Suicide in the Media: Getting it Done Right

I have been reading thoughts online and hearing opinions in real life regarding a Netflix series about a teenage girl who dies by suicide, and what questions this show raises about the media’s responsibility for portraying triggering, and even instructional, scenes on how to take one’s own life. In response to this, I would like to refer to an article published this month by Lisa Firestone, PhD in Psychology Today, who states:

“Guidelines on the media’s portrayal of suicide include never glamorizing or sensationalizing it in any way, period. Specific means for suicide should not be shown or related. Any depiction of suicide should include a story of a survivor who is living proof that the suicidal state can be temporary…In addition, any discussion of suicide should include resources for people who may be in crisis or are worried about someone they know. Media should also include a list of warning signs for suicide, which can help people identify when someone’s at risk.”

I feel distressed because so many preteen and young teenagers are watching this show, which has a ‘MA’ rating. I feel worried because kids with mental illness are watching this and possibly being triggered into self-harming behaviors and emotional anguish. And, God forbid, if any one of them is moved to end their life because this show’s message gives them the final reason to do it or the final way to go about doing it.

Don’t get me wrong…It is important to talk about suicide to raise awareness and get people who need help to open up and reach out for it, but like Firestone says, without following proven recommendations on how to report on suicide, “we risk contributing to individuals’ suicide risk and even creating contagion, especially among teens.”

Please remember, the suicide state is often passing and temporary. It can be a trance-like state that can leave people with diminished awareness of the fact that if they wait things out they may regret even considering suicide at all. Many people who have made serious attempts often have these types of regrets, because like everyone says, things do get better. Nothing ever stays the same. Don’t give up just before things change!

Warning Signs of Suicide

(from the American Association of Suicidology)

  • Talking about wanting to die.
  • Looking for a way to kill oneself.
  • Talking about feeling hopeless or having no purpose.
  • Talking about feeling trapped or being in unbearable pain.
  • Talking about being a burden to others.
  • Increasing the use of alcohol or drugs.
  • Acting anxious, agitated or recklessly.
  • Sleeping too little or too much.
  • Withdrawing or feeling isolated.
  • Showing rage or talking about seeking revenge.
  • Displaying extreme mood swings.

Resources:

Bipolar Triggers

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There are external stimuli that trigger my bipolar symptoms. Strict schedules, time constraints, too much time out of the house, and extended family gatherings all wreak havoc on my mood stability. My anxiety sky rockets and, if left too high for too long, it triggers a major depressive episode.

Seasonal changes affect my moods as well. Each spring, without fail, as the grass turns green and tree buds bloom, so does my hypomania.  It lasts for about four to six weeks, fading out as the end of the school year approaches, which brings me to another trigger: change.

Each summer when my young children start summer break and each fall when they return to school, a mood shift occurs. Summer is unpredictable. It could be a return to stable from the hypomania of spring.  It could be a dip into depression.  In the fall, it is always a fall into depression. 

I’ve learned to manage my triggers by avoiding them whenever possible or at least by limiting them when appropriate. I say no to, not all but, most volunteer work. I limit my social commitments.  I get extra rest when pushed beyond what is comfortable for me.

I have to protect my mood at all costs. Does it always work?  No. Some things in life are just unavoidable. I have to cook and clean and run my kids places and show up for some commitments.  Sometimes these things all fall on the same week or day, and that’s when things get scary. That’s when I close my eyes and hope for the best while using the skills I learned in DBT (Dialectic Behavioral Therapy) as best I can. 

If my mood doesn’t bounce back after my external world settles down, that’s when I talk to my doctor about a medication change.  It happens a lot, and that’s Ok.  I have to stay on top of this bipolar thing. It’s a matter of life and death.

What are your triggers?  How do you deal with them?