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Steph Fowler, LCPC, CADC's avatar

Thank you so much for writing this! It echoes so many beliefs, stances, and conflicts I have as a therapist and person who has lived with thoughts of suicide. I’m heartened to see more of a shift to understanding and responding to suicidal thoughts this way in the last handful of years, and I hope it continues. I can’t tell you how many people have told me they have been so harmed by therapists’ responses to even vague mentions of suicide without any intent, that they now fear or loathe the idea of getting support from mental health professionals. I hope we will see the day that this field reckons with and takes accountability for the harm it’s caused to the people seeking help at their most vulnerable points.

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Pyraxis's avatar

Beautifully well-written. It's always bothered me the way popular society has developed a set of action plans around the disclosure of suicidality that all have the result of foisting the pain off on somebody else to deal with. Tell people to call a crisis line. Tell them to speak to a professional. Call 911 on them. When in practice, in my personal experience, the things that have helped my suicidal friends the most are simple, consistent companionship, and the promise of confidentiality. The thing you put yourself at risk to give. There's been one exception: I have known one periodically suicidal person who religiously calls crisis lines and believes strongly in professional intervention even against a person's will. But that only serves to underline the importance of respecting people's inherent humanity and free will, their right to make decisions about their own care. Thank you so much for laying out this essay. I think it will help a lot of people.

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