September 17, 2024 • 18 mins
In this episode, Heena delves into the critical topic of suicide awareness, providing essential definitions and distinctions between terms like suicide attempt, suicidal ideation, and self-harm.
September is Suicide Awareness Month, and Heena shares staggering statistics to highlight the prevalence of suicide, particularly among youth, veterans, and other vulnerable groups. She emphasizes the importance of assessing both risk and protective factors in clients, offering practical insights for therapists to better support their clients.
Hannah also introduces the concept of suicide contagion and the importance of postvention services to mitigate its effects. This episode is a must-listen for therapists seeking to deepen their understanding and improve their practice in dealing with suicide-related issues.
Links:
Adoption and Disenfranchised Grief Webinar (3 CEU): https://uplift-counseling-services.newzenler.com/live-class/adoption-disenfranchised-grief-3-ceu-live-virtual/register
Courses & professional development for Therapists: https://uplift-counseling-services.newzenler.com/therapiststreatingtrauma
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
Music.
(00:10):
You're listening to the Therapist Treating Trauma Podcast, and I'm your host,
Hannah Kahn, Licensed Professional Counselor Supervisor and Registered Play
Therapist Supervisor based out of Allen, Texas.
I'm a specialty trauma and grief therapist for children and adults.
On this podcast, you will get a masterclass in trauma, grief,
and loss from a person-centered therapy framework, a neuroscience lens,
(00:33):
and culturally competent approach to support your work as therapists in this field.
Hello, everyone. Thanks so much for being here and tuning in to another episode.
It has been a minute since I've been on here.
If you had been following me or my posts or my other episodes,
I was getting ready to travel for some conferences and presentations towards the end of summer.
(00:57):
And so that got really, really hectic and really busy and then got back into
town and then back to school started.
And so just back to routine. So it's really good to be back here,
back on the podcast and back in routine.
So today's episode, I wanted to focus on specifically, you know,
this month of September is the Suicide Awareness Month.
(01:22):
And so I want to spend some episodes talking about some topics related to suicide.
But before I get into that, just a couple quick announcements.
If you're interested in some cultural diversity CEUs, I have a training that's
coming up in, I believe it's November,
where I'm going to be doing a three-hour webinar on exploring the South Asian identity in therapy.
(01:48):
So this is going to be about how to support clients that identify as South Asian.
And so we're going to talk all about cultural nuances, cultural dynamics that
exist in the family, and how that impacts change, or the stages of change,
or just how people in that community,
(02:09):
how they function, how they relate to each other.
And how we as therapists can help them. So that's, I actually do this particular
webinar on repeat at different times of the year in different platforms and conferences.
And so it's been a really popular one. So if you're interested in that,
definitely check out the show notes.
And then the other one that's coming up actually this month in September is
(02:31):
on adoption and disenfranchised grief.
And this is going to focus on the adoption triad.
We're going to go into a little bit more detail with how disenfranchised grief
shows up in the different members of the adoption triad.
So if you're interested in growing in that area, definitely check out that one as well.
It's coming up later this month
and I'll make sure I add that to the show notes so you have those links.
(02:55):
All right. So today's episode, I want to talk about a couple of different things.
So I want to talk about what are some key definitions, right?
So let's first talk about what is a suicide attempt. Let's talk about suicidal ideation.
Let's talk about what self-harm is, right? Or non-suicidal self-harm or self-injury.
So let's talk about these definitions first so we can get a good sense.
(03:18):
And then we'll go into some statistics, some really staggering statistics about what we know so far.
And the data on this is usually about one to two years delayed,
like lagged because of the data collection and research.
And so what I'm sharing with you is actually data from about two years ago.
And I'm really curious to kind of see what the new data looks like.
But this is what we have so far.
(03:39):
And then we'll talk a little bit about how we assess and when we're assessing
what kinds of things we're looking for.
And then we'll wrap it up with a few other concepts that I'll do a follow up episode for.
So to start out, what we what we know is suicide is death that's caused by self-directed
(03:59):
injurious behavior with this intent to die as a result of that behavior.
Okay. So there is, so there's a very clear intention to.
And it's very self-directed, right? Relatively self-directed.
And it's injurious, of course, with this intention to die as a result of that behavior.
(04:19):
So there's your definition of suicide. And then a suicide attempt is considered,
this is how they categorize it, it is a non-fatal self-directed attempt.
And it's potentially dangerous, injurious behavior with this intent tends to
die as a result of the behavior, but it, and it's, it, the outcome is essentially
non-fatal and that's why it's called an attempt.
(04:40):
And then we have suicidal ideation, which is, it refers to thinking or planning about suicide.
So there's these thoughts, sometimes, you know, you can think of it,
of those thoughts that kind of lie on a continuum of severity to where there's like this,
you know, there's this thought or wish of dying with no true plan or no real
(05:03):
plan or method and, you know, or intent with it, but just this kind of passing
thought of, gosh, I wish I was not alive or I wish something were to happen, right?
So those kinds of passing thoughts to the other end of the spectrum of active
suicidal ideation with a specific plan and, you know, an intent.
So it's important to understand this distinction when you assess or when you
(05:26):
talk or when you're trying to, you know, understand or conceptualize a client,
there's the difference between the attempt and the ideation and the ideation
could exist on a spectrum.
Okay. We know from research that although suicidal ideation doesn't include
like those physically maybe harmful behaviors or injurious behaviors,
we do know that over one third of adolescents who who've experienced suicidal
(05:49):
ideations will attempt suicide within their lifetimes.
So having suicidal ideation itself is a risk factor.
Okay. And then you have self-harm, which is essentially behavior that's like
self-directed. It deliberately results in some kind of an injury.
And then, but you've also probably heard of like non-suicidal self-injury, NSSI.
(06:11):
And that's basically where there is, again, that attempt to the behavior that
is self-directed deliberately to result in injury, but it's not,
the suicidal intent is not clear in there, okay?
So that's how we're able to distinguish a suicide attempt versus a self,
you know, NSSI, where there isn't this intent to die, right?
(06:37):
But just like suicidal ideation, NSSI is considered a significant risk factor
for both suicide attempts and death by suicide.
And that may or may not include, you know, ideation, but NSSI does,
is in and of itself a risk factor.
One thing I want to mention as we're talking about it, we want to be really
(06:58):
careful about the language that we use.
This is something that I've learned over the years in my practice and working
in the community, and especially in a community, unfortunately,
where I'm in the Dallas DFW, Dallas-Fort Worth community, kind of in the suburbs.
But Dallas has experienced many deaths by suicide.
(07:23):
And many of them that I have, you know, supported the communities that experienced this.
And so what I'm, what I want to share is that we want to be careful about the language we're using.
And instead of saying somebody committed suicide, we want to start saying this
(07:44):
person died by suicide. There was a death by suicide.
There is already so much stigma in this kind of behavior or in this death by suicide.
There's a lot of, depending on what faith group or community you belong to or
you identify with, there's a lot of stigma and hence a lot of disenfranchised
(08:07):
grief that exists there too.
So with that said, it's important to be really mindful.
And so I want to really encourage all of you to start using verbiage like death
by suicide versus somebody committed suicide. All right.
Moving on, what I want to share next is some statistics.
(08:28):
And these are really, I think, really important statistics to keep in mind because,
again, when we assess suicide,
it's in our process of assessing and also just working with clients,
it's important to know how prevalent this is so that we're not thinking,
oh, this is actually a rare scenario or a rare case.
(08:49):
No, I want us to know how, you know, how prevalent suicide is.
And what we know so far over the years of the data that we've collected since
2000, right, there's been a steady increase in suicide mortality.
With the death rate that's rising, like around 36% has been the steady increase.
(09:11):
So that's pretty staggering, right? We are seeing more and more suicide-related
or deaths by suicide every year. It's increasing.
And there's a lot of things that we can speculate.
We can have theories about why there is this steady rise.
(09:33):
What is also rising alongside this? What are some other parallel factors that are at play here?
And there's many that we can talk about. but we just want to know that there
has been a steady increase over the past several years.
Individuals between 25 and 29 saw the greatest increase of any age group.
(09:53):
That's incredible. These young adults, 25 to 29, greatest increase in this age group.
The rates of suicide mortality for youth in the foster care system is more than
three times the rate for youth in Texas.
That's incredible. What are we seeing?
(10:17):
What kinds of patterns, what kinds of experiences are these children in the
foster system experiencing that the suicide mortality for youth in foster care system is three times?
The rate of calls to the poison control network concerning suspected suicide
rate for young women between the ages of 13 to 19 has more than doubled.
(10:40):
That is, so if you think about Poison Control Network,
that's where the attempt was by ingesting some, you know, something,
something, whatever their choice of, you know, substance was,
but ingesting it or overdosing in it.
And then the suicide mortality rate for veterans that were age,
(11:00):
their 18 to 34 rose 91% between 2001 and 2019.
Making it the highest rate for the veteran population. So it's really important
to understand these staggering or know these staggering numbers because we have
to know that every client that walks through our doors,
(11:22):
we want to assess these things.
We want to check in. We want to make sure we're not missing something.
And one of the biggest or sorry, most prominent factors, I found this in another
data, it's through the Texas Department of State and Health Services,
there was data on like, who is at risk,
which, you know, like what are, what are some common factors in people who are at risk for suicide?
(11:47):
And what was really interesting is that the combination of certain things, right?
So for example, the combination of like substance abuse, so let's say,
or let's start with tobacco, using tobacco and also feeling very sad and hopeless.
Hopeless okay there were there was
that they were a much higher risk okay for
(12:10):
suicide if they identified as
using marijuana and and they
felt sad and hopeless highest risk okay and
when i say highest i'm comparing it to others who
have not considered others who have not who
do not use marijuana and if they felt sad
and hopeless how how high was their risk and compared
(12:33):
to them the risk was much much
higher for those who were using marijuana and
were very sad and hopeless the same
with alcohol binge drinking versus not
binge drinking right the again the sad and hopelessness factor stood out here
as well being cyber bullied versus not being cyber bullied sad and hopelessness
(12:56):
was the highest factor physical dating violence versus not experiencing physical
dating violence and feeling sad and hopeless.
So I say this to say that feeling sad and hopeless, you know,
from, from some of this data, right, is a, one of the most significant factors.
(13:17):
So when your clients are presenting with significant sadness,
when they're experiencing that hopelessness, we want to be even more alert and
even more careful and assessing them in assessing. So let's talk about assessing.
So when we're assessing them, the things that we're really looking for that
are probably the most important.
(13:38):
Besides your basic, like, do you have a plan and do you have any ideas?
Do you have any like suicidal thoughts? Do you have ideation?
Do you have a plan, right? Besides those, what you're looking for or what you're
assessing is protective factors and risk factors.
So a lot of times we will assess for risk factors, but not protective factors,
(14:01):
because we're trying to figure out what the risk factors are so we can reduce those.
But not all risk factors can be reduced.
Not all risk factors are in our control to reduce, right?
But the protective factors, we can build those in. We can add those into the treatment plan.
We can reinforce the ones that currently exist, right?
We can help build new ones, right? Protective factors are essentially the factors
(14:25):
in a person's life that mitigates and reduces the risk of suicide.
And so we as therapists are a protective factor.
The support system your client has is a protective factor. That faith community
that they are a part of is their protective factor.
That parent, that uncle, that sister, brother, whoever it is,
those protective factors we want to continue to increase and reinforce as much as we can.
(14:51):
And if they don't have as many as we'd like for them to or that they need,
then we find ways to build that for them, with them, right? So we don't want
to just focus on risk factors.
We want to also assess the protective factors because we may not be able to
control or change or have anything to do with the past that has elevated this risk factor,
(15:17):
but we certainly can do something about increasing.
Adding, finding, finding, building protective factors in our clients' lives, right?
And those will be unique to each client.
One last thing I want to mention before we are done today with this episode is suicide contagion.
I'm going to do another episode on postvention, so definitely keep an eye out for that one.
(15:42):
But suicide contagion, this is a process where the exposure to the suicide or
suicidal behaviors of others or the completed suicide influences people who
are already vulnerable and had been considering suicide.
So this exposure to suicide by, let's say, a close friend, a family member,
(16:04):
another person within your social network becomes a significant suicide risk factor for people.
So whenever there is
a suicide death by suicide in the community it's so important to
get all hands on deck start immediately your
post-advention services or deploy your your post-advention protocols because
(16:26):
this this information as it spreads because we know it spreads like fire and
it's on the media and and everyone's talking about it that suicide contagion can be very
dangerous for those who are already very vulnerable.
And almost every time I have heard of one like in our community,
a day later, two days later, I hear of one in another community and it's happened every time.
(16:51):
So it's really important that when we hear of these in our communities,
even if it's a distant community and we're aware of it or we're connected to
the community in some ways, we want to provide our communities,
the ones that we're in or the clients that we are with support so that they,
even if they were vulnerable and you didn't know about it, there's a space that
(17:13):
people will talk about it. There's space to get support from it.
So we'll talk more about suicidal contagion in the next episode,
but I hope this was helpful.
If you enjoy these episodes, please hit the like button or maybe follow my page.
There's no other way for me to know this content is enjoyed.
So I would really appreciate that. So that way it gives me some kind of feedback,
whether it's a, it's hitting the like button or the follow button or leaving
(17:36):
a comment here under the episode.
Any of those would be really helpful for me to get some feedback from my listeners.
So thanks again for being here. I'll see you in the next episode.
Music.
(00:10):
You're listening to the Therapist Treating Trauma Podcast, and I'm your host,
Hannah Kahn, Licensed Professional Counselor Supervisor and Registered Play
Therapist Supervisor based out of Allen, Texas.
I'm a specialty trauma and grief therapist for children and adults.
On this podcast, you will get a masterclass in trauma, grief,
and loss from a person-centered therapy framework, a neuroscience lens,
(00:33):
and culturally competent approach to support your work as therapists in this field.
Hello, everyone. Thanks so much for being here and tuning in to another episode.
It has been a minute since I've been on here.
If you had been following me or my posts or my other episodes,
I was getting ready to travel for some conferences and presentations towards the end of summer.
(00:57):
And so that got really, really hectic and really busy and then got back into
town and then back to school started.
And so just back to routine. So it's really good to be back here,
back on the podcast and back in routine.
So today's episode, I wanted to focus on specifically, you know,
this month of September is the Suicide Awareness Month.
(01:22):
And so I want to spend some episodes talking about some topics related to suicide.
But before I get into that, just a couple quick announcements.
If you're interested in some cultural diversity CEUs, I have a training that's
coming up in, I believe it's November,
where I'm going to be doing a three-hour webinar on exploring the South Asian identity in therapy.
(01:48):
So this is going to be about how to support clients that identify as South Asian.
And so we're going to talk all about cultural nuances, cultural dynamics that
exist in the family, and how that impacts change, or the stages of change,
or just how people in that community,
(02:09):
how they function, how they relate to each other.
And how we as therapists can help them. So that's, I actually do this particular
webinar on repeat at different times of the year in different platforms and conferences.
And so it's been a really popular one. So if you're interested in that,
definitely check out the show notes.
And then the other one that's coming up actually this month in September is
(02:31):
on adoption and disenfranchised grief.
And this is going to focus on the adoption triad.
We're going to go into a little bit more detail with how disenfranchised grief
shows up in the different members of the adoption triad.
So if you're interested in growing in that area, definitely check out that one as well.
It's coming up later this month
and I'll make sure I add that to the show notes so you have those links.
(02:55):
All right. So today's episode, I want to talk about a couple of different things.
So I want to talk about what are some key definitions, right?
So let's first talk about what is a suicide attempt. Let's talk about suicidal ideation.
Let's talk about what self-harm is, right? Or non-suicidal self-harm or self-injury.
So let's talk about these definitions first so we can get a good sense.
(03:18):
And then we'll go into some statistics, some really staggering statistics about what we know so far.
And the data on this is usually about one to two years delayed,
like lagged because of the data collection and research.
And so what I'm sharing with you is actually data from about two years ago.
And I'm really curious to kind of see what the new data looks like.
But this is what we have so far.
(03:39):
And then we'll talk a little bit about how we assess and when we're assessing
what kinds of things we're looking for.
And then we'll wrap it up with a few other concepts that I'll do a follow up episode for.
So to start out, what we what we know is suicide is death that's caused by self-directed
(03:59):
injurious behavior with this intent to die as a result of that behavior.
Okay. So there is, so there's a very clear intention to.
And it's very self-directed, right? Relatively self-directed.
And it's injurious, of course, with this intention to die as a result of that behavior.
(04:19):
So there's your definition of suicide. And then a suicide attempt is considered,
this is how they categorize it, it is a non-fatal self-directed attempt.
And it's potentially dangerous, injurious behavior with this intent tends to
die as a result of the behavior, but it, and it's, it, the outcome is essentially
non-fatal and that's why it's called an attempt.
(04:40):
And then we have suicidal ideation, which is, it refers to thinking or planning about suicide.
So there's these thoughts, sometimes, you know, you can think of it,
of those thoughts that kind of lie on a continuum of severity to where there's like this,
you know, there's this thought or wish of dying with no true plan or no real
(05:03):
plan or method and, you know, or intent with it, but just this kind of passing
thought of, gosh, I wish I was not alive or I wish something were to happen, right?
So those kinds of passing thoughts to the other end of the spectrum of active
suicidal ideation with a specific plan and, you know, an intent.
So it's important to understand this distinction when you assess or when you
(05:26):
talk or when you're trying to, you know, understand or conceptualize a client,
there's the difference between the attempt and the ideation and the ideation
could exist on a spectrum.
Okay. We know from research that although suicidal ideation doesn't include
like those physically maybe harmful behaviors or injurious behaviors,
we do know that over one third of adolescents who who've experienced suicidal
(05:49):
ideations will attempt suicide within their lifetimes.
So having suicidal ideation itself is a risk factor.
Okay. And then you have self-harm, which is essentially behavior that's like
self-directed. It deliberately results in some kind of an injury.
And then, but you've also probably heard of like non-suicidal self-injury, NSSI.
(06:11):
And that's basically where there is, again, that attempt to the behavior that
is self-directed deliberately to result in injury, but it's not,
the suicidal intent is not clear in there, okay?
So that's how we're able to distinguish a suicide attempt versus a self,
you know, NSSI, where there isn't this intent to die, right?
(06:37):
But just like suicidal ideation, NSSI is considered a significant risk factor
for both suicide attempts and death by suicide.
And that may or may not include, you know, ideation, but NSSI does,
is in and of itself a risk factor.
One thing I want to mention as we're talking about it, we want to be really
(06:58):
careful about the language that we use.
This is something that I've learned over the years in my practice and working
in the community, and especially in a community, unfortunately,
where I'm in the Dallas DFW, Dallas-Fort Worth community, kind of in the suburbs.
But Dallas has experienced many deaths by suicide.
(07:23):
And many of them that I have, you know, supported the communities that experienced this.
And so what I'm, what I want to share is that we want to be careful about the language we're using.
And instead of saying somebody committed suicide, we want to start saying this
(07:44):
person died by suicide. There was a death by suicide.
There is already so much stigma in this kind of behavior or in this death by suicide.
There's a lot of, depending on what faith group or community you belong to or
you identify with, there's a lot of stigma and hence a lot of disenfranchised
(08:07):
grief that exists there too.
So with that said, it's important to be really mindful.
And so I want to really encourage all of you to start using verbiage like death
by suicide versus somebody committed suicide. All right.
Moving on, what I want to share next is some statistics.
(08:28):
And these are really, I think, really important statistics to keep in mind because,
again, when we assess suicide,
it's in our process of assessing and also just working with clients,
it's important to know how prevalent this is so that we're not thinking,
oh, this is actually a rare scenario or a rare case.
(08:49):
No, I want us to know how, you know, how prevalent suicide is.
And what we know so far over the years of the data that we've collected since
2000, right, there's been a steady increase in suicide mortality.
With the death rate that's rising, like around 36% has been the steady increase.
(09:11):
So that's pretty staggering, right? We are seeing more and more suicide-related
or deaths by suicide every year. It's increasing.
And there's a lot of things that we can speculate.
We can have theories about why there is this steady rise.
(09:33):
What is also rising alongside this? What are some other parallel factors that are at play here?
And there's many that we can talk about. but we just want to know that there
has been a steady increase over the past several years.
Individuals between 25 and 29 saw the greatest increase of any age group.
(09:53):
That's incredible. These young adults, 25 to 29, greatest increase in this age group.
The rates of suicide mortality for youth in the foster care system is more than
three times the rate for youth in Texas.
That's incredible. What are we seeing?
(10:17):
What kinds of patterns, what kinds of experiences are these children in the
foster system experiencing that the suicide mortality for youth in foster care system is three times?
The rate of calls to the poison control network concerning suspected suicide
rate for young women between the ages of 13 to 19 has more than doubled.
(10:40):
That is, so if you think about Poison Control Network,
that's where the attempt was by ingesting some, you know, something,
something, whatever their choice of, you know, substance was,
but ingesting it or overdosing in it.
And then the suicide mortality rate for veterans that were age,
(11:00):
their 18 to 34 rose 91% between 2001 and 2019.
Making it the highest rate for the veteran population. So it's really important
to understand these staggering or know these staggering numbers because we have
to know that every client that walks through our doors,
(11:22):
we want to assess these things.
We want to check in. We want to make sure we're not missing something.
And one of the biggest or sorry, most prominent factors, I found this in another
data, it's through the Texas Department of State and Health Services,
there was data on like, who is at risk,
which, you know, like what are, what are some common factors in people who are at risk for suicide?
(11:47):
And what was really interesting is that the combination of certain things, right?
So for example, the combination of like substance abuse, so let's say,
or let's start with tobacco, using tobacco and also feeling very sad and hopeless.
Hopeless okay there were there was
that they were a much higher risk okay for
(12:10):
suicide if they identified as
using marijuana and and they
felt sad and hopeless highest risk okay and
when i say highest i'm comparing it to others who
have not considered others who have not who
do not use marijuana and if they felt sad
and hopeless how how high was their risk and compared
(12:33):
to them the risk was much much
higher for those who were using marijuana and
were very sad and hopeless the same
with alcohol binge drinking versus not
binge drinking right the again the sad and hopelessness factor stood out here
as well being cyber bullied versus not being cyber bullied sad and hopelessness
(12:56):
was the highest factor physical dating violence versus not experiencing physical
dating violence and feeling sad and hopeless.
So I say this to say that feeling sad and hopeless, you know,
from, from some of this data, right, is a, one of the most significant factors.
(13:17):
So when your clients are presenting with significant sadness,
when they're experiencing that hopelessness, we want to be even more alert and
even more careful and assessing them in assessing. So let's talk about assessing.
So when we're assessing them, the things that we're really looking for that
are probably the most important.
(13:38):
Besides your basic, like, do you have a plan and do you have any ideas?
Do you have any like suicidal thoughts? Do you have ideation?
Do you have a plan, right? Besides those, what you're looking for or what you're
assessing is protective factors and risk factors.
So a lot of times we will assess for risk factors, but not protective factors,
(14:01):
because we're trying to figure out what the risk factors are so we can reduce those.
But not all risk factors can be reduced.
Not all risk factors are in our control to reduce, right?
But the protective factors, we can build those in. We can add those into the treatment plan.
We can reinforce the ones that currently exist, right?
We can help build new ones, right? Protective factors are essentially the factors
(14:25):
in a person's life that mitigates and reduces the risk of suicide.
And so we as therapists are a protective factor.
The support system your client has is a protective factor. That faith community
that they are a part of is their protective factor.
That parent, that uncle, that sister, brother, whoever it is,
those protective factors we want to continue to increase and reinforce as much as we can.
(14:51):
And if they don't have as many as we'd like for them to or that they need,
then we find ways to build that for them, with them, right? So we don't want
to just focus on risk factors.
We want to also assess the protective factors because we may not be able to
control or change or have anything to do with the past that has elevated this risk factor,
(15:17):
but we certainly can do something about increasing.
Adding, finding, finding, building protective factors in our clients' lives, right?
And those will be unique to each client.
One last thing I want to mention before we are done today with this episode is suicide contagion.
I'm going to do another episode on postvention, so definitely keep an eye out for that one.
(15:42):
But suicide contagion, this is a process where the exposure to the suicide or
suicidal behaviors of others or the completed suicide influences people who
are already vulnerable and had been considering suicide.
So this exposure to suicide by, let's say, a close friend, a family member,
(16:04):
another person within your social network becomes a significant suicide risk factor for people.
So whenever there is
a suicide death by suicide in the community it's so important to
get all hands on deck start immediately your
post-advention services or deploy your your post-advention protocols because
(16:26):
this this information as it spreads because we know it spreads like fire and
it's on the media and and everyone's talking about it that suicide contagion can be very
dangerous for those who are already very vulnerable.
And almost every time I have heard of one like in our community,
a day later, two days later, I hear of one in another community and it's happened every time.
(16:51):
So it's really important that when we hear of these in our communities,
even if it's a distant community and we're aware of it or we're connected to
the community in some ways, we want to provide our communities,
the ones that we're in or the clients that we are with support so that they,
even if they were vulnerable and you didn't know about it, there's a space that
(17:13):
people will talk about it. There's space to get support from it.
So we'll talk more about suicidal contagion in the next episode,
but I hope this was helpful.
If you enjoy these episodes, please hit the like button or maybe follow my page.
There's no other way for me to know this content is enjoyed.
So I would really appreciate that. So that way it gives me some kind of feedback,
whether it's a, it's hitting the like button or the follow button or leaving
(17:36):
a comment here under the episode.
Any of those would be really helpful for me to get some feedback from my listeners.
So thanks again for being here. I'll see you in the next episode.
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