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Depression and Suicide: Why we can’t say “Why.”

The Void. The Beast. The Black Dog. The Pit. Depression and Suicide are once again prominent in the news cycle. Once again, we swim through speculation and rumor in social media, and the word “why” ricochets off Facebook walls and inside our heads.

When someone we perceive as successful, intelligent, wealthy, or otherwise gifted with all those things we think make people happy takes their own life, we ask, “Why him? He had it all?”

Here’s the short, sharp response: Why does cancer take one person and not another? When we ask that question we typically decide chance/a whim of Nature bestowed a bad illness on a good (successful/beautiful/wealthy/young) person. We should view depression no differently.

What? Yes. Please stop thinking of depression as “having a bad day/marriage/money problems/getting old.” Depression isn’t the devil. Nor is it some vague whine-fest because you haven’t gotten your way. It is a disorder and it is wrapped up in the way chemicals in our brains dictate our behavior. I am shorthanding here because it is complex and not fully understood, but depression is clinical, meaning it has a medical cause. The initial trigger may be situational (injury, stress, pregnancy, physical illness), but the result is a clinical illness.

Yet, when the celebrity takes his or her own life, we begin the fruitless and unsatisfying search for answers. When Robin Williams died, it was because he had a debilitating disease threatening his future having already lived a life of emotional lability. Kate Spade, according to so much pointless rumor, had marital issues. Kurt Cobain had everything to live for supposedly, so obviously Courtney did it. (Did you hear my eyes roll?).  Now Anthony Bourdain has died and we ask why? Why this outspoken, energetic man with so much success?

Because: chemicals in the human brain.

Because: Depression.

I truly hate that depression has been labeled a “mental illness.” Oh, it is an illness, but to call it a mental illness slides it into the realm of a) incurable (it isn’t) and b) unknowable (it isn’t). It leaves people with the impression that people with depression, with this mental illness, are crazy and need to be shunned, can’t be fixed, and their “mental problems” are just too hard to deal with so Run Away, Run Away.

So, let me be forthright. Let me talk about Mr. Bourdain for a moment as if his situation relates in some way to my circumstances even though I know nothing about his particular situation.

I watched him only rarely. What I saw of him was, in outward appearances, the very opposite of me: loud, brash, and opinionated.

Oops. Opinionated. So, not so opposite after all. As I read that character trait of his several times this morning, I realized something about all of us (humans) that is especially true of depressives; we have something to say and we need to be heard. Yet, we often feel as if we are screaming into a void.

I’m not saying this is specifically a precipitant of suicide, I am saying that ultimately, in our crises, a depressive is not someone wallowing in self-pity and pain, but someone who is in pain and feeling utterly unheard. In a life that is extraordinary, rich, beautiful, fulfilling, and filled with love—none of that matters if you are not heard when you are hurting. None of it.

This is why I write. Pure and simple. I don’t write to create art. I have told myself that I do, but that’s bullshit. I write because, while I am a mouse in public, shy and so soft-voiced it annoys people, on the page, I can put exactly who I am and what hurts (and what brings me joy). I am one of the most opinionated people you will ever meet, but unless I know you well, you will likely only ever see that in these pages (or a Facebook post).

I have moments when the chemicals in my brain say, “Sure, you are much loved by your spouse. Sure, you live in a beautiful place. Sure, your daughter and her family are happy, healthy, and financially stable. Sure, you are not grossly unhealthy. However, you are an abject failure.” In those moments, I need desperately to be heard.

I can’t tell you exactly why Mr. Bourdain or anyone else takes their own life (beyond that the chemicals in their brains are betraying them). I am not telling you that circumstances don’t play a role in their depression. Our pain is often (usually) triggered by very real concerns. But I can tell you this—in that crisis moment, when you aren’t being heard, when you believe no amount of talking or writing can express your pain enough to bring even one person around to understanding you, the chemicals in your brain are winning. They can convince you that your loved ones really will be happier without you. (Because they won’t have to listen to you cry anymore. They won’t have to pay your medical bills or worry about the fact that you might off yourself.) They really will get over it. (Because you’re not much use to them as a depresso, so it’s like getting over a lost puppy, right?) They really will understand that your pain was too much to bear. (Because they saw that you were in misery like a dog that can’t eat or walk, right?)

I have been fortunate in that I have taught myself to flip the switch and shut out that screwy rationale through some mental gymnastics and meditative techniques. The ones who didn’t learn that, or learned it and lost their grip on it, they weren’t selfish or cowards. They simply couldn’t flip the switch and the chemicals won.

I ask again, with these latest celebrity deaths, rethink how you view depression. Perhaps do some reading. Talk to those who actually suffer with it and listen to them. The Pit is deep, but with more people understanding, perhaps those who struggle to flip the switch can be pulled out more often rather than succumb to it.

https://suicidepreventionlifeline.org/

https://www.nimh.nih.gov/health/topics/depression/index.shtml

More on neurochemicals and depression.

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