Suicides can be really easy to prevent.
Like, the hotline itself is incredibly effective, and reminding people it exists would naturally help.
People aren't getting the number from the intro, but it reminds them it exists.
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Suicides can be really easy to prevent.
Like, the hotline itself is incredibly effective, and reminding people it exists would naturally help.
People aren't getting the number from the intro, but it reminds them it exists.
Even though crisis hotlines are common, they have not been well studied for efficacy.
Somewhat related, but I think suicide hotlines can be a big problem if they are understaffed. I feel like in my country they are just there to check a box. I’ve had two suicidal crises, both times I called the hotline, waited 20+ minutes and gave up. It made me feel even worse and more lost.
Idk, but I bet they think it's the least they can try. If it saves just one life, it has been worth.
Yeah it's like a 0 effort thing to try
Except it's not zero effort, zero cost.
Businesses do not care about people, I can pretty much guarantee those were added in order to waive liability. Example: person commits suicide because they see it in a show, family sues show company because that is linked to the person's suicide, arguing the show encouraged the person to do it.
Would that hold up in court? I don't know, probably not, but the company doesn't want to deal with that. So they add a warning instead so they can just point to that and it gets thrown out immediately.
But do we have evidence they're effective?
It still takes effort/time/money to do this, and if it has no impact, then that effort/time/money could be used on things that are known to be effective.
I have no idea how much effect they have. It's possible they have a negative effect.
Op's question is do we have that information?
How much effort/time/money do you think they put into that white text on black background that's on screen for like 5 seconds?
It's negligible, I would be shocked if it wasn't the same recycled card over and over again that they have some unpaid intern throw in at some point in the final editing stages
It would probably cost more effort/time/money to do a study on its effectiveness than the pre roll does many times over lmao
Based on what I've heard about the US's 988, it may rather be negative.
Oh, you're thinking of killing yourself, let us reinforce that by being absolutely rude, or better yet, time to get taken away by cops into a psych ward.
Let's see what's out there with some example (Reddit)
Summary: Person called 988, police showed up 90 minutes later, got taken for mandatory psychological evaluation, forced to stay 2 days in ER, ended up getting billed $6,470.
All the lukewarm attempts to help, rooted in shallow understanding, reinforced my suicidal ideation. What's the value of false love from a paid hotline worker one will never speak to again? It's negative.
Be ready to love the shit out of someone yourself. Share their sorrow. Don't try to fix it. Just try to understand. It'll fucking suck. The other person knows it sucks for you. Tell them it sucks and that you're choosing it.
Good question, but I expect as far as whether it should be there or not, it doesn't really matter. There is no harm in it being there, after all. And in the end, if it helps one single person not kill themself, I'd say that's a win.
The national suicide prevention hotline is almost always too busy and callers often need to wait on hold. They've calibrated everything from the hold music, the script, and the recorded voice to keep callers on the line.
This factoid splits people pretty evenly between those who find it horrifying and those who find it hilarious.
I should say that according to the hotline, the changes made to the hold system has resulted in 100,000 fewer hang-ups per year.
Are you telling me they intentionally avoid playing Van Halen - Jump for anyone put on hold?
I remember my college had a suicide awareness day where among other things they told people to tell their suicidal friends to call the hotline if they felt suicidal.
Now imagine you are that person and you reach out to a friend for help only to have them tell you to call someone else in a canned speech you were told to tell others.
Feeling suicidal usually isn't something that talking to a friend can resolve.
Getting a suicidal person to access the right kind of help is the right move.
That doesn't mean you refuse to talk to a suicidal person, it means that part of supporting them as a friend is helping them get help.
Legend is the first suicide hotline was created after a girl killed herself because she had her first period.
People kill themselves for lots of reasons, but some of those reasons are just ignorance. I feel certain any suicide hotline could have helped her out if she'd called one.
This makes sense to me. Suicidal ideation has been one of my PMS symptoms since I first started getting my period, and I'm not actually suicidal.
Yuuuup, I ended up getting a tattoo on my wrist that is essentially a personal period joke.
At one stage it was crucial for my survival, it was a kind of grounding token to snap me out of hormonal suicidal insanity when my PMS was at its worst. Something I'd see that would bluntly remind me "it's not you, it's your hormones, you don't actually want this"
When I say the urge came and went zero to sixty back to zero in 30 seconds flat, sometimes that was an understatement. I really struggled because in addition to suicidal ideation during PMS, I had undiagnosed and untreated ADHD, which often gets worse with PMS thanks to the way oestrogen and progesterone play off each other.
Guess who's got major impulsively issues. Guess what two symptoms really shouldn't be combined.
I have zero desire to kill myself.
But my hormones seemed desperate to try and make me do it every month, especially as a teen.
It didn't help that I had endometriosis and at 17 developed a uterine prolapse, on top of a rectal prolapse I'd had since I was 12. I was in agony when I was on my period, so sometimes the desire to make the pain stop overlapped with the suicidal ideation. That sucked. Hard to reason your way out of physical pain.
I've had a hysterectomy (from 17-24 my uterus just kept trying to make its own escape anyway despite attempts to sew it in place) and no longer suffer menstrual dysphoria because it turns out that was gender dysphoria not true PMDD. But I still get suicidal ideation as part of PMS, fortunately my ADHD is much better managed so now my tattoo is less a suicide detterant and just a reminder that I still have ovaries (sometimes I genuinely forget, and it takes me a few days to work out why I'm bloated and irritable and why I'm anxious about my sore boobs)
The only things I can quickly find about the first suicide hotline is that it was created because of the high suicide rate in San Francisco.. There might be more to it than that, but it's what I can find right now.
There’s evidence that trigger warnings actually worsen anxiety and are counterproductive
The way to treat anxiety is to face the source of anxiety to try and change your relationship and reaction. The best way to do this is via controlled access that exposes one to the trigger gradually in a context that has no risk of harm (eg a media depiction, discussing the concept, building up to discussing the source of trauma that led to the phobic response if applicable)
Trigger warnings enable active avoidance. This sensitizes one to the aversive stimuli and makes the phobic response stronger. As a result when one encounters the stimulus (eg a friend, family, celebrity etc commits suicide, suffers an eating disorder, etc) your resilience to the trigger is now even lower and the response is more likely to be more significant than it was before.
That said education on access to resources like 988 or other warm lines can lower suicide rates, maybe. Research is more mixed here because it’s difficult to prove causation
There’s evidence that trigger warnings actually worsen anxiety and are counterproductive
I'd be interested in seeing these studies.
The way to treat anxiety is to face the source of anxiety to try and change your relationship and reaction. The best way to do this is via controlled access that exposes one to the trigger gradually in a context that has no risk of harm (eg a media depiction, discussing the concept, building up to discussing the source of trauma that led to the phobic response if applicable)
Trigger warnings enable active avoidance. This sensitizes one to the aversive stimuli and makes the phobic response stronger. As a result when one encounters the stimulus (eg a friend, family, celebrity etc commits suicide, suffers an eating disorder, etc) your resilience to the trigger is now even lower and the response is more likely to be more significant than it was before.
These two paragraphs seem to contradict each other. Controlled access in a safe setting like a media depiction sounds great. That's exactly what trigger warnings are for. How can you possibly do controlled exposure without knowing if the content is there or not?
Trigger warnings enable active avoidance.
Incorrect. Trigger warnings inform you that the content is present in the media you're about to watch. What you do with that information is up to you.
https://journals.sagepub.com/doi/10.1177/2167702620921341 - the bigger takeaway from this one is that trigger warnings reinforce trauma as a central part of the traumatized individuals identity but they did find some incidence of drawback/harm
https://journals.sagepub.com/doi/10.1177/21677026231186625 meta finding no benefit and actually can cause an anticipatory reaction making the person more engaged with the material
There are others, this is just what grabbed from 30 seconds on google scholar. Its been a bit since I’ve done more serious lit review and it’s not like I keep a directory of papers I’ve read
The issue is the culture surrounding trigger warnings. Let’s be real here, people looking for trigger warnings are generally (perhaps overwhelmingly) not looking for material to help with their exposure therapy. They are looking for a “warning” to help them screen material to avoid. The issue is that this creates an unrealistic expectation that is incompatible with the real world. You can avoid suicide, sexual assault, eating disorders, or whatever in your media (maybe) but real life won’t sanitize itself or warn you. You will encounter these topics, whether through the news, careless speech from friends, or even intrusive thoughts of your own. Research continues to show that avoidance of upsetting topics can worsen anxiety and ptsd symptoms
To your final point the idea of it helping to create a choice isn’t even as clear cut as you describe
https://journals.sagepub.com/doi/10.1177/21677026221097618 content warnings actually increase the likelihood someone will view problematic content. This point is further reinforced by similar findings in the meta linked above
So you have a system that ultimately makes creators feel like they’re doing something noble, that is likely at best useless and potentially harmful. Said system increases the likelihood that a person will view the problematic content but also enables the reality that a person will simply avoid the things that provoke their anxiety which again is more strongly established as harmful
https://www.sciencedirect.com/science/article/abs/pii/S0005796712001064 - ptsd worsens with avoidance
https://www.sciencedirect.com/science/article/abs/pii/S0962184904000290 - anxiety disorders do the same
Thank you.
A big part of why I have severe anxiety to this day is because I was exposed to traumatic things far too young/quickly. I was pushed into situations where I was not ready or emotionally/mentally equipped to handle. Constantly.
Exposure is only good if a person is ready for it. Desensitization is only helpful when you are equipped to handle such a thing.
I had an ex who would say that we were doing one thing, then take me to do something completely different, then boast that he was "helping me", which only heightened my fears in the end. As a foil to that, I had an ex after that who was encouraging and supportive and kind, and gently led me into the same situations, where I knew what I was getting into. Guess how which one had me overcoming my fears?
Exposure works best if you are prepared for the exposure and have the support you need in those kind of situations.
I am always thankful for trigger warnings.
It makes a very positive difference, according to their lawyers.
No, but like airport security, the point is to look like it's effective.
No idea, but I thought this would be a good time to share that teen suicide attempt rates spiked almost 30% in the month following Netflix's 13 Reasons Why. It's a pretty bad show, so of course it got 4 seasons.
Optics.
Sooner or later someone will commit suicide while watching your show, no matter what you do. If that episode happens to contain a suicide scene, and somebody rightly or wrongly connects the dots, you want the disclaimer to be there.
I would like to think that these hotlines are helpful.
I have experience with somebody calling a sexual abuse hotline and being told to " Work less and go outside tomorrow".
This was a crisis situation and the advice was woefully inadequate and unhelpful.
Overall, I'm sure access to a hotline that is monitored with people who are experts at dealing with these situations is a good thing. I doubt they're funded very well though.
I can't imagine they'd be helpful to me, if anything it makes me feel lesser or condescended to. It's not the right way to talk about suicide with people who are suicidal.
Suicide comes in many different flavors. The most common in my limited experience is desperation. If you are so utterly desperate for literally anyone to listen to you, I don't see how it would hurt. Especially since there's such a positive stigma surrounding the hotline. I personally know a couple of people that the hotline helped.
I wish I could opt out of those messages. On streaming platforms that should be doable! (I really hate spoilers.)
I've lost too many people in my life to suicide, and it's a really hard topic for me to watch on screen.
So even though I've got no use for a hotline, just knowing that the show will center suicide as a theme is important to me being able to decide if/when to watch it.
I predicted in about 10 years disclaimers at the beginning will include, 'This show depicts murder. Neither the show's creators producers or actors condone the taking of another human life.'
I think, at best, it can only help with certain types of potential suicides. Some suicides occur due to apparently hopeless life situations. For instance, I haven't been able to get a real job in 23 years despite, in that time, finishing a B.A., an M.A., and a Ph.D. Nothing that everybody says to do works for me and I'm frankly tired of hearing it. I'm stuck DoorDashing (Uber was way too abusive) and that I'm stuck doing that is intensely depressing.
Psychology can't help with this. The only thing that can help is a real job. And that's what a lot of the babble about suicide prevention seems to miss.