Sunday, 24 August 2014
The final step
But when it's suicide after mental distress, people often say they don't understand why the person did it. They wonder why they didn't ask for help or why they didn't respond to the help that was given. Surely there was no need for such a drastic step?
They may even be totally unsympathetic. They may say suicide is selfish, or weak, or melodramatic, or even callous. Did they realise the grief and guilt they were inflicting on their friends and relatives?
I find such lack of sympathy and understanding quite startling. I think it's a failure of imagination, of the ability to see the extremities of pain and distress and misery the person is enduring, pain so severe that any amount of advice, therapy, drugs, support and chivvying is never going to soothe or cure it. Their psyche is so fractured, their emotions so disordered, that life is just an intolerable burden they have to get rid of.
Jenny and I had a friend who was diagnosed schizophrenic for over 30 years. When we visited her she would put on a show of being cheerful and ebullient but sometimes the mask would slip and we would see just how unhappy she was underneath. Her future was obviously cruelly limited and stuck, and eventually she killed herself. Numerous people had tried to help her but her distress was too deep-rooted to be extinguished.
It's all too common to misinterpret severe despair or depression as "being a bit pissed off" or "being up against it" and not recognise the depth and breath of an overwhelming hopelessness. Even if you recognise it, the person may feel too ashamed or timid or paralysed to admit it.
Such suffocating and unyielding misery is all too understandable. The tragedy is that even if you understand, you may be powerless to put things right.
*This suicide note from Gillian Bennett, who was in the early stages of dementia, is astonishingly rational and clear-sighted. No way was "the balance of her mind disturbed", as the cliché has it.