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River Angel: Therapy and Loss in the Early Days of AIDS
It’s been 17 years since Keith Braverman* washed down a bottle of valium with a fifth of vodka, left his wallet and keys on his kitchen table, and jumped into the Hudson River. Keith wrote one suicide note, and it was addressed to me. He attached a postcard to the note: the two embracing angels...
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Understanding Suicide in New York City: The Scope of the Problem and Opportunities for Prevention
In the past two decades, New York City has seen a decline in overall suicide rates.1 The Department of Health and Mental Hygiene (DOHMH) recently announced that the suicide rate in NYC is approximately half that of the national suicide rate.1 Yet, the actual number of suicides is high:...
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Recognizing Suicide Risk for Autism Spectrum Disorder
Autism Spectrum Disorder (ASD) encompasses five developmental disorders including Autistic Disorder, Asperger’s syndrome, Pervasive Developmental disorder Not Otherwise Specified (PDD-NOS), Rett’s Disorder, and Childhood Disintegrative Disorder (CDD). According to the National Institute of...
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Working with Adolescents and Their Families in the Immediate Aftermath of a Suicide Attempt
Terror, anger, confusion, anxiety, and desperation are some of the feelings that family members express following a suicide attempt by a young adolescent. The mental health worker who has been working with the teen may be left to wonder - “What did I miss? What didn’t I do? What didn’t I see?...
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Are Bridges Suicide Magnets? They Don’t Have to Be!
Bridges are suicide magnets. But they don’t have to be. San Francisco’s Golden Gate Bridge has the unfortunate distinction of being the most popular suicide destination in the world. It has been the scene of 1,500 deaths by suicide, approximately 30 per year. Results from a comprehensive...
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National Action Alliance on Suicide Prevention Receives Suicide Care Report from Clinical Care and Intervention Task Force
Michael F. Hogan, PhD, Commissioner of the New York State Office of Mental Health co-chairs the Clinical Care and Intervention Task Force of the National Action Alliance on Suicide Prevention. In August of 2011 the Task Force completed a sweeping report entitled “Suicide Care in Systems...
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Predicting Suicide: Difficulties for Treatment Professionals
A widely quoted clinical aphorism is that there are two kinds of therapists: those who have experienced the loss of a patient to suicide, and those who haven’t yet. Although the expression sounds a bit nihilistic, this adage conveys a warning to those clinicians who have not experienced a...
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The NYSPA Report: Families of Suicided Soldiers to Get Letter of Condolence from President
During July of this year, President Obama announced that he would begin sending letters of condolence to the families of troops who kill themselves in combat zones. He noted that this was a decision that was made after a difficult and exhaustive review of the former policy and he added, “I did...
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The NYSPA Report: A Response to the NYS OMH Report on Inpatient Suicide
The poet A. Alvarez titled his book about suicide, “The Savage God” to evoke its lure and horror for its victims and their families. Suicide is one of the most upsetting paths to death for all touched by it. It has been the subject of much study, aiming to understand what drives it and how to...
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Clinicians and Suicide Loss
For mental health professionals, the loss of a client to suicide is surprisingly common, if not an unfortunate occupational hazard. Studies show that one in five psychologists and counselors (Bersoff, 1999; McIntosh, 2000, McAdams and Foster, 2000) and one in two psychiatrists (Ruskin, 2004;...
