 980 you can ring this recorded message from anywhere in Australia for the cost of a local call 25c
1. Hello, my name is David Horgan. I am a doctor who has specialised as a psychiatrist and you have called my free medical information service on suicide prevention and depression. This is a local call only, so please feel free to listen to the end of the tape. I hope the following information will help you or someone close to you. I must emphasise that I am providing medical information only, and I am not in any way offering individual diagnosis or treatment. However, I hope the information on this message will increase your knowledge of a very common condition that affects 10% of Australian men and 20% of Australian women. Depression is NOT a personal weakness, and many famous and successful people have suffered from this very common condition, have thought about ending their lives, and have recovered fully. In a few minutes, I will give you an address to receive a free information pack about these problems.
2. People who are very depressed or thinking of suicide are suffering intensely, even if they seem pretty normal to those around them. I want to emphasise to you that I, and many other doctors, are very aware of how painful and frightening your feelings can be, and I want to emphasise especially that these symptoms CAN be totally wiped out. Many people who have recovered from the same feelings of despair and suicide you may be experiencing describe having come out of a nightmare, and are hardly able to believe they once thought so negatively or wanted to die.
3. Medical research has repeatedly shown that nearly every person who commits suicide does so at a time when his or her ability to think calmly has been attacked by a brain chemistry change following stress. This is the illness doctors describe as clinical depression. Depression makes you feel exhausted, and unable to enjoy or be interested in anything the way you used to. You may have trouble keeping your mind on what you are reading, or lose track even just watching TV or making conversation. You may find you want to avoid contact with friends. Many people with depression feel tearful and upset very easily Depression is in fact very similar to developing diabetes, and just like diabetes, depression can be measured by a blood test in many people. A combination of medication and changing some of your habits seems to be the most effective treatment for depression, just like diabetes.
4. If you are having thoughts of suicide at this time, it is very likely you are in fact suffering from depression, an illness that is trying to control you. The important thing to realise is that the illness is telling you lies, at times very convincing lies, about the present and the future. It is like having a computer affected by a computer virus, so that the information you get looks real, but is in fact totally wrong. Don’t let the illness fool you or control your decisions and actions. If you tell your doctor about these thoughts, and how strong they are, he or she will be able to bring your thinking and feelings back to the way they were before you were so stressed, or refer you to a specialist in this area. If your thoughts of suicide are overwhelming at the moment, please remember this CAN be fixed. Instead of doing something final, what have you got to lose by seeing if modern treatment can help you, so PLEASE go and see your doctor urgently. If your doctor is not available at this time, you can go to the emergency department of your local hospital. Or you can ring 1223 and ask the operator for the telephone number of a crisis service you can ring, or the telephone number of your nearest public hospital; and talk to the nursing or medical staff there about how you need help at this time. Despite what your illness is trying to tell you, the fact is there are a huge number of effective treatments, which WILL cure the illness that makes you believe there is no hope and no escape.
5. If you are not able to get medical help or crisis help at this time, here are some ideas, which will help you get through until you can get professional help. Firstly, try not to be alone at this time if at all possible. Tell a family member or friend how bad you feel, and that you are having suicidal thoughts, and ask them to stay with you until you see your doctor. Secondly, get rid of the methods and stay away from the places you have considered for ending your life, so they do not continue to tempt you when your are feeling defenceless. Thirdly, if it is safe for you to do so, and if it does not increase the temptation to harm yourself, consider getting out of the house, and going for a long walk or doing some activity outside the house, even going to a movie. Finally, if you are feeling desperate to stop the emotional pain and despair you feel, take any calming medication you have available, or which has been prescribed by your doctor, in whatever dose is necessary but safe, so that you can go to sleep for a few hours rather than harming yourself. A hot drink with the medication will help you to calm down and go to sleep more quickly. When you wake up, the emotional pain will be less. You do not have to die to get rid of the pain.
6. The central issue is that there is a battle going on inside you, between the sick bit of you that can only see negatives and therefore wants to die, and the healthy bit of you that knows things were not always this bad, and that the future will indeed be better. Instead of attempting suicide, which has been described as a permanent mistake when facing a temporary problem, I strongly encourage you to TELL YOURSELF WHAT YOU WOULD TELL A FRIEND WHO WAS THINKING YOUR THOUGHTS. HANG ON AND GIVE THE DOCTORS AND COUNSELLORS A CHANCE TO HELP YOU. If you give them time they will be able to dramatically improve how you feel and help you to solve the problems you cannot manage yourself at present.
7. If you would like a free information pack on depression and suicide prevention, giving you a printout of this message, a questionnaire to see if you have depression, and information about the antidepressants used in Australia, please send a stamped addressed envelope to Suicide Prevention, PO Box 222, North Melbourne 3051. If possible, please also send a donation to help with the costs of this service. The money is used exclusively to pay the telephone and directory costs, as both Commonwealth and State governments have refused requests for financial support. The address again is PO Box 222, North Melbourne 3051.
8. It is very important also that you do not drink a lot of alcohol or take marijuana at this time, as they will further damage your ability to fight this illness
9. As I have mentioned a number of times so far on this tape, the most likely medical diagnosis if you are feeling suicidal is that you are actually suffering from depressive illness, which is in many ways a form of paralysis slowing up and trying to control your mind. This is a chemical change taking over your mind because the stresses affecting you have been too much to cope with. Depression tries to convince you there is no hope of things getting better and will make mountains out of molehills, so that every problem seems to be a major disaster.
10. You will know you have depressive illness if you have a number of the following symptoms: trouble thinking clearly, problems keeping your mind focused when you are reading or watching TV, memory problems, finding everything too much of an effort, and feeling too exhausted to do things. Depressive illness will reduce your ability to do the things you normally have to do at work or at home, may make you less talkative and friendly, and will make you want to avoid contact with people either in person or even by telephone. Many people find themselves feeling tearful in situations, which normally would not make them cry. Most people with depression also feel uptight, nervous or worried, and are often very irritable, so they start having problems with their relationships and their friends. As the depression becomes worse, many people have trouble sleeping or eating, and lose their normal sexual interest.
11. As the chemical changes in your brain become more dangerous, the illness begins to persuade you that there is no hope that things will get better, and no point in being alive. However, it is very important to realise that this is really a chemical imbalance taking over your mind, telling you continuous negative lies. It is a horrible form of suffering which can be fairly easily fixed in fact.
12. A little known fact is that the chemical changes of depressive illness can be measured in about fifty per cent of people, by a blood test. Your doctor can order this blood test, known as the Dexamethasone Suppression Test, if you seek treatment from him or her. It is your chemistry that is having a breakdown not you.
13. With regard to treatment, the fastest and most effective treatment for depressive illness is the use of prescribed antidepressant medication. Prescription antidepressants are not addictive, as they are different to tranquillisers such as Valium or Serepax. Antidepressants have been used worldwide by hundreds of millions of people over the past 50 years, without any problem with addiction in that time. We still do not fully understand how antidepressants work, but we do know that ANY antidepressant will cure about 75% of depressive illness. Yes, 3 out of 4 cases of depressive illness will be cured by any one antidepressant. At present we cannot predict which medication will suit any individual patient, so the choice is based on the range of symptoms you are suffering, and the usual side effects of various antidepressants. The new antidepressants developed in the past 10 years have very few side effects in most people. It is too complicated to discuss medication and side-effects on this message, but details will be forwarded to you if you send a stamped addressed envelope to Suicide Prevention, PO Box 222, North Melbourne, Vic 3051 and a donation if you can afford it.
14. If you have depressive illness and your doctor or non-medical practitioner do not offer you the benefits of antidepressant medication in addition to whatever other treatment they provide you should discuss this issue with them. Treating depression without medication is like treating diabetes without medication, especially when it is severe, so you need to be clear about why you are not being offered at least a trial of such medications. Keep in mind that non-medically qualified therapists are not allowed to prescribe medication for you, even though they often provide other very useful forms of therapy, so your local doctor can help in addition to your therapist. However, research also repeatedly shows that the combination of antidepressants with certain types of therapy produces better treatment outcomes than either therapy or medication used alone.
15. Once you have recovered from depression, you must be aware it is like cancer of the mind, and you need to continue effective treatment in as high a dose as you can tolerate for as long as you can tolerate, to eradicate the seeds of a future attack. However, there will remain a risk of relapse in the future, with return of suicidal ideas. So do be aware of early warning signs, such as concentration or memory problems, or unusual tiredness and lack of motivation. Early treatment will markedly lessen your suffering.
16. I hope this information service has helped you. If you would like a written version of this tape, a questionnaire on depression and information on currently available antidepressants, please send a stamped addressed envelope to Suicide Prevention, PO Box 222, North Melbourne, Vic 3051. Or you may visit the Internet site: www.suicideprevention.com.au . However, for legal reasons, I must again emphasise this is a privately funded voluntary information service only, and is not offering individual diagnosis or treatment. Accordingly, I will not be able to reply to individual letters. Your family doctor can give you any further help you may need. Thank you for listening.
17. If you have any comments, or any suggestions to improve this service, or if you can afford a donation to the service, please write to PO Box 222, North Melbourne 3051, or email davidhorgan@email.com
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