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Mental Health-911-Suicide

Started by Ricki, October 28, 2006, 10:12:53 AM

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Ricki

 :  after reading through a lot of posts and responding to Melissa when she was having a moment of crisis and seeing others repsonses, I wanted to share and hope to talk about the current mental health system and the way authorities actually help someone if calling 911, or seeking medical help and saying i am suciidal.
I did a minimal amount of questioning at work with some doc's and nurses so as to not raise any suspicians about me or what i was asking, i said it was for a newsgroup thing i volunteered with.
The question i asked was whether someone comes in physically or calls in to hospital or 911 claiming to be suicidal or having attempted suicide what actions do we do? (one doc i know did not want to even talk to me about this?)
the clinical for the most part was assertain any medical damages through exam (ie if they over dosed, cut themselves, shot themselves, etc) first and stabilize physical health needs, secondly in most cases a social worker visits then that could be followed up by a psychiatrist (in a lot of cases its a student or resident pysch on duty not a full fledged psych doctor) or outpatient counselling is arranged.
Okay that was basically what i got from 7 different people 3 docs 4 nurses (2 of the nurses are veteran ER nurses)
Okay sorry this is gonna be longer than what i wanted but i want to explain and set it up right so its not confusing...
so lets say Mrs Green is on the edge and we say go get help call 911 (USA has 911 other countries have other processes but they are probably the same?) Mrs Green calls 911.
Okay then what, in short an operator asks her if ?'s where are you, are you trying suicide, do you have something that could hurt you, have you ingested anything, meanwhile maybe they dispatch police or a paramedic ambulance..They ask you to almost say it are you suicidal, if you say yes i am going to kill myself, then i think through this you end up in mental health (i have my own story to share but want to do it hopefully fater there are some replys to this).
the mental health system in my opinion is not great its severly lacking, I'd like to reply and expand more on this as well...
so you're in mental health or a hospital whatever and you say help me i'm a tansgednered person and i cannot go on i wanna die life is just too much!  I'm telling this striaght up the professionals as we call them do not treat the symptom they treat the disease or illness first, and as i stated if you are saying this is why i wanted to kill myself you are still treated through the very old system of well why, they listen but do not listen and try and explain that hurting yourself is not good its not healthy to say you want to die etc...
I want to say more but i hope to find that some of you guys repy to this so i can then type in my own experience with this awful situation!  I guess others have experiences as well and i am real curious to know what you went through and if you actually got any help???
Ricki




Posted on: October 28, 2006, 10:09:56 AM
Wanted to note too i am saying some of this becasue in gender situations and stuff i honestly do not believe calling 911 is helpful or seeking out regular hospital help is...
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Melissa

I have called a crisis line twice before when I was suicidal and they talked me down both times before, but I also don't think I was as far as I have been this year.  Neither time di they need to bring me in.  However, based on Nero's experience, I really did not want to go through that, nor did I feel it would have a positive result.  I needed to talk to people, not be strapped down.  On the forums, my phone  and instant messenger I was able to talk to people and I think that had a positive result.

Thank you for doing this research Ricki.  It really does not sound like something I would have wanted to go through.  I think it would have made things much worse if anything.

Melissa
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Steph

Thanks for the input Ricki.  It's information like this that makes Susan's so successful.  Like everything here at Susan's, not everything applies to everyone, however, should just one member go away happy with one piece of information that they are looking for then we have done our job.  Great information.

Thank you so much.

Steph
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Ricki

My pleasure, not as much work as it may have sounded.  But i guess if i tell what happened in my own experience then maybe it will help.
I never called a cirisis intervention line before (I went and visited with a pastor and preists, which the results were not good!).
When i had my suicide attempt it was close to home near people really graphic (shooting) and people responded by calling 911. The paramedics and all that did their nasty work and a few days after coming off life suport in a trauma hospital after seeing my family first (which of course they knew but DAH they still said why did you do this? Hello ???)
Anyway my second visitor was a pysch student.  I think she may have been briefed by my family.  She said hello know what her second question / statement was?  She said i noticed that you shaved your legs why do you do that?  (that was her icebreaker to a gender discussion?  A second year psych student) I under a lot of morphine was still sane enough to tell her to get the hell out of my room (charge on my invoice to my healthcare provider 7,000.00 for psych consult / therapy-what a joke).  You would have to picture my health at the time, I had about 234 staples in my body, another 113 stitches, my left arm was numb and locked into place i was in pian from head to toe even with morphine, was getting huge injections right into my stomach, coughed up blood, etc.  My left lung was 100% bruised right 33% bruised from the impact / shots, one went into my lung,  i had a catheter, chest tubes -  partial resporator), etc anyway i was not in superb health was in and out the first few days after that.  I had a person that stayed in my room to "watch" over me so i did not try and jump out the window or something? Funny i could not even get out of bed?
A social worker came to visit me and stated that we had to deal with my attempt although not illegal in this state it was still a mental questionable act and she said the law could mandate or 302 me, they call it against my will to a mental health institution, or i could voluntarily go for teatment.  Difference here?  If i let them mandate or injunct me it is on a police type record that you were injuncted against your will into a mental health facility (one impact that has is that's a questionare on a flyer you fill out to purchase a gun in this state, "were you ever adjucated against your will into a mental health institution"-this would flag a legal gun sale even if you had not ever commited a crime), secondly -  the plus  they could only technically of held me for 72 hours.
Going voluntarily meant they (the facility i would go to) would decide after treatment when it was acceptable to let me out and i could at least chose the facility.  the best one of reputation was in our next town over near a medium sized hospital.  I chose the voluntary one.  at the time i thought that was the best answer, i was so busted up i literally spent the first 5 days there healing anyway downside was i was only allowed asparin for pain like 2-every 6 hours what a joke!.. so i was in a ton of pain and discomfort which i let them know of hourly!  I also was allowed or escorted to outpatient treatment and therapy and a surgeon came in for regular visits, oh dear friends do not be misled i was not a non-medical charity case when transferring out of the big triage hospital to the mental health facility-all my benefit / healthcare insurance information was needed, of course to bill them. (i had a premium hmo benefit plan that covered 100% of my medical all $122,000.00 of it in bills) This turned out to be how i got out when i felt like it almost!
so anyway i was transferred in late day basically was interviewed quickly about the facility put in a room for the night.  I was literally on the thrid wing or floor where the worst crazy cases were, i quickly got transferred to a quieter less civil wing when a fight started and i was knocked over and stitches were pulled out of me due to falling into and down by a pay phone.  anyway in interview they asked about me taking stuff, meds.. i decided no medication it was my choice i did not want mind altering drugs at all, they respected that.  (i think against my will treatment i may of been forced to take something? i dunno?)  Anyway the days were very structured, very quick sessions with the onsite doctor / psychologists, 20 minutes, group sessions, and one on one counselling sessions with mental health therapists.  The doctor, first he was grilling me about the attempt and hurting myself blah blah then i said do you know what gender dysphoria is? He said vaguely?  I said define it he stated to me this was not an area of his specialty he was more concerned with saving my life and trying to make me understand that hurting myself is not good?  I said you are treating a symptom of a problem and you are not willing to look at the problem or help with a cure! 
We did this for like 9 days (weekends he did not have consults or visits.) into the second week same stuff everyday!  back and forth cat and mouse game where he did his routine and i pleaded for help for my PROBLEM that i knew i had...Third week i was feeling better at least walking some and all that.  (i did not have full use of my left arm until 11 months after my shooting so that's how long some of my healing took) In the third week same stuff okay Rich you know trying to hurt yourself is not good (they would not say kill yourself) i always correcetd that by saying you mean trying to kill myself is not healthy physicall yor mentally?  blah blah....Believe me i sound like i was being a jerk i was trying to cooperate i really was, but it got old fast they were not interested in hearing of my gender issues or what made me madder was when i dropped names of psychiatrists in the area and counselors and they would not bring them onsite for me!  End of third week, that weekend i decided it was my time to leave!  The beginning of that week Monday i believe we had our session same stuff and i said to the doctor if you do not have a trained therapist or doctor here in gender tomorrow i will be rquesting to leave, he said smartly i determine that not you?  I said well after i call my insurance carrier and tell them to stop covering the charges and that I'm not being treated here we'll see!  Teusday no therpaist i made a call to the insurance carrier customer service man was i treated well they were very interested in this got a manager on the hone gave them the details, Wednesday next day the doctor told me i was being discharged on Friday! 
Amazng huh?  On my discharge day they gave me the name and number and address of a gender therapist i could see on my own?  I was there for three weeks or three and 1/3 i forget but not once did we discuss gender really or did they get someone specialized in to help me!  I begged them, i gave them names and stuff of people in the area! 
So #1 they treated only the suicide attempt the actual act and tried this brainwashing method of telling me how bad it was and hurting yourself is not good?  Holy cripes i was not a masachist or anything? there was never an itnention to disfigure or hurt my body? DAH!!!!  Shows you how near sighted they are?
#2  even after giving names and doctors and info (i knew a lot more than them or a lot more than they were willing to admit they knew of witg gender?) they would not outsource the help that i asked for
#3 it was money and benefits that ended my stay not the fact that they think they made progress or cured me of "wanting to hurt myself"
#4 i was sick and mad at them when i left giving me a discharge with a therapists name and all that where was he in the time i was in there? Hmm
Makes you wonder huh?
the therapists turned out to be an awesome therpaists and i stayed with that guy for wuite a while but anyway...
you see how my story went?
That is why i brought it all up, the whole scene is about stopping the act of suicide or the feeling or intervention but i honestly do not feel in cases such as us where we have reasons and explanations and all that,  the health community is not concerned with that.  They are concerned with stopping the act?
like Melissa sort of said in a joking manner she would have been strapped down  somewhere?  That could have happened would she of gotten the help she needed no they would of just stopped the action.
anyway i guess its a mute point but i wanted to discuss it some.  I will not change the medical communities ways of doing things.  Federal government still has not diagnosed the gender problems as diseases or illnesses! sad!
Ricki

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Laurry

Sorry to hear about your experiences, Ricki.  My experiences with the medical field regarding this was when my son went through a suicide attempt (really more of a half-hearted attempt brought about by problems with drugs).  I took him to the hospitial where, once determining he was no longer in physical danger, moved him to the psych ward.  He was there for 4 or 5 days and then was sent to the state hospital for 6-8 weeks (of which he was only there 2).  Sad, but I think the only thing he really learned out of the whole situation was that the doctors didn't really care and the "system" is not really designed for those with "short term" problems.  Additionally, he said he learned more about ways to beat the system from other patients (how to get cigarettes and drugs) than he learned about dealing with his problems.

.....Laurie
Ya put your right foot in.  You put your right foot out.  You put your right foot in and you shake it all about.  You do the Andro-gyney and you turn yourself around.  That's what it's all about.
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