I will further add that reducing suicide to a final effect of depression is reductive and problematic, because we’ve got @CDCgov telling us outright that 54% of folks who died by suicide over a 17 year period did not have a MH history. https://twitter.com/drjessigold/status/1295003085086101506
It also names contributing factors: health issues, relationship issues, employment issues, housing issues, substance use issues, and more.

Suicide and depression (and other psychiatric diagnoses) intersect, but it’s more complex than that.

https://www.cdc.gov/media/releases/2018/p0607-suicide-prevention.html
But, y’know, the suicide prevention field is not going out of their way to change this narrative, which is problematic.
The main messages we’ll get next month (National Suicide Prevention Month) are:

1. Suicide is preventable.
2. 10th leading cause of death; 2nd for youth 15-24.
3. Reach out if you need help!
4. #Bethe1to do 5 or so things to help suicidal folks (this is the major campaign push)
But:

1. Yes, but how? Treatment? Meds? Therapy? What about access to those things, or fear of forced treatment, or the fact that folks who have lower SES have specific attitudes around that kind of help, or the fact that QTBIPOC want to see providers that LOOK LIKE THEM? ++++
2. They will spout off these big numbers indicating why people should care about suicide. Some will call it an epidemic!

...But then they’ll follow it up by calling it an abnormal reaction & a rare event. They’ll say we shouldn’t normalize it because that will inspire copycats.
So like, which is it? Is it a big deal because it affects a lot of people (and these numbers don’t include folks in communities affected by suicide deaths—or attempts—who then are at higher risk), or is it not because it’s rare and abnormal?

Huge messaging issue.
3. Why should the onus always be on the person living with the thoughts, or the person in crisis?
4. These monthlong awareness campaigns with quick and easy steps are a start, but what’s happening the rest of the year? I don’t see much news around policy change re: training future clinicians or including it in educational curricula.
TL;DR: The PR and messaging are contradictory crap and the work isn’t being done, and we don’t need anymore silly awareness campaigns.
ALSO! A study was published just recently by @craigjbryan and others indicating that the popular Columbia scale is...not super useful (will find citatio ). So screenings are also not a great answer.
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