Showing posts with label suicide. Show all posts
Showing posts with label suicide. Show all posts

15 March 2013

Yesterday, I cried.

Warning: if you are currently having a rough time with PPMD, you may want to avoid this post. It contains potential triggers.

Yesterday, I cried. It wasn't a messy cry. It was a quiet, gentle, soft cry, with small tears and no snotty nose. But it was still a cry.

Why did I cry?

I cried because Cynthia Wachenheim killed herself.

The story I linked above, from the New York Times, reads:


Sometime before 3:25 p.m. Wednesday, Cynthia Wachenheim, a lawyer who was on child-care leave from her job, wrote out a note. On lined notebook paper, it ran for 13 pages.
According to a law enforcement official who has seen the note, she wrote that her infant son, Keston Bacharach, had previously taken a few tumbles, including “two shameful incidents,” a fall from a Gymini play set onto the wood floor when she walked out of the room for five minutes, and off a bed. She blamed herself, and was convinced that those falls had led to a series of concussions and seizures that aggravated or contributed to maladies that would harm him for the rest of his life.
Her friends, family members and pediatrician did not believe her, she wrote. But she noticed changes in the baby — changes that only a mother who spends all day with her child would notice. For instance, she wrote, her son had grown sleepier and cried more frequently.
She wrote that she could not bear the thought that he might suffer because she had failed to protect him. She wrote that what she was about to do was “evil.” 
She then jumped out of her eighth-floor window. She left behind the note. She did not leave behind her son, strapping him to her body in a Ergobaby carrier, bringing him down with her as she crashed to the ground, the crack sounding like a gunshot to people passing by.
Ms. Wachenheim, 44, died. But her 10-month-old son, apparently cushioned by her body, survived. He bounced out of the carrier and suffered only a bruised cheek.
“I’m sure you understand, I’m absolutely overwhelmed with grief,” her husband, Hal Bacharach, said in a brief telephone conversation Thursday from his apartment at the Sutton, a new sleek building at 147th Street and Bradhurst Avenue in Harlem, where he had lived with his wife.
“I have my son, who was lucky enough to survive, in my lap,” Mr. Bacharach said, sounding in shock as he repeated similar words several times. “It’s unbelievable. Right now my crying son is in my arms.” A child could be heard whimpering as he spoke.
Ms. Wachenheim’s leap was a jarring twist in the life of a highly educated, socially conscious woman who had been active in a women’s group in her synagogue, B’nai Jeshurun on the Upper West Side, and, according to her college class notes, had been a coordinator for a Harlem tutoring program.
She was on leave from her $122,800-a-year job as an associate court attorney in the Manhattan State Supreme Court system, court officials said. She had worked for the courts since 1997, doing legal research and helping judges write opinions.
Christian Johnson, a lawyer who lives a few doors down, said he had seen Ms. Wachenheim twice last week. There was no indication “that anything was askew in their household,” he said. “I was shocked.”
The baby seemed normal, he said. Mr. Johnson would sometimes ride the train with Mr. Bacharach, who never said anything about developmental issues. “Hal never mentioned that to me,” Mr. Johnson said.
But Mr. Bacharach’s mother, Barbara Bacharach, said that her daughter-in-law had not been her usual self lately.
Mr. Johnson said he had overheard the couple arguing — which he said was very unlike them — about two hours before Ms. Wachenheim jumped. He paused in the hallway to make sure it was nothing serious, then moved on when it seemed like a normal marital spat. “He was just asking her why she didn’t answer the phone and why wouldn’t she pick up the phone,” he said. “He just kept asking her and she wouldn’t respond.”
Several times in her note, according to the law enforcement official, Ms. Wachenheim expressed deep love for her son, referring to him as “beautiful.”
She said that she would give her life to bring his health back and that she hated herself for the first time in her life. She believed that her son’s falls might have brought about a serious medical condition, perhaps cerebral palsy or autism, which would have “lifelong consequences.”
Her belief that she failed to prevent it caused her to “crumble.” She wrote that she was depressed and could no longer socialize. She was sure that people would see her behavior as postpartum depression or psychosis.
Dr. Catherine Birndorf, a reproductive psychiatrist at Weill Cornell Medical College, said the word “evil” in the note stood out for her. “Usually these intensely lethal acts happen in the context of losing some kind of touch with reality,” she said. “What mother in their right mind would kill their kid?”
Postpartum depression does not usually lead to suicide and homicide, she said, unless it is left untreated or progresses to more serious mental illness, like psychosis. She compared it to the case of Andrea Yates, the Texas woman who was found not guilty by reason of insanity of drowning her five children in the bathtub. Ms. Yates, who had been struggling with postpartum psychosis, thought that she was a bad mother and that she was protecting her children by killing them, Dr. Birndorf said.
About 10 to 20 percent of new mothers have postpartum depression, according to the state health department, and only 1 or 2 out of 1,000 new mothers have postpartum psychosis. Postpartum psychosis is characterized by delusions, often about the baby, agitation, anger, paranoia, and sometimes commands to harm the infant. It has a 5 percent suicide rate and a 4 percent infanticide rate, according to the health department.
Ms. Wachenheim was valedictorian at Colonie Central High School, near Albany, and graduated from what is now known as the University at Buffalo, and from Columbia University Law School. In 1993, she traveled to Pakistan to work in a law office specializing in women’s rights and worked on subjects like “honor killings” of women suspected of adultery, according to an article at the time in The Times Union of Albany.
Mr. Bacharach said he met his wife on a bus to Boston and was smitten by her “innate kindness.” They were married in 2009, two years after she bought her apartment at the Sutton for $190,750, according to city records.
It is across the street from Jackie Robinson Park, where neighbors said Ms. Wachenheim took her newborn to the outdoor pool in the summer.
Randy Leonard and Sheelagh McNeill contributed reporting.





I When I read this, I cried for Cynthia. In fact, I'm crying right now while I write this. I don't know that I know the exact pain she was struggling with, but I know the type of pain that leads you to think that maybe the best solution is to kill yourself. I know the kind of pain that makes you feel hopeless and like you're just hurting everyone around you. I know the pain that says "Everyone would be better off if I was gone". I know the pain of "What if I hurt my baby?".

I think it's important to note that this article does not say definitively whether or not Cynthia had a diagnosis of any type of Postpartum Mood and Anxiety Disorders, but the article does list several things that can be symptomatic of PPMD, and there's the fact that the article lists her son as being 10 months old (PPMD can rear their ugly heads at any time in the first 12 months after giving birth, and does not necessarily go away just because a mother and baby hit the baby's first birthday). I feel that it's important to note that I am not diagnosing Cynthia with anything. I'm not an M.D., R.N., C.N.M., or any other type of medical/mental health professional, and I don't know nearly enough about Cynthia and her history/situation to make that call.

Regardless of whether or not Cynthia was suffering from a PPMD, she was obviously hurting and struggling with a great burden. I've never met Cynthia but I know that she was so upset and hurting so much in some way that she decided the best thing for her and her baby was for both of them to die, that that was the best way to protect them. I can't say that I can't imagine what she was going through, but I think I can, just a little bit.

Cynthia is the reason why I blog. Her baby, who could have died with her but didn't, is why I blog. Her husband and the rest of her family and friends are why I blog. They are why I cry now. The world is such a cold hard place and for some people that is more true than it is for others. And when I hear about stories like this, it makes my heart hurt. I wish I could go to New York a few days ago and hug Cynthia. I wish I could tell her "It's okay, Cynthia. You're not a bad mom. You need help, let's go talk to a professional. I'll go with you and hold your hand so you're not alone. But you don't have to do this.". I wish I could save her, save all the people she leaves behind. But I can't. All the wishes in the world won't change that. All I can do is hope that she is at peace now and pray for those she leaves behind.

I can't save Cynthia, and as much as I want to, I don't have the technology to be able to go back in time to tell her those things. But I can tell you. And so, I am.

If you are out there reading this and you are hurting, let me help you. If you feel hopeless, please know that there is hope. There is always hope, even when you can't see it. If you feel like you can't go on, you can, and I will go with you. I HAVE BEEN THERE. I was hospitalized twice after my first daughter was born for that very reason. I have survived Postpartum Depression, Postpartum Anxiety, and Postpartum Obsessive-Compulsive Disorder. Cynthia's story is how mine could all too easily have ended if I hadn't gotten help.

You do not have to go through PPMD alone. Let me walk with you. You are not alone and you are not a bad anything. You are the most beautiful and fantastic you that could ever exist.

If you need help, let me help you.

Please.


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27 February 2013

Just joking!


Have you ever seen or heard someone say something along the lines of "I'm going to kill myself, this sucks so bad. Ha ha, just joking!"? I know I have, and it bothers me. Before anyone says "you're being too sensitive" or "lighten up, (s)he is just spouting off.", let me explain why this issue bugs me.

Suicide is no light matter. It's not something to laugh or joke about. It's not funny or humorous. People kill themselves every single day, for a variety of reasons. It's serious. Just how serious is it? Let's take a look at some numbers.


  • According to a link from the NIMH (National Institute of Mental Health), "In 2007, it was the tenth leading cause of death in the U.S., accounting for 34,598 deaths. The overall rate was 11.3 suicides per 100,000 people. An estimated 11 attempted suicides occur per every suicide death.". So, in 2007, not only did 34,598 people successfully take their own lives, but doing the math, it's estimated that 380,578 people attempted suicide. *Maybe* some of those 380,578 people now consider it a joking matter, but I find it hard to believe that those 34,598 peoples loved ones consider it something to joke about.
  • The previous NIMH link was statistics from 2007. According to this link from the CDC (Centers for Disease Control and Prevention), the number of suicide deaths in 2010 was 38,364, with suicide still sitting at the #10 spot for causes of death. 
  • There aren't any good statistics for suicide related deaths among women with PPD because PPD isn't tracked nearly as closely as it should be in the US. The CDC estimates that am average of 8% of moms end up with PPD, and some of those women are killing themselves. Katherine Stone of Postpartum Progress estimates that the number may be more likely to be an average of 20% of women ending up with PPD each year
  • According to this article from the NPR, the number of suicide deaths in the U.S. military in 2012 was 349 (a new record for the military), higher than the number of deaths among Americans who died in combat in Afghanistan in 2012.


The reasons why people kill themselves (or attempt to kill themselves) are varied. Mental illness, terminal illness, difficult situations that leave them feeling helpless and hopeless, and so many more. I've never killed myself (yes, you may call me Captain Obvious) but I was hospitalized twice with suicidal ideations and intrusive thoughts after my first baby was born. There was absolutely nothing funny about it then and I still (almost 4 years later) don't find any humor in people "just joking" about wanting to kill themselves. It's not a laughing matter that people are in that much pain (mental/emotional or physical). It's not a laughing matter that their family and friends have to deal with the pain and anguish of losing a loved one to suicide. There's nothing to laugh about. It's not a lighthearted subject.

Not only is it a serious and painful matter for those who (in whatever capacity) are dealing with suicidal ideations, attempts, or successes, making "jokes" about suicide contributes to the stigma around not only suicide but mental health and seeking help for mental illnesses. When people joke about suicide, it's hard for the people around them to ask for help (who wants to risk being laughed at, dismissed, and possibly be made the butt of a "joke"?). When people joke about suicide, it can be hard to recognize when they're no longer joking (ever heard the story of the boy who cried wolf?). When people joke about suicide, it contributes to the stigma surrounding not just suicide but mental illness in general.

The statistics I included in this post are specific to the United States of America, but the sentiment of "Suicide is not something to joke about" is most certainly not. I personally have friends around the world who have suffered/are currently fighting mental health issues. Except for the statistics, everything I've said here applies to you no matter where you live, no matter where you're from. The fact that suicide is not something to make light of  doesn't change based on location. Please, take it seriously. If you see or hear someone "just joking" about killing themselves, take it seriously. You could save lives.
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05 September 2011

Suicide Prevention Week

It has been brought to my attention that September 2 - 8 is Suicide Prevention Week. In all the craziness of moving, I totally missed that. *slaps own wrist* I don't really have any great inspiration for deeply profound things to write on the topic so I"ll just kind of ramble and post links to some resources.

Several thoughts come to mind.
1. There but for the grace of God go I. I am SO thankful that I was able to get help and get past the crisis point. I'm sad for all the people who didn't. I'm thankful for my life and for the people who reached out to me when I was in a very dark place.
2. Why is suicide such a taboo subject in our society? Awareness and openness to talk about it has come a long way but just as with other mental/emotional health topics, there's still a stigma attached. How many people might be more willing to reach out for help if they didn't feel like they'd be labeled or something?

The bottom line for me is this: if someone you know says they are thinking of hurting or killing themselves, do something about it. I had a situation where a friend of mine and my husband's said she was having suicidal ideations. My husband took her to the hospital. She told the docs he misunderstood. I went and told the docs otherwise and a lot of backstory that had to do with it. She was mad at us, and we ended up with some trouble she caused for us over it, but I wouldn't change either of our actions. We did the right thing. Do the right thing, even if you know you'll catch backlash over it. It's called integrity.

If you are the person who is thinking of hurting or killing yourself, please don't. Know that you are not alone, that there is help, that there is hope. Go to the emergency room, call 911, call a helpline. I'll post some links to some resources.
http://psychcentral.com/helpme.htm
http://www.suicidepreventionlifeline.org/
http://www.hopeline.com/
http://suicidehotlines.com/national.html
http://samaritanshope.org/

1-800-273-TALK (8255)



Something else to be aware of before I sign off: suicidal ideations can be caused by underlying medical issues, such as thyroid deficiencies or a pulmonary embolism. It's not always the result of "only" a mental/emotional health issue.

This week, make an effort to reach out to someone who is hurting. You could be the hand that saves them. If you're the one who is hurting, please don't be afraid to reach out to ask for help. The world is a better place with you in it. I mean that.
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