Ron Henry/Flickr/Creative Commons
By Leona Kashersky, Psy.D.
When I learned of the tragic death of Robin Williams two weeks ago, tears came to my eyes.
I valued his mind and contribution to the arts and humanity, as did so many in the world who share in the loss of this beloved comedian, who took his own life on August 11, 2014.
Not only did I feel an emptiness at the thought of never seeing another new Williams’ masterpiece, but knowing that so many looked up to him, I feared that his end could inspire those who are struggling with suicidal thoughts to follow his example.
Recent studies have shown that when a mentor, parent, loved one, or admired celebrity commits suicide, communities can become vulnerable to more tragic loss of the same kind.
As such, I’d like to speak to Williams’ specific situation, and address some general suicide risk factors in hopes that education could help us to grieve and prevent further harm.
O’ Captain, My Captain: Robin Williams’ Struggle
It is well documented that Williams had a long battle with substance use, and mental health professionals have hypothesized that he also suffered from bipolar disorder.
In early July, he checked himself into rehab, though news reports stated that he did not technically relapse. This readmission into rehab was right after his new sitcom The Crazy Ones was canceled after only one season. Whether or not Williams actually relapsed or was preventing a relapse, it is important to recognize that he was proactive in addressing his need for help.
Further, Williams had just started a new medication to treat his newly diagnosed Parkinson’s disease; his medication did come with warnings related to depression and suicidal ideation.
Risk Factors, Warning Signs & Intervention
Though we don’t know the complete details of Williams’ personal life, there were risk factors present in Williams’ history and current life situation that indicate that he was vulnerable to suicide.
Most suicides occur within three months following the treatment of a major depression, as the patient’s energy increases and before negative and destructive thoughts decrease. This leaves individuals in the initial phases of treatment at risk to follow through on suicidal thoughts. Moreover, even individuals who have a drug, alcohol, or eating disorder in full remission can be 10 percent more likely to complete suicide and are at higher risk. Professional monitoring is needed in the form of regularly scheduled counseling to teach healthy coping skills for managing stress.
In addition, patients starting some new medications that are not related to mental health treatment can be at risk of developing depressed and self-destructive thoughts. When patients are warned of the side effects, they don’t always remember the warning was given when the thoughts start to intrude. Often, patients are caught off guard and can be at greater risk of harmful behaviors.
Most people who contemplate suicide do not want to die, but rather feel disconnected from others and are likely experiencing difficulty thinking creatively about how to solve life’s challenges.
Here are some more general risk factors and warning signs that can help you identify and help those considering suicide:
- Mood changes or depression
- Peer and/or family conflict
- Poor coping skills
- School or work failure
- Drug or alcohol use
- Withdrawal from friends and family
- Recent break up
- Running away
- Talking about suicide (even if it sounds like a joke)
- Dramatic changes (for the worse) in personality and/or appearance
9 Initial Interventions for First Responders to Suicide:
- Be patient and nonjudgmental
- Treat the problem seriously
- Do not try to talk the person out of it
- Do not be afraid to ask direct questions about suicide
- Communicate your concern and support
- Offer yourself as a caring listener until professional help can be arranged
- Try to evaluate the seriousness of the risk presented in order to make the appropriate referrals to mental health professionals and emergency services (i.e. 911)
- Do not swear to secrecy. Contact someone who can help if the individual will not get help personally
- Do not leave the person alone if you feel the threat of self-harm is immediate
At the “Mrs. Doubtfire” House, 2640 Steiner Street, San Francisco, CA, USA. Ted Eytan / Flickr / Creative Commons
Community’s Role in Suicide Prevention
As community members interested in preventing suicide, we must work together to identify, reach out, show compassion, and educate people who are or who know someone that may be at risk.
As a larger community, we can support individuals in developing a spiritual practice that fosters community inclusion and engages individuals in altruistic projects that inspire them to help others or the environment. Programs that build a sense of mastery and inspire a sense of community inclusion rather than alienation are known to be effective in preventing suicide.
In addition, community can support centers that provide organized outings for cultural enrichment, specialized training, education, sexual counseling, crisis intervention, and health care.
We can find a Healing Pathway!
Healing Pathways offers its condolences to everyone who loved Robin Williams dearly. We hope that we can all grieve together as a community and teach each other how to move through pain and sadness with compassion for each other and ourselves.