Rude Facts

Gawkers, voyeurs and righteously indignant moralists will find references at the reading list page. The CDC maintains a list of annual US suicide statistics. It remains unchanged despite all manner of suicide prevention programs and cruel false hope hotlines.

The work of Kipling Williams lately of Purdue University on ostracism may also be useful.

There are no suicide/crisis hotline numbers here because they are not only ineffective, but their use of deceit and dishonesty in the use of police and the forced loss of individuals’ civil rights in the absence of any evidence-based effective help for people suffering unbearable pain is unethical, ineffective (the biggest risk for suicide is a previous attempt) and cruel false hope snake oil substituted for effective evidence-based compassionate care.

Moreover, emergency department personnel have no specific interest, education or expertise in addressing suicidality.

The detective asked the man’s story, what brought him out here, and a dialogue began. The man, in his early 20s, explained that he had no job and no place to live, Detective Keszthelyi said.

“You might seem like you are alone, but you are not really alone,” he told him.

Lots of people lose jobs — and find others they like better, he said.

“You just have to find something in life that you enjoy doing, and when you find that special thing in life, you are going to be successful at it,” Detective Keszthelyi assured him.

The man wanted to know what would happen if he came down. The officers know to be truthful. “In my experience, you don’t want to lie to somebody like that,” Detective Keszthelyi said.

The detective told him that he would be escorted into an ambulance and taken to a hospital, where he would be evaluated and assigned a social worker and therapist.

As opposed to the NYT police interviewee who told a suicidal sufferer a standard whopper that he would be assigned a social worker and a therapist at a hospital, that’s an outright lie. Emergency department staff, like the NYT’s wet dream of its description of the ESU, are all about being adrenaline junkies. These folks live for trauma, clinical instability and quick resuscitation efforts along with races to the OR. They largely resent people who are suicidal and in distress, and they very often are sadistic and cruel toward them. In any ED, there are physicians and nurses who brag about the cruelty they reserve for suicidal patients – unlubed large bore nasogastric tubes, extra doses of activated charcoal, strip searches, ridicule, unnecessary urinary catheterizations, “misses” in IV starts, unnecessary use of restraints and seclusion as punishment and retaliation and on and on and on. Psychiatrists have the absurd notion that patients’ experiences must make them want to avoid remaining (malingering in their parlance) in the hospital – the psychiatrists delusionally viewing the prison like atmosphere as hotel-like.

Almost 100% of people seen in EDs for suicidality, suicide attempts and suicide ideation not only do not receive those resources, but they receive no followup care or contact at all.  They are left to their own devices to relieve their unbearable suffering after learning that “care” is based on dishonesty, deceit, coercion, humiliation and the loss of basic civil rights and dignity. That “therapeutic alliance” invoked by mental health providers is not based on a single ethical principle, and it’s aim is only at compliance. Trust is used to sucker in victims.

As a humane, painless death is not available to them, they are forced to turn to methods which entail self harm and violence. Companion animal end of life ethics are by far more advanced in the US than is terminal psychic suffering.