Reprinted with permission from the American Association of Suicidology's Newslink newsletter
Many of us who are caught up in the conspiracy of busyness are often cut off from our grief. In many cultures in the U.S., we are trained to be fearful of death; we are conditioned to “get over” our loss and move on as quickly as possible. However, as a Jewish prayer states, “We do best homage to our dead by living our lives fully even in the shadow of our loss. Our grief is what allows us to begin to live our lives fully again after loss.” One of the ways I have found to work through the grief and loss of my brother’s suicide is through healing rituals.
Rituals are symbolic actions that usually acknowledge or honor transitions in our lives and can be very powerful tools for processing our emotions. For one, they can provide some containment for what feels like a chaotic, out-of-control experience. We usually don’t know what to do, especially in the aftermath of an unanticipated trauma like suicide. Rituals sometimes have very soothing, reassuring aspects to them and give our minds something meaningful to focus upon.
Many other reasons for the effectiveness of rituals exist. When words don’t suffice, rituals offer symbolic means to communicate. Community rituals help build a sense of solidarity. As we try to figure out a “new normal” in our individual and family lives, rituals can help give us structure. Rituals can become intentional releases like pressure valves; they can bring forth cherished memories and connect us to what matters most. Every year I engage in and facilitate a number of rituals for myself, my family and my community. Here are some:
Rituals of remembrance: Probably the most common rituals for grieving a loss are rituals of remembrance. Lighting candles in honor of our loved ones is a powerful and beautiful acknowledgement of the light they brought to the world. Saying the names of our deceased loved ones out loud also has a strong impact. I remember after my brother died by suicide, I was at a complete loss on what to do on Father’s Day for my Dad. When I meditated on this question, the image of a Weeping American Elm flashed in my mind’s eye. Planting a tree together provided a ritual that symbolized Carson’s enduring spirit and the seasons of our lives. Watching the tree grow reminds us that our bond with him continues.
Rituals of communication: Rituals of communication can give us the opportunity to say the things we couldn’t or didn’t while our loved one was alive. One way to do this is by writing a letter or a poem to our loved one.
Rituals of nurturing: Grieving is hard work, and often we are so overwhelmed by the intensity of our emotions, we forget to take care of ourselves. In the process, we can find ourselves drained or continually sick, and this just adds to our misery. Having a “comfort box” nearby can give us some ideas on how we can replenish ourselves. Soothing music or aromatherapy might be nurturing for some. Other people might include religious passages or affirmations that they find grounding. Pictures or stories that make us laugh or warm our soul can also help.
Rituals of reflection: In our busy lives we often find it hard to pause and reflect on where we have been, where we are at and where we are going. Rituals of reflection give us the space and structure to do this. Sometimes this form of ritual can be through meditation or prayer. Others times we may find journaling or drawing serve this purpose. I find long periods of meditation open up channels of thought or insight I cannot get in any other way. I follow these practices with journaling around the insights I have received, and I often look back on these entries to “connect the dots” of themes in my entries.
Rituals of community connection: Many of the local and national suicide prevention walks offer rituals of community connection as a way to publicly honor our loved ones and create a sense of belongingness among bereaved people. I have seen balloon releases, dove releases, and “mardi gras” bead wearing as examples of these community practices. At our AAS conference each year we have our survivor quilts (quilts made to honor our loved ones who died by suicide) displayed. These group rituals let us know we are not alone in our pain.
Rituals of release: Sometimes we have places in our grief that seem to get in our way. Guilt, anger, and regret can fester and keep us stuck. For rituals of release, some people have written these thoughts out on paper and then have burned the paper as a symbol of letting these toxic emotions go. Others have buried symbols of these emotions in the ground.
On the anniversary of my brother’s death, I bring out everything I have that reminds me of him. I usually take the day off from work and have the house to myself. I watch videos, look at pictures, and read the letters he wrote to me. I smile as I read the 10-year-old handwritten note he send me while I was at summer camp. I cry as I watch the video of him joyously playing with his daughter. I look at the pictures of us hugging at different ages in our lives and think, “he loved me, he loved me, he loved me.” And I put my finger right on the grieving, because I never want to lose touch with why I do this work. I will always remember, and I believe he walks with me as I go on this journey.
At the close of the Healing after Suicide Conference in April, we will have a healing ceremony for survivors of suicide loss. If you have a ritual you have found to be particularly powerful that can be done in a large group setting, I would love to have your ideas. Please, email me at Sally@CarsonJSpencer.org.
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For more resources for Survivors of Suicide Loss visit the American Association of Suicidology: click here.
The Carson J Spencer Foundation offers families recently bereaved by suicide iCare Packages (semi-customized resources packets). For more information: click here.
What rituals have helped you or others who have been bereaved by suicide?
As a psychologist, mental health advocate and survivor of my brother's suicide, I see the issues of campus mental health from many perspectives. Using storytelling and science, I can inspire and educate audiences about the role they can play in saving lives.
Wednesday, March 16, 2011
Thursday, February 3, 2011
How to Develop Mental Health Awareness Programs
I love dreaming up innovative and engaging suicide prevention and mental health promotion programs with students and communities. When I am with a group in the brainstorming phase of what is possible, I get really excited about cool programs that might reach people in new ways. When we generate our list of ideas, and narrow down on what we THINK might work, we then ask ourselves, how will these ideas fit into a comprehensive and sustainable approach?
Here are three key steps to developing a successful mental health program:
STEP #1: Develop a Circle of Evaluation – we all know that resources for mental health promotion are precious on our campuses and in our communities, so we must make sure we are maximizing positive change. In order to do this, we need to find ways to measure our outcomes along the way. Throughout the process of the program’s development and implementation we can figure out what is working and what’s not by:
• Conducting a needs and strengths assessment to determine where the gaps on our campuses are
• Piloting our campaign or program before we implement to make sure we are on the right track
• Measuring immediate impact beyond just “numbers of people who attended” – what are we hoping happens after people have been exposed to our program? For ideas look into best practices in program evaluation.
• Evaluating longer-term outcomes – what is the ultimate purpose of our programs and are we meeting those goals?
One effective tool to use when developing a mental health program is a LOGIC MODEL. This process helps you think through the above questions and how they link together.
STEP #2: Look at All Levels of Prevention
When I ask folks which groups we need to focus on when we develop our suicide prevention and mental health promotion programs, I inevitably hear “everyone!” While it’s true that everyone can potentially benefit from some piece of a larger mental health promotion effort, I find when you try to reach EVERYONE, you end up reaching no one. As you develop your mental health program consider these three levels of prevention:
• Primary prevention is designed to reach a whole community by promoting general strategies that we can all benefit from (e.g., knowing the Suicide Prevention Lifeline 1-800-273-8255)
• Secondary prevention is targeted at high risk groups such as people with pre-existing mental health conditions or LGBT students. These strategies look at minimizing risk factors and bolstering protective factors for these groups.
• Tertiary prevention strategies focus on individuals who are already distressed and are designed minimize the impact of mental illness or suicidal behavior (e.g., promoting mental health services or support groups).
STEP #3: Research Evidence-Based Practices
When you are developing your programs, you should consult the Best Practice Registry to get some guidance on where to start. Because there is so much emerging research in the fields of mental health promotion and suicide prevention, you may find there is little research in your specific area. If this is the case, you can also look at respected theories like Dr. Thomas Joiner’s Interpersonal Theory of Suicide or Dr. Patrick Corrigan’s work on stigma reduction to help guide your decisions. Be sure to also consult the safe messaging guidelines before you get too attached to an idea, because sometimes what we THINK helps people, actually can increase risk.
Resources for Next Steps
Please visit the following resources to research what we know works in suicide prevention:
http://www.sprc.org/
http://www.peoplepreventsuicide.org/
I have a draft of a mental health programming booklet – please email me (Sally@CarsonJSpencer.org) if you would like a copy.
Be creative! Be strategic! Have fun and let me know how it goes. If you want to share your programs with me, I would love to include them in the booklet.
For a more in-depth presentation of these topics, please listen to my podcast:
Here are three key steps to developing a successful mental health program:
STEP #1: Develop a Circle of Evaluation – we all know that resources for mental health promotion are precious on our campuses and in our communities, so we must make sure we are maximizing positive change. In order to do this, we need to find ways to measure our outcomes along the way. Throughout the process of the program’s development and implementation we can figure out what is working and what’s not by:
• Conducting a needs and strengths assessment to determine where the gaps on our campuses are
• Piloting our campaign or program before we implement to make sure we are on the right track
• Measuring immediate impact beyond just “numbers of people who attended” – what are we hoping happens after people have been exposed to our program? For ideas look into best practices in program evaluation.
• Evaluating longer-term outcomes – what is the ultimate purpose of our programs and are we meeting those goals?
One effective tool to use when developing a mental health program is a LOGIC MODEL. This process helps you think through the above questions and how they link together.
STEP #2: Look at All Levels of Prevention
When I ask folks which groups we need to focus on when we develop our suicide prevention and mental health promotion programs, I inevitably hear “everyone!” While it’s true that everyone can potentially benefit from some piece of a larger mental health promotion effort, I find when you try to reach EVERYONE, you end up reaching no one. As you develop your mental health program consider these three levels of prevention:
• Primary prevention is designed to reach a whole community by promoting general strategies that we can all benefit from (e.g., knowing the Suicide Prevention Lifeline 1-800-273-8255)
• Secondary prevention is targeted at high risk groups such as people with pre-existing mental health conditions or LGBT students. These strategies look at minimizing risk factors and bolstering protective factors for these groups.
• Tertiary prevention strategies focus on individuals who are already distressed and are designed minimize the impact of mental illness or suicidal behavior (e.g., promoting mental health services or support groups).
STEP #3: Research Evidence-Based Practices
When you are developing your programs, you should consult the Best Practice Registry to get some guidance on where to start. Because there is so much emerging research in the fields of mental health promotion and suicide prevention, you may find there is little research in your specific area. If this is the case, you can also look at respected theories like Dr. Thomas Joiner’s Interpersonal Theory of Suicide or Dr. Patrick Corrigan’s work on stigma reduction to help guide your decisions. Be sure to also consult the safe messaging guidelines before you get too attached to an idea, because sometimes what we THINK helps people, actually can increase risk.
Resources for Next Steps
Please visit the following resources to research what we know works in suicide prevention:
http://www.sprc.org/
http://www.peoplepreventsuicide.org/
I have a draft of a mental health programming booklet – please email me (Sally@CarsonJSpencer.org) if you would like a copy.
Be creative! Be strategic! Have fun and let me know how it goes. If you want to share your programs with me, I would love to include them in the booklet.
For a more in-depth presentation of these topics, please listen to my podcast:
Thursday, December 30, 2010
How to Develop an Effective and Innovative Suicide Awareness and Prevention Week?
How can we create hope on our campuses, when many students are suffering in silence?
Many campuses conduct a number of awareness weeks during the year, and as the mental health concerns at our colleges and university increase, many more are participating in the National Suicide Awareness and Prevention Week. Nationally this week is recognized during the second week in September while World Suicide Prevention Day is September 10th -- but really, this week can be scheduled at any time that works for your campus.
...and the time to start planning is now!
Awareness weeks are great for creating energy and for sharing information, but if you never do anything else for suicide prevention all year, you will not create significant and lasting change on your campus. Think about your Suicide Awareness and Prevention Week as a tool to gain momentum to help implement other strategies that will offer a comprehensive approach. The Suicide Prevention Resource Center offers a model that can help you figure out where to start.
[MODEL adapted from SPRC/JED Comprehensive Approach to Suicide Prevention]
In the following 15-minute podcast, I offer the: who, what, when, where, why, how and how much suggestions on how to organize an inspiring, engaging and informative Suicide Awareness and Prevention Week.
What have you done on your campus for Suicide Awareness and Prevention Week? Please share your successful programs.
Many campuses conduct a number of awareness weeks during the year, and as the mental health concerns at our colleges and university increase, many more are participating in the National Suicide Awareness and Prevention Week. Nationally this week is recognized during the second week in September while World Suicide Prevention Day is September 10th -- but really, this week can be scheduled at any time that works for your campus.
...and the time to start planning is now!
Awareness weeks are great for creating energy and for sharing information, but if you never do anything else for suicide prevention all year, you will not create significant and lasting change on your campus. Think about your Suicide Awareness and Prevention Week as a tool to gain momentum to help implement other strategies that will offer a comprehensive approach. The Suicide Prevention Resource Center offers a model that can help you figure out where to start.
[MODEL adapted from SPRC/JED Comprehensive Approach to Suicide Prevention]
In the following 15-minute podcast, I offer the: who, what, when, where, why, how and how much suggestions on how to organize an inspiring, engaging and informative Suicide Awareness and Prevention Week.
What have you done on your campus for Suicide Awareness and Prevention Week? Please share your successful programs.
Tuesday, December 28, 2010
The Gift of a Secret
As we find ourselves in the season of gift giving, I recalled a great lesson I learned from a man with a simple but profound idea.
“We keep our secrets in a box. Sometimes we bury them deep like a coffin. Sometimes they are like a gift that we open up and share with others,” Frank Warren, founder of PostSecret, said to a packed audience of college students who participated in this year’s Active Minds Annual Conference in New Jersey.
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| Frank Warren at Active Minds Conference |
As a mental health speaker, I love to hear other speakers share their ideas on how to help people thrive. I was especially transfixed by Frank Warren, America’s most trusted stranger, talk about the power of secrets in our lives. Frank started with a simple idea: letting people unburden themselves of their secrets by encouraging all to send their anonymous secrets to him on postcards. What has evolved over the years is a compelling project with a strong suicide prevention message.
Frank has had secrets mailed to him on sea shells, a potato, even a death certificate. Of the millions of secrets he has received from all over the world, he has learned a few things about what we hide about ourselves and how we are very curious to know these potent pieces of information about each other.
“At the center of these secrets there is a kernel of wisdom we can grow from,” Warren states. “When we think we are carrying a secret, sometimes it is actually carrying us. Blocking us from what we might otherwise be.”
Frank has learned one of the important tenets of my resiliency talks – sharing our personal struggles helps us to create intimacy and community with others. When we go beyond “the mask” we wear each day, we create a deeper channel of knowing and a stronger bond. This sense of belonging can help us withstand future challenges we might face. Frank closes his talks by training students on some basic suicide prevention skills: ask the direct question “are you thinking about suicide?” and know your resources for mental health help, like the 1-800-273-8255 Suicide Prevention Lifeline.
Frank has also witnessed how we can overcome our brokenness and become more resilient by rising above our hardships in live, “the children almost broken by the world become the adults most likely to change it tomorrow.”
Thank you, Frank, for a wonderful example of how a simple idea can move the world to action.
What are your thoughts on the power of secrets?
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