Understanding Suicide: A Delicate Balance of Empathy and Knowledge

The topic of suicide is one of the most sensitive and complex issues we face in society today. The pain is profound for families and friends left behind, often accompanied by guilt, confusion, and many unanswered questions. Engaging in open dialogue about suicide is crucial for understanding and breaking stigmas and fostering a supportive community. This article aims to shed light on some of these questions and provide guidance on navigating the challenging journey of grief and healing.

The Complexity of Choice: Delving Deeper

When we broach the subject of suicide, the notion of "choice" often emerges front and center. However, the idea of free will in the context of suicide is contentious. Many argue that the cognitive faculties of those who lose their lives to suicide are severely compromised at the time of their death. The overwhelming emotional anguish they experience can cloud rational decision-making. Some survivors of intense suicide crises have even reported experiencing internal voices compelling them to end their lives. Societal perceptions, often influenced by cultural, religious, and historical contexts, can further shape our understanding of "choice" in the context of suicide, sometimes oversimplifying a deeply complex issue.

A challenge from Donna Schuurman at an American Association of Suicidology conference prompted a look into how suicide is defined. Merriam-Webster, for instance, describes it as "the act or instance of taking one's own life voluntarily and intentionally." However, this definition becomes problematic when we consider the evidence suggesting that many individuals' thought processes are severely affected by trauma, mental health disorders, or substance abuse at their death. If these factors impede rational choice, can we truly label the act as a "choice"?

For those grieving a loss to suicide, this concept can be particularly perplexing. Some find solace in believing that, despite their best efforts, the final decision rests with their loved one. Yet, others grapple with understanding why their loved one would choose death over the love and potential joys life offers.

The Individuality of Experience

Each person's journey to contemplating or losing their life to suicide is unique. Cognitive abilities, physical abilities, situational circumstances, and the support provided play a role. Additionally, societal factors, cultural beliefs, and personal experiences can deeply influence an individual's perspective and decisions. Being at the point of contemplating or experiencing death by suicide often indicates a person is deeply disempowered. While the act might give a semblance of control or power in a moment of despair, it's not necessarily an empowering act in the broader sense.

Navigating Grief and Healing

For families grappling with the loss of a loved one who died by suicide, the grief can be particularly complex. This form of grief, often termed "complicated grief," can be characterized by intense sorrow, rumination about the death, feelings of self-blame, and a lack of acceptance of the reality of the loss. Recognizing and addressing the common struggle of blame is essential, whether it's self-blame or blaming others. Avoiding this blame game can be a crucial step in the healing process.

Self-soothing Tips for Complex Grief:

  1. Seek Professional Support: Consider joining a support group or seeking therapy. These spaces can provide understanding, shared experiences, and coping mechanisms.

  2. Practice Mindfulness and Meditation: Grounding exercises can help anchor you in the present moment and alleviate overwhelming emotions.

  3. Engage in Creative Outlets: Writing, painting, or making music can be therapeutic ways to express and process your feelings.

  4. Stay Connected: Lean on friends and family. Sharing your feelings and memories can be a source of comfort.

  5. Prioritize Self-care: Ensure you care for your physical health by eating well, exercising, and getting adequate sleep.

Additionally, it's vital to remember that healing is a journey. It's essential to be patient with oneself, understanding that grief is a process, and it's okay to give oneself the time and space to navigate through it.

Understanding suicide requires a delicate balance of empathy, understanding, and evidence-based knowledge. By approaching the topic with compassion and an open mind, we can support those in pain and promote healing for those left behind. We encourage everyone to seek support when needed, engage in open dialogues about mental well-being, and prioritize their mental health. Together, we can foster a community of understanding and support.

Immediate Help is Available

If you or someone you know is experiencing thoughts of suicide, it's crucial to seek help immediately. Your life matters, and professionals and volunteers are ready to listen and assist.

  • Call 911 or your local emergency number: If you're in crisis or need immediate help, please call emergency services in your area.

  • National Suicide Prevention Lifeline: Available 24/7, this helpline provides free and confidential support for people in distress and prevention and crisis resources for you or your loved ones. Call 988

Remember, it's okay to seek help. Some people want and are trained to assist you during difficult times. You're not alone in this.



Ariel Landrum, LMFT, ATR

Ariel is the Director of Guidance Teletherapy. She runs the day-to-day operations, and is one of our treating clinicians. She writes about mindfulness, coping skills, and navigating the private practice world.

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