Suicide prevention is a fancy and troublesome downside for well being care techniques to handle. If a affected person is admitted to a hospital or behavioral well being clinic, they are often effectively taken care of within the second, however research present that the early days and weeks after their discharge is essentially the most harmful time for these with suicidal ideation.
Sanford Well being launched a pilot program, referred to as Caring Contacts, which is designed to assist sufferers after they go away the constructing. The thought is surprisingly easy: ship a handwritten letter to every affected person to allow them to know they matter.
Concept behind Caring Contacts
“We all know that suicide is very correlated with a way of loneliness and isolation,” mentioned Jeff Leichter, Ph.D., lead administrator for behavioral well being integration at Sanford Well being. “It’s typically referred to as a ‘dying of despair’ as a result of individuals at their worst moments typically really feel like nobody cares.”
“Once we attain out in a human-to-human means, not a type letter, not an e-mail, that’s one thing that folks acknowledge as being generated by a caring individual. It issues.”
Dr. Leichter defined that the concept for Caring Contacts stretches again virtually 50 years, when the primary caring letters had been despatched out to Vietnam veterans who had been handled for suicidal ideas or had made makes an attempt on their very own lives. The letters don’t ask for something, not a cellphone name or a request for any follow-up. They’re merely despatched with a message of care and thoughtfulness.
“The messages are encouraging and supportive, and when you consider receiving mail, that’s one thing we don’t actually get anymore,” mentioned Larissa Marsh, an built-in well being therapist and licensed scientific social employee at Sanford Well being in Fargo, North Dakota. “The objective and the idea is that just by receiving the playing cards, individuals will really feel extra socially related and in flip have much less suicidality.”
Marsh handwrites the letters for this system in Fargo. She has adopted up with 19 sufferers as a part of the pilot, sending letters to high-risk sufferers who’ve agreed to participate. The primary card is distributed two to 3 days after they go away Sanford. Extra letters are despatched at common intervals for one full yr. To date the outcomes have been extremely encouraging.
“We’re utilizing a social connectedness scale, and other people’s scores are going up, up, up,” mentioned Marsh. “And a whole lot of the suggestions has been constructive.”
She then went via a number of of the affected person responses, which learn:
- “That is great. I like them.”
- “The playing cards actually do brighten my day.”
- “Once I go to the mailbox and see the playing cards, issues get higher.”
- “I’ve saved all of them, and return and skim them.”
- “I really feel quite a bit higher than I did six months in the past.”
Arlene Wilken works with Marsh and Dr. Leichter to craft the messages which are despatched to the sufferers in Fargo. However not like her colleagues within the pilot program, she has a background that isn’t a scientific one. She has a private reference to suicide.
Her husband, Mark Wilken, suffered from extreme bouts of despair. Twenty years in the past he stopped working after his employer closed its doorways. He was 44, and Arlene mentioned for Mark, “the time simply dragged on.”
“He misplaced a whole lot of self-respect and shallowness. He misplaced the place he was going. He misplaced curiosity in his hobbies. He simply stored spiraling down and down,” she mentioned.
She inspired her husband to hunt counseling, however mentioned that “wasn’t one thing he was prepared, keen or snug doing.”
In 2014, on the age of 56, Mark took his personal life.
“There’s not a day that goes by that I don’t consider him,” mentioned Arlene. “He was in such a deep gap that he didn’t know how one can climb out. He didn’t know how one can assist himself.”
Arlene has now thrown herself into suicide prevention, serving to individuals she doesn’t know and infrequently has by no means met. For the Caring Contacts program, she is adamant that every letter have the precise message.
“It may well’t be flippant. It may well’t be lighthearted. It wants to return from the center with out seeming insincere and gushy. It’s a daring assertion to say, ‘You’re value it. We care. We’re right here for you,’” she mentioned.
And it’s the suggestions that she receives that lets her know this system is making a distinction.
“Individuals locked into themselves don’t normally come ahead and say constructive issues,” mentioned Arlene. “However once you hear individuals saying, ‘This makes a distinction, I respect your card,’ I imagine it actually does. It offers me pleasure.”
For the individuals engaged on this undertaking in its early levels, there’s common settlement: Their time is effectively spent, the price and energy concerned is minimal, and the advantages to the sufferers are clear.
“This isn’t a therapy all by itself, nevertheless it’s a quite simple solution to complement that care they’re receiving,” mentioned Dr. Leichter. “We’re wanting on the feedback we’ve gotten from sufferers who’ve been concerned, and a few of them are fairly shifting.”
“It personalizes care. To me it seems like an extension of it. You have got an appointment and it could possibly really feel very sterile,” mentioned Marsh. “I don’t need to oversimplify it, however this exhibits that you simply’re greater than only a affected person. Your life issues, even once you stroll out the door. We care when you’re right here and we care once you’re not right here.”
For Arlene Wilken, the ultimate phrase comes as simply as writing a letter. It’s what she would say to anybody fighting suicidal ideas. And what she nonetheless needs to say to her husband Mark all these years later:
“You’re each bit value who you’re. You’re wanted and also you’re valued, whether or not or not you see it. There are such a lot of those who love you and wish you round and you’ve got a lot to supply,” mentioned Arlene. “Maintain on yet one more day. And if that day isn’t higher, the following day after that will likely be. Life is value residing.”
Whether or not you’re fighting suicidal ideas your self, or love somebody who’s, get assist now by contacting any of the next:
Go to sanfordhealth.org to search out assets, danger elements, warning indicators and steps you’ll be able to take to assist a liked one.
Be taught extra
Behavioral Well being, Fargo