SPNAC

Robert Litman, L.A. Crisis Center Co-Founder, Dies at 88

In People on March 17, 2010 at 10:03 am

From left, Norman Farberow and Robert Litman

[Editor's note: I apologize for being late in reporting on the passing of one of the founders of the first suicide prevention crisis center in America. FJC]

An announcement of the Feb. 14 death of Dr. Robert Litman — at age 88, of acute leukemia — came to the membership of the American Association of Sucidology in a letter from the organization’s executive director, Lanny Berman:

Bob was co-director and chief of psychiatry at the Institute for Studies of Destructive Behaviors and the Suicide Prevention Center in Los Angeles, a pioneer in the development and implementation of the psychological autopsy (with Ed Shneidman and Norman Farberow), and one of this country’s first and foremost forensic suicidologists … Bob’s psychoanalytic perspective and research interests ranged from the study of equivocal suicides, to the study of bondage deaths, to Freud’s contributions to our understanding of suicide. Norm Farberow described Litman as, “a free spirit cloaked in psychoanalytic trappings, always intellectually adventuresome and inquisitive.” This, and much, much more, he surely was.

In Litman’s obituary, Los Angeles Times reporter Valerie J. Nelson writes,

The idea for a suicide prevention center came from two Veterans Administration psychologists, Edwin S. Shneidman and Norman L. Farberow, who persuaded Dr. Litman, over drinks in Beverly Hills, to help establish it. Then director of the psychiatric unit at what is now Cedars-Sinai Medical Center, Dr. Litman had written a paper on how to deal with suicide on a hospital ward. His interest in the subject was sparked by the death of his high school best friend, Thomas Heggen, who wrote the book and play “Mister Roberts” and whose death in 1949 was ruled a probable suicide. Although worried that the response to the proposed suicide center would be overwhelming, Dr. Litman signed on.

Related SPNAC posts:

[The abridged URL for this post is http://tinyurl.com/LitmanObit .]

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Community, Prevention Experts Influence “Dr. Phil” Episode

In Media, Opinion, Prevention on March 14, 2010 at 12:39 pm

Three gears working together

By Franklin Cook, SPNAC Editor

I consider Friday’s episode of the Dr. Phil Show — titled “Teens Under Pressure” — a case study of sorts, for it shows that a constructive dialogue is occurring among suicide prevention experts, communities, and the media. The process that shaped the show’s content could be an indication that community-focused suicide prevention is gaining traction in America.

Here is what happened:

Enter the media. A series of suicide fatalities strikes a high school on the West Coast, and a flurry of media coverage follows. Then the double suicide of two high school girls in the East makes the news in a big way, locally and nationally. As one might expect, the Dr. Phil Show plans a television program on the topic of suicide.

Enter the community. When the show’s senior producer contacts the West Coast town to invite people to participate in the program, city officials respond enthusiastically — not about participating but about the possible causal link between media coverage of suicide and suicide contagion.

In a follow-up e-mail to Senior Producer Astra Austin, [a city official] representing “Project Safety Net,” said there are two primary concerns about the planned Dr. Phil program.

The first is that it could contribute to “suicide contagion” following the deaths of four Gunn students since last May, and the second is that the program could “perpetuate the myth” that stress and suicide are tightly connected.

“[This] is a community at high-risk for more suicides due to suicide contagion,” [he] said in the e-mail. “Our most vulnerable teens (those perhaps with previous attempts or who are under medical care) need our protection right now — and will for some time.”

“Please understand our reluctance to participate in the show should not suggest a reluctance to confront or deal with this issue. On the contrary, the … community is working together, tirelessly, publicly, and carefully on this issue.”

Enter the suicide prevention experts. The community’s communication with the TV producer amounts to a mini-workshop on suicide contagion, packed with a well-chosen array of top-quality, up-to-date information and resources, all based on the research and expertise of organizations such as the National Suicide Prevention Lifeline, the Suicide Prevention Resource Center, the American Foundation for Suicide Prevention, and the American Association of Suicidology.

The outcome: The content of Friday’s Dr. Phil Show clearly demonstrates that the producer and the others involved in creating the episode heard the community and tried to follow the guidelines provided by the suicide prevention experts. I have some concerns about several elements of the show (such as how people grieving from the fatalities are addressed), and the jury is certainly still out on the effects of national media coverage such as this on contagion. Those issues notwithstanding, I believe it is extremely important to affirm that this instance of the media’s coverage of suicide represents a rare collaboration among people working to cover an important news story, people in the field of suicide prevention, and people in a community that has been directly affected (I might say traumatized) by recent suicides.

[The abridged URL for this post is http://tinyurl.com/DrPhilEpisode .]

[Editor's note: In a SPNAC post last year, "Iraq Vet and Teen Say 'Thank You' to Lifeline via Avatars," it was mentioned that "Dr. Phil shared a suicide prevention message through his avatar on the Lifeline Gallery.]

Other related SPNAC posts:

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Links to Suicide Grief Stories: March 8, 2010

In Grief, Grief Stories Series on March 8, 2010 at 2:48 pm
Marcia Epstein with pic of Mom

Marcia Epstein lost her mother, Abba Howell (pictured on the right in the snapshot Marcia is holding), to suicide in 2003. (Thad Allender, Lawrence Journal-World)

[Editor's note: "Links to Suicide Grief Stories ..." is a SPNAC series featuring stories of survivors of suicide loss -- about the effect their loved one's suicide has had on them and how they are coping with their grief. FJC]

In “Crisis Counselor Shares Survivors’ Grief, reporter Chad Lawhorn writes about Marcia Epstein, whose mother died by suicide in 2003. Epstein has been the director of the Headquarters Counseling Center in Lawrence, Kansas, since 1979.

“When I think about suicide, what I think about is the sadness that this person thought there was no other choice … Every day we get the kinds of calls that are so intense that we know the person on the other end of the line could die this day,” Epstein said.

“The call may start off where the person is 95 percent sure that they’re going to kill themselves. But you have to remember that there’s a little bit of hope there because they called. Our job is to ratchet up that hope.”

And to talk. Epstein’s perpetual message is that there’s always help available, always someone ready to listen. (Lawrence Journal-World)

The article is accompanied by a companion story, Call of Duty.

Samuel Johnson

From left, Justin Rosniak, Samuel Johson, and Simon Lyndon star in Brendan Cowell's hit play "Men." (Melbourne Herald Sun)

In “No Longer a Man in a Hurry,Senior Arts Writer Robin Usher reviews the play Men, which stars Samuel Johnson, whose girlfriend died by suicide in 2006.

“I was born to play this role,” [said Johnson.] “It’s a very personal thing for me, but I’m finding it cathartic to channel my own situation into something else.”

[After his girlfriend died,] Johnson stopped working as an actor to avoid the media spotlight and sought counselling over his drug and alcohol abuse. “I came out of it with a bunch of ways to combat my addictive nature. I didn’t realise the extent of my problems until everything fell to pieces. I was an addict before Lainie [Woodlands] died but that gave me an excuse to go harder.” (The Age [Australia])

In ““J. Kyle Braid Ranch Teaches Leadership Skills to Teenagers, reporter Kevin Hoffman writes about Ken and Colleen Braid, whose son Kyle died by suicide in 1994 when he was 17 years old. The Braids founded the ranch “to perfect leadership skills found in responsible, dedicated teenagers.”

Teens between their sophomore and junior years of high school come from throughout the United States to the leadership camp after selection by teachers and peers. The Braids acknowledge peer groups have the greatest influence on teens and can make a positive impact by creating responsible leaders.

“It taught me how to really work with people and it changes your life,” [said one former student]. (The Mountain Mail [Salida, Colo.])

In “Riding for Life,reporter Brad Meyer writes about David Alexander, whose daughter died by suicide

Biker and his bike

in 2008 when she was 17 years old. The Michigan man is bicycling across the country “‘to talk to people about Angela, her life and her suicide. It [is] an opportunity to tell people how important it is to communicate with people in their lives.’”

In May 2009, Alexander set off on a road bike with a small trailer holding minimal supplies to tell his story to local newspapers, TV stations, and individuals wherever he goes. He carries with him several volumes of newspaper clippings and journals he has kept throughout his trip. He asks every person he encounters to write a brief comment in his journals as a means of including them in his effort. (The Courier [Houston, Texas])

In “Smiling While Singing the ‘Blues,’”features reporter Kerstin Gupilan writes about Stacy

Stacy Merlos

Stacy Merlos

Merlos, who joined the CSUN Blues Project after a close friend and fellow student, Dylan Miles, died by suicide. The project “spread[s] awareness about depression and suicide as well as inform[s] students of the counseling services CSUN offers.”

“[Blues] helped me to deal with what I was feeling. I closed myself off,” she said. “[My friend who died by suicide]He [Miles] is such a big part of my presentation, the video really hits home.”

Before his death, Merlos remembers seeing signs of depression in Miles and even joking with him about his psychological state of mind. During that time Merlos had no real direction in how to handle Miles’ depression. Now, aspiring to become a marriage and family counselor, Merlos hopes to one day help those experiencing depression and suicidal thoughts. (Daily Sundial [California State University Northridge])

In “My Best Friend Ended Her Life at 37,Lea Lane writes about her loss, focusing on her understanding of depression as an illness.

About a year before she died, Delia became gaunt, her eyes haunted. She was seeing a psychiatrist, and on meds, but appeared lost and frightened. She told me she felt like she was in “a dark hole.” She said there was nothing I could do. She doubted everything she did.

[After she killed herself,] I called her friends, who didn’t believe me. “She had everything,” they said. “Why would she take her life?”

They were trying to find a reason. But depression can be a terminal disease. There is no “reason,” any more than getting a heart attack or cancer has a reason. (Huffington Post)

[The abridged URL for this post is http://tinyurl.com/GriefStories09 .]

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