Episode Transcript
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Speaker 1 (00:02):
Welcome.
Speaker 2 (00:02):
You're listening to the Keeping Ashland Healthy Podcast, a podcast
production of the Mental Health and Recovery Board of Ashland County, Ohio.
Thanks for joining us, and welcome back to another episode
of the Keeping Ashland Healthy Podcast. My name is David Ross.
I am the executive director here at the Mental Health
and Recovery Board, and today I wanted to spend a
(00:24):
little bit of time talking through a recent publication of
the Ohio Suicide Prevention Foundation.
Speaker 1 (00:31):
It's from their July series of resources. It's entitled The
Impact of Stigma on Suicide and I just was intrigued
by the title, and then when I had a chance
to review the content, I thought, you know, the audience
would be interested in what I think is a very
(00:53):
practical suggestions on how to approach this and how we
might do a better job with stigma, particularly in the
area of suicide. So there are, as we know, negative
outcomes when people hesitate to talk and share what's going
on with them, and particularly around suicide, which already has
(01:15):
its own stigma attached to it. So I think it's
an important thing is we try to reduce suicide national
county to zero, that we break the stigma associated with suicide,
by encouraging folks to speak up, to talk about what
might be troubling them, to seek support from whether family
(01:38):
and friends or professionally, and just remember the mental health
is health. It's just as vital and real as any
physical condition. That's something we've stressed. You can't be healthy
without both physical and mental and emotional health. Best things
really go together. So three things I'm going to try
(01:59):
to What is stigma? Why is stigma problem? And then
what can be done about it? And then within that
maybe we'll talk about maybe four or five ways we
can reduce stigma on a practical level. So first and foremost,
what is it? There are various I think definitions out there,
but let's go with stigma referring to some of the
(02:21):
negative attitudes or beliefs and stereotypes people may hold towards
those who experience mental health conditions. Mental and emotional conditions,
particularly suicide, continue to have high levels of stigma, although
in fairness, I think we've done a better job not
only in National County but in the United States as
COVID was an opportunity to talk I think much more
(02:43):
openly and frankly about some of the challenges we all experience,
and COVID brought that to light. But there are three
kinds of stigma, maybe a way to think about it.
Structural stigma is built in stigma, if you will, So
this would be a stigma that involves maybe laws, regulations,
(03:04):
policies that can limit the rights of persons that might
be struggling with mental health conditions. Public stigma is another
type of stigma, which includes negative attitudes and beliefs from
either individuals or larger groups towards people with mental health conditions,
or maybe those beliefs might exist within the family system
(03:25):
itself or care providers. And then the third one is
one that I don't think a lot of people consider,
which is self stigma. And what we mean by that
is this is kind of a negative attitudes and beliefs
that's coming with it from the person themselves. So people
maybe living with mental health or emotional challenges, they might
(03:47):
believe that they are flawed or to blame in some
way for what they're experiencing. Now to some extent, of course,
these mental and emotional feelings beliefs are I mean, from
the individual, so it's easy to see how someone might
identify themselves with that. I hope they do, because it
is them having the feelings, it is them having the thoughts. However,
(04:10):
it can be unproductive if we start to self shame
to a point where we don't feel like we can
do anything about our situation, because as a counselor, what
I would often try to do is to reorient the
person's thinking because they're going to be the solution. They
are a huge part of the solution to whatever is
going on. A solution that involves entirely other people or
(04:35):
other systems usually doesn't last very long. We really want
that intrinsic or motivation from within the individual. We want
them on board with any change, Any change that's lasting
really has to involve the individual being part of it.
So self stigma maybe that's not one you've heard about.
So those are three different types of stigma. Why is
(04:58):
it a problem. Well, when indials hesitate to talk about
suicide because of the stigma, studies that we have indicate
that those impacted tend to suffer a loss of self esteem,
a greater sense of hopelessness and shame, and then they
face elevated rates of unemployment, discrimination, etc. As a result
(05:18):
of that. And there's a host of other things that
I think can be experienced because of stigma. They're more
likely to encounter bullying, harassment, physical violence when stigma is high.
And then those that are impacted by suicide report higher
levels of rejection, shame, and blame anyhow than other people
(05:41):
that are going through loss. At the board, we've specifically
designed resource materials for those that have lost someone to
suicide because we know that that grief and that bereavement
process is different. But stigma basically acts as a barrier
to help seek for those with suicidal thoughts or prior attempts,
(06:04):
or who have lost someone to suicide. So it's a
problem because folks don't reach out. Family members maybe don't
feel like they can help to the extent they could.
So it is a major problem people you've heard this expression.
They suffer in silence. Maybe they don't feel for whatever reason,
(06:24):
anybody wants to help them or should help them. So
it can really be a problem in a variety of
different ways. So what do we do about it? So briefly,
what can be done to combat stigma? How you can help?
So you know, if we think of it, if stereotyping,
discrimination and isolation are risk factors for suicide. Then we
(06:48):
can reduce the risk of suicide by responding to suicide ideation,
thoughts of suicide, and attempts with the opposite with compassion,
with support and connection. Again, we can intervene by being compassionate, supportive,
and connecting with the individual that might be struggling. So
(07:08):
some practical things here. Breaking the stigma starts with awareness
and education, back by different approaches of policy, programming resources.
So one of the things I've spoken of before on
the program is working at the Board. It really gives
us a unique situation to bring about policy programming and
resources to address issues like this at which the Board
(07:31):
has done. So we promote open discussion about mental health
is important. We've tried to normalize the fact that everybody
struggles throughout their life with mental and emotional issues, whether
that could be prompted by relationships or moves, or job stresses,
economic stresses, legal stresses, there's all kinds of things. COVID
(07:53):
was a health scare, a public health scare for all
of us. A lot of folks we lost we know
somebody personally or a friend that lost somebody due to COVID.
So any of these things could be reasons why we
need to talk more rather than less about what's going on.
(08:15):
And again, so awareness education in the policy, programming, resource
realms are critical. One of the ways we can promote
open discussions about mental health is using language that doesn't stigmatize, right,
So further stigmatized in the language that we use, that's important.
I'm sure you've seen movies or read articles where we
(08:38):
talk about people quote unquote committing suicide. That tends to
be an older, blaming legal term that folks continue to use.
And I don't blame anybody for that, but it's better
maybe to talk about the person dying by suicide rather
than committing. Again, less stigmatizing languge would setting appropriate policies
(09:02):
and practices that support people with mental health conditions, reducing
barriers they face in settings like workplaces. So what we're
getting at there is uh making it more normal acceptable.
If somebody is struggling to take advantage of their PTO,
their paid time off, or the health benefits that the
organization has in place. Anybody can struggle in the work environment.
(09:26):
It could be a combination of personal and professional things
that are all coalescing at the same time. And you know,
most organizations and insurance plans have you know, counseling building.
They've they've got opportunities for the individual to take a break,
talk to somebody about what's going on, maybe learn some
coping skills they didn't have prior to and that will
(09:49):
help them with their current situation. So reporting about mental
health responsibly. So this is for my friends in the media, journalists, really,
anybody who can municates two folks in whatever, whether it's
social media or print media, et cetera. The way that
you report on some of these stories where maybe suicide
(10:10):
was a factor, the language that use could help change
the tide so that folks maybe don't see suicide being
reported as committee but you know the person died by
I mean, just something as simple as that can go
a long way. But again, just be sensitive to the
issue when reporting can be a help in combating stigma.
(10:35):
And then fourth here, treating those living with mental health
conditions with empathy and acceptance so that no one feels
that they need to hide their struggles. One of my
favorite remembrances is we've talked about Pat Risser and the
RSVP conference that honors Pat. He was a board member
some years ago in most of you know, Pat passed
(10:58):
away some years ago as well. But one of the
things Pat and I talked about was David. He said,
you need to do something about the professionals, the counselors
and the social workers being so uncomfortable having discussions with
people seeking services around suicide. I asked him to you
(11:18):
unpack that for me, tell me more what he meant,
and in essence, what he was getting at was, he's like,
you know, David, from time to time, I might feel
suicidal and want to talk to my counselor about that.
But they were obviously very uncomfortable about me talking about
suicide and they immediately wanted to screen me to see
(11:40):
if I needed a hospitalization. They immediately jumped to the
worst case scenario, which was that I was getting ready
to take my own life. And he would say, he's like,
you know, and I was not, And I tried to
explain that to him. I just would have the feelings
from time to time. So his reflection and we took
it to heart. We've tried to encourage our professionals to
(12:02):
make sure that they understand there's a continuum just because
somebody might be thinking about ending their life. Doesn't mean
necessarily that they will or they're going to, but they
really need to have that conversation to understand what's going
on that has led to the person feeling that way.
If we just immediately react and seek hospitalization, we are
(12:26):
definitely missing out as a professional helping feel So we
need to really understand more about what's going on, what
is the person's intent in bringing up the subject, what
is their desire to actually bring that to pass, And
that just requires more of a conversation. What it doesn't
imply is a quick decision that shuts down the conversation
(12:51):
and just helps maybe the therapist feel less anxious, but
it brings quite a bit of anxiety for the person
that was just trying to share and get some help
about out these feelings. So I appreciate Pat his his
comments on that. Maybe to end, let's talk about five
maybe practical ways that all of us can reduce stigma.
(13:12):
Be informed first, and foremost, educate yourself about mental health,
mental and emotional issues. My hope is that folks listening
to the Keeping Ashland Healthy podcast will find this one source.
Our website is another. Talking with any of our contract
partners at Appleseed, Catholic Charities and the CATA is another
way to inform yourself. You can always call us, you know,
(13:35):
at the board offices if you have questions. UH four
one nine two eight one three one three nine. We're
always as the audience knows, I enjoy talking about these issues,
and I'm always more than happy to direct provide resources
locally that are reputable UH for you to have further
discussions with so be informed. Second half, conversations with others
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about mental health issues. You know, find trusted people in
your in your your life, your your natural environment, whether
that's friends, family, church members. Have these conversations with folks. UH,
talk to them about what's going on. Obviously, the board
UH does a lot of question persuade refer QPR training,
(14:19):
which is a suicide prevention what we call gatekeeper training.
So chances are there are thousands of people in the
county that have been trained with this model. UH. We
train them to listen for folks that might be struggling
and then give them good information about where they can
get help and also information about going with them to
get the help. If the person would like that. Remember
(14:42):
to use people first language again, UH. The person is
not the disorder. When when when somebody has a diagnosis
of cancer or diabetes, we don't refer to that person
by their disorder. Uh So the same should go with
folks with mental and emotional health issues. We shouldn't be
labeling them by their diagnostic label. We should still refer
(15:04):
them as a person because they are. Another thing we
can do to reduce stigma would be to normalize mental
and emotional struggles. All of us, you've heard me say
this before, all of us experience mental and emotional struggles.
Let's not assume every time something happens in our life
as a result of maybe changes in relationships or finances
(15:26):
and moves, educational work changes, that we immediately want to
label that as an illness or a diagnostic issue. It
could just be normal emotional stress as a result of
changes in our lives. Okay, that's normal. So let's not
always jump the gun. Consider those natural supports. Talk to friends, family, church,
(15:49):
et cetera before jumping the gun. Obviously, if what's going
on is debilitating, and what I mean by that is,
if you're no longer able to function the way you
have previously been able to do, get up, care for
your kids, your spouse, go to work, et cetera. If
you find yourself unable to function the way you normally have, well,
(16:10):
then it's probably a different level and professional help is
probably indicated. And then, last, but not least, let's recognize
and remember self stigma, holding those negative attitudes or beliefs
about yourself. We need to do better to not beat
ourselves up for things that, as I've said multiple times
down the podcast, are fairly normal and common. I've never
(16:32):
met anybody that didn't experience some struggles multiple times throughout
their lives. So let's try to reduce that self stigma.
There is a place for self reflection and doing better,
but that's different than going over the top to when
you're shaming and stigmatizing yourself such that you actually become
your own worst enemy. We want to mobilize your inherent
(16:55):
innate ability to help yourself rather than the opposite. Well, again,
basic things the impact of stigma on suicide, UH, talking
about what it is, why it's a problem, what we
can do about it. And this is drawn from the
Ohio Sussy Prevention Foundation's July twenty twenty five resource guide
(17:17):
that they just released so encourage folks to check that
out for themselves at their website, which is Ohio SPF
dot org.
Speaker 2 (17:29):
Thank you for listening to another episode of the Keeping
Ashland Healthy podcast. The podcast is a production of the
Mental Health and Recovery Board of Ashland County, Ohio. You
can reach the board by calling four one nine two
eight one three one three nine. Please remember that the
Board funds a local twenty four to seven crisis line
through Applese Community Mental Health Center. It can be reached
by calling four one nine two eight nine sixty one
(17:51):
one one. That's four one nine two eight nine six'
one one one. Until next time, please join us in
keeping Ashland health feet