Dr. Philip O'Keeffe
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PATHWAY TO SUICIDE - CASE STUDY

13/7/2015

 
Just a brief note about one 'death by suicide' known to me that has again come to my mind in recent days. In this case a long past, seriously abusive experience may have been an early initiator, a primary generator, a first cause that years later killed a good man long before his time. I say 'may' because there's no way directly and/or conclusively to attribute a 'cause/effect' relationship between this historical abuse and his self-destructive behaviour. And his death was quite unexpected and 'out-of-the-blue'.

Imagine that you, a young 'black' man, aged about 16 years, one of a family of nine, live peacefully, legally and respectfully in a 'white'-dominated lower middle-class UK neighbourhood. You are the youngest of seven siblings, six boys and one girl. Because you are 'black' you, like your siblings, go to a 'faith' school across town wearing your school uniform. Each school-day, you walk 'against the traffic' as it were, to a bus stop 400 metres away while local youths, alighting from a bus, walk from an adjacent bus stop past you en route to a 'state' school nearby. Similarly, you complete your return journey home 'against the traffic' as 'state' school students hurry past you en route to their bus.

Your older brothers and sister have never experienced any difficulty en route to or from their 'faith' school other than the effort to catch a bus to town in time to reach class or to get home in good time. In any case, by this time, all your siblings have 'left home' and you live with your now elderly parents. 

However, one day in the early 1970's without warning, on your way home after stepping off the bus and almost home, you are attacked and seriously assaulted by unidentified person/s. Passers-by help you home. The assailants are not identified but are described as being state school students by way of their distinctive school uniform. For unknown reasons, police are not informed about this crime by the 'Samaritans' nor by your family.

A few years before the incident, a serious, violent, long-lasting (1966-1998) political conflict had erupted in the UK region where you lived . Your family members have never been involved in anything unlawful - indeed several of your relatives have served with honour in local and overseas state police services. Nor are they actively 'political' other than in voting in state elections.

During your remaining school-days and until you acquire a motorcycle and attend university, you are 'escorted' by your father or a sibling or a friendly neighbour to your school bus. On your return journey, you alight from your bus early and stay in a friend's house (the H family) until you are again escorted home.

Although the incident was reported by phone shortly after the event by one of your siblings to a senior school staff member (unidentified, refusing to give his name) this person dismissed the incident, noting that as it allegedly took place away from the school campus, involved unidentified assailants, and was not (yet) reported to police, nothing could or would be done by the school. This was stated defensively and without any expression of sympathy for the injured person.

AFTERMATH

About 15 years later, the victim of this assault died by suicide. It's clear to me, based on my own detailed knowledge of the victim, his family, the local neighbourhood and a then current, poisonous lawlessness feeding off a 'low risk of detection', that this assault was carried out by aggressive, criminal bigots. The assaulted person would have been identified to his bigoted assailants as 'one of them' (a hated minority 'black' outsider) by his school uniform.Since the victim was on his own, these cowards were able to carry out their dirty, unprovoked assault without fear of detection or redress.

I think about this unsolved crime often. I deeply regret that it may well have been an unfair, unjust, illegal 'lighting of a fuse' that created at least a contextual element for the catastrophic, personal explosion that killed an innocent man years later.

I wish that I had been able to do more at the time of the assault and afterwards. Requiesquat in pace (1989).    

             

Afterthoughts

6/7/2015

 
I wanted to note further thoughts about health, physical health and mental health in particular the boundaries that separate the latter two. Currently these 'Chinese walls' are often noted by politicians and media commentators, some of whom are seeking more UK state funding for 'mental health' as distinct from 'physical health'. It seems everyone knows that a broken leg is a 'physical health' matter with a designated diagnosis, treatment, prognosis. But 'a broken mind'? 

http://www.time-to-change.org.uk/blog/understanding-anxiety-broken-leg-broken-mind

Just to 'check it out' I googled 'healing a broken mind' and found a sad chronicle on the 'time for change' website (see above) by 'Lucy', Oct. 2012, detailing her six year 'battle' with anxiety and panic attacks. Happily Lucy concludes "I'm having psychotherapy,which is really helping, and I plan to take as much time as I need to relax and let my nervous system recover".

One can only wonder, with regret, about the up to six years of pain and discomfort seemingly endured by Lucy between onset and access to help. I mean: what is it that stops the Lucys of this world from seeking help, wherever it may be found, as soon as or perhaps well before the pain becomes unbearable. Just like they do when they 'break a leg'. It's not as if counselling and psychotherapy is not widely available via NHS, GPs, EAPs, community and voluntary organisations and private practitioners. The available quality may range from less than poor to quite excellent but we know beyond a doubt that the client/therapist relationship determines outcomes. Don't we all know that by now?

A final comment: when we use the term 'physical illness' we know it's meaningless without stating its locus, its  effect on 'normal' functioning and/or behaviour, etc. Not so for 'mental illness'. Four portmanteau terms mental health, mental illness, mental disease, and mental disorder are widely deployed by those who should know better, often without any descriptors or further explanation. Consumers of these bare, vague, non-specific terms, viz. students, readers, electors, voters, audiences, and ultimately the general public are left to apply their own frequently threadbare, factually deficient definitions: why? Could it be those old, cob-webbed, hackneyed silencers and stultifiers of meaning, knowledge and wisdom viz. stigma, taboo and fear of ridicule. 

Ideally our health and well-being, individually and collectively should be capable of being regarded, understood, maintained and where necessary enhanced in a holistic manner. For now that's some way off. 


It is indeed time for change.   

progress 15 months on

5/7/2015

 
Regrettably I was diverted from updating this blog by ridiculous events, during June 2014-Mar 2015, that were outside my immediate control but which I had to grasp by the throat, address and dispose of, with the sterling support of friends/comrades, particularly M. This took up far too much of my time and energy. Also recently (Feb-April 2015) I suffered two sudden bereavements - one human, one canine. Each death had a crunching effect upon me, initially lowering my mood and leaving me numb for several weeks. Indeed, I remain somewhat altered and reduced although I'm learning to live as well as I can with these serious detachments.One does not 'recover' from loss, one adjusts to a diminished present and to a related, attenuated future.

For a couple of months past I have begun (tentatively and humbly) but with a view to eventual publication on this website or by way of a commercial publisher, to document my personal perspectives (1982-2015) on suicide and suicidology. Coincidentally subtle changes in my physical health have signalled memento mori. I'm not afraid to acknowledge the truth, the unavoidable reality of the human life-cycle: beginning, growth, maturity, decline, end. Rather I know that each day lived has reduced my 'allotted span' by one and this, hopefully encourages me to 'get the finger out' and to reach out towards my goal/s. Dag Hammarskjold's 'Markings'(1964) include his insightful, helpful aspiration: "Tomorrow we shall meet, death and I - and he shall thrust his sword into one who is wide awake'. Deo volente. 

I am still pondering a further (second) meeting of the Belfast Centre for Study of Suicide (BCSS) - the initial gathering was in Aug 2013, and related documents are available on site. And perhaps another (third) local tv-online interview with my friend Rowan Hand in Newry, Co Down. But echoing in my head are the gently challenging remarks of my good friend and long-term adviser W - 'Maybe it's not the right time for you' - in other words the BCSS is either premature or misdirected or both. In the meantime I have enquired about legal protocols,if any, regarding using the name SuicidologyNI as a more convenient, portmanteau title for the Centre that encapsulates the principal objective of our work - the study of suicide, including suicide prevention, in Northern Ireland.

I try to respond albeit selectively to online discussions about suicide especially when I am able to refute as robustly as possible the facile, misleading and scaremongering mantra 'mental disease and suicide are cause and effect' that underpins much published suicidology research. I recently (May 2015) wrote to a local print newspaper, that had published some of my earlier articles/letters, about a speculative 'opinion' piece about suicide that I considered misleading. My letter was not published and so I plan to upload it to this site shortly. This is yet another reason for writing about, and publishing as widely as possible, my personal perspectives in order not to 'hide my light under a bushel'.

More later.    


          

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