So speaking as someone who has worked in psychiatry and mental health care, I can say it's basically true. It's not the intent of those working in it, but I think like a lot of things it's sort of what has emerged through the system.
I had a colleague, now retired, who was the president of state mental health associations, etc. who made the argument that most suicide treatment programs are really designed to protect practitioners and healthcare providers, not the patients. At the time I understood what he was saying, but didn't really understand it until later.
The way it came up with him was more about prediction and risk. He was talking about it because there's basically no way to know if someone is actually imminently suicidal. Most people who talk about it never even make an attempt, and there are lots of people who commit suicide suddenly without saying a word to anyone else ahead of time.
My colleague's point was this: if saying X is totally unpredictive of Y in reality, why react so strongly to saying X? The reason is because it's not really about preventing Y -- you can't -- it's because it legally and morally absolves you of responsibility.
I feel weird writing this because it sounds so cynical, but its a sad truth about the poor state of care of our fellow human beings in contemporary society.
Anyone seeking help with a minor physical disorder from the local urgent care facility here (California) is promptly asked: "Have you had thoughts of harming yourself or anyone else?".
Immediate tingling of danger -- but wondered if my suspicions might be little more than the product of a cynical mind. Didn't think so -- but thanks for the confirmation!
>> My colleague's point was this: if saying X is totally unpredictive of Y in reality, why react so strongly to saying X? The reason is because it's not really about preventing Y -- you can't -- it's because it legally and morally absolves you of responsibility.
If it's actually unpredictive, then shouldn't committing someone -- taking full control of their life -- make the doctor more responsible for them and not less? Responsible for them not being able to work, pay their bills, etc. and ultimately making their life situation more precarious, thus increasing their mental stress.
I always thought of suicide as incomprehensible, then I encountered it used as a coping mechanism: "It's not so bad, I could always kill myself." (A person who has come to rely on that must not have kids!)
I had a colleague, now retired, who was the president of state mental health associations, etc. who made the argument that most suicide treatment programs are really designed to protect practitioners and healthcare providers, not the patients. At the time I understood what he was saying, but didn't really understand it until later.
The way it came up with him was more about prediction and risk. He was talking about it because there's basically no way to know if someone is actually imminently suicidal. Most people who talk about it never even make an attempt, and there are lots of people who commit suicide suddenly without saying a word to anyone else ahead of time.
My colleague's point was this: if saying X is totally unpredictive of Y in reality, why react so strongly to saying X? The reason is because it's not really about preventing Y -- you can't -- it's because it legally and morally absolves you of responsibility.
I feel weird writing this because it sounds so cynical, but its a sad truth about the poor state of care of our fellow human beings in contemporary society.