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Now You Lot Know Helping The Suicidal Person: Interview Amongst Stacey Freedenthal, Ph.D., Lcsw

[Episode 119] Today's episode of the Social Work Podcast is an interview amongst Stacey Freedenthal, Ph.D., LCSW nigh her book, Helping the Suicidal Person: Tips as well as Techniques for Professionals. 

I was excited to speak amongst Dr. Freedenthal because she's come upwards up amongst 89 tips as well as techniques that y'all tin start using correct away amongst suicidal clients.

In today’s episode, nosotros speak nigh 5 of them:

Tip #10 – Embrace a Narrative Approach: “Suicidal Storytelling”
Tip #35 – Know When as well as Why to (and non to) Pursue Hospitalization
Tip #36 – Know Why non to Pursue Hospitalization
Tip #64 – Incorporate a Hope Kit
Tip #88 – Propose a Letter to the Suicidal Self


Dr. Freedenthal has been a faculty fellow member at the New York Times. You tin discover her on Twitter @SFreedenthal. 

Download MP3 [32:24]


Resources as well as References

Freedenthal, S. (2017). Helping the Suicidal Person: Tips as well as Techniques for Professionals. New York: Routledge. Retrieved from https://amzn.to/2vibkAn

Stacey Freedenthal on Twitter: https://twitter.com/SFreedenthal

Stacey as well as Jonathan after the interview, comparison the VERY similar layouts of our books on suicide, both published yesteryear Routledge. 


Transcription

Introduction
Hey in that location podcast listeners, Jonathan here. Raise your mitt if y'all were ever inwards a workshop, class, or lecture that should have got been super practical, but wasn’t. Yup, my mitt is direct upwards inwards the air. Which is fine because I’m all solitary inwards a recording booth. But I hear this all the fourth dimension from students as well as professionals. Right? Doesn’t affair if it’s graduate schoolhouse or continuing teaching workshops, in that location is a disconnect betwixt what is beingness taught as well as how we’re beingness taught, as well as what we’re expected to practise amongst the people that nosotros travel for. Now, I’m non talking nigh theory—I’m non dissing theory—I’ve seen therefore many people have got aha moments learning about, say, attachment theory, or cognitive constructivism, or—and I’m non making this up—the psychodynamic assumptions behind defence mechanisms. One of my large aha moments was learning the solution-focused axiom that the solution doesn’t have got to live related to the problem. I was like… what??? And I think that i of the reasons why teaching isn’t ever equally practical equally we’d similar it to live is because, well, unlike things travel for unlike people. Right? When I travel to therapy I similar my therapist to telephone telephone BS, to challenge as well as human face upwards me. But that technique doesn’t travel for everyone, as well as it doesn’t travel for me all the fourth dimension either. Another argue is because sometimes in that location only isn’t a sense of urgency nigh our work, as well as therefore the education, right, the things that people are teaching us, doesn’t have got to live urgent. Now, yes, people ever come upwards inwards amongst a crisis, but because it’s ever a crisis, it stops beingness urgent for us, the providers, as well as starts beingness the norm.

But in that location are a twain of topics, in that location are a twain of situations, where the teaching should live super practical. And i of those is suicide. When you’re working amongst someone who is suicidal, knowing Joiner’s Interpersonal Theory of Suicide is less helpful than knowing the tips as well as techniques for discovery the method that they’re planning on using to kill themselves. When you’re sitting amongst someone who can’t think of a argue to live, all of the PowerPoints inwards the footing won’t assist y'all equally much equally a tip or technique that tin instill promise inwards that person.


And that’s why, for today’s episode, I’m talking amongst Dr. Stacey Freedenthal, associate professor of social travel at the University of Denver as well as writer of the 2017 Routledge Press text, Helping the Suicidal Person: Tips as well as Techniques for Professionals.  This mass is great. There are 89 tips as well as techniques that y'all tin start using correct away. In today’s episode, Stacey as well as I speak nigh 5 of them:

Tip #10 – Embrace a Narrative Approach: “Suicidal Storytelling”
Tip #35 – Know When as well as Why to (and non to) Pursue Hospitalization
Tip #36 – Know Why non to Pursue Hospitalization
Tip #64 – Incorporate a Hope Kit
Tip #88 – Propose a Letter to the Suicidal Self

Now, before nosotros hear Stacey speak nigh these—and I honey how she talks nigh them—I wanted to tell a few words nigh this interview. At i point, I utilisation the term “glo up.” G-l-o up. At the fourth dimension that I used it, I thought I did a really proficient chore of making it clear what “glo up” means. But, equally I listened dorsum on the interview, I realize I didn’t. So “glo up” is adolescent slang for the transformation people travel through from beingness sort of awkward, prepubescent people to grown upwards as well as attractive. Right? You don’t only grow up, y'all “glo up.”

Now, the other thing I wanted to tell is that in that location are some times that Stacey as well as I laugh, a lot. And it mightiness seem similar it’s coming out of nowhere. True, we’re talking nigh sort of a heavy topic as well as i of the things that folks who travel amongst suicide practise a lot of is laugh. Right? Not necessarily amongst our clients, sometimes amongst our clients, but amongst each other. Right? Work hard, play hard. But the other thing is that Stacey as well as I have got known each other for a really long time. Right? We were both MSW students at UT-Austin inwards the mid-1990s, nosotros worked for the same community mental wellness agency inwards Austin, Texas – she was on the adult side as well as I was on the youngster side. And when I was thinking nigh going dorsum for my Ph.D. inwards social travel therefore that I could practise enquiry amongst suicidal youth as well as their families, I learned that Stacey had already gone dorsum for her Ph.D. at Washington University inwards St. Louis as well as she had studied youth suicide for her dissertation. And when I called her up, she gave me some bully advice nigh doctoral programs, dissertations as well as academia.

She's been a faculty fellow member at the New York Times. You tin discover her on Twitter @SFreedenthal.

And now, without farther ado, on to episode 118 of the Social Work Podcast, Helping the Suicidal Person: Interview amongst Stacey Freedenthal, Ph.D.

Interview
[06:51]
Jonathan Singer:  Stacey, thank y'all therefore much for beingness hither on the Social Work Podcast as well as talking amongst us nigh your mass Helping the Suicidal Person: Tips as well as Techniques for Professionals.

Stacey Freedenthal:  Thank y'all for having me hither Jonathan. It’s a delight to live here.

[07:06]
Jonathan Singer:  So i of the things that I think is really cool nigh this mass is that y'all have, what is it, 86 tips as well as techniques?

Stacey Freedenthal:  Eighty-nine.

Jonathan Singer:  Eighty-nine! Eighty-nine.

Stacey Freedenthal:  But who’s counting.

[07:15]
Jonathan Singer:  [Laughs] Who’s counting. So y'all have got all of these tips as well as techniques, as well as really there’s nix else similar this on the marketplace for providers. And I honey that y'all said tips as well as techniques, ‘cause it’s non only, like, things that people should know, but it’s also things that people should do. So what sort of things were y'all thinking nigh when y'all were writing the book?

Stacey Freedenthal:  Well showtime allow me only tell that’s such a bully way to set it! I hadn’t thought of that myself.

So, an overriding thing for me was that therefore much of suicide prevention as well as therefore much of what nosotros instruct students, or people read nigh suicide prevention is around assessing adventure as well as planning for safety. And those are real of import topics, of course. But I was at a conference a few years agone where some people amongst lived experience amongst suicidality spoke at the conference, as well as i of them said something along the lines of: therefore much of suicide prevention is nigh keeping people live as well as non nigh having a life. And therefore that was i of the things I was thinking nigh amongst this book, is adventure assessment is real important, as well as in that location are tips as well as techniques nigh adventure assessment inwards the book. Safety planning is real important, in that location are tips as well as techniques nigh that. But therefore I wanted to travel farther as well as speak nigh how to build hope.

[08:38]
Jonathan Singer:  So tip #10 is called, “Embrace a Narrative Approach: Suicidal Storytelling.” And I think this is therefore interesting because when I instruct nigh suicide adventure assessment as well as when folks travel to workshops, the focus really is on assessing for ideation, intent, plan, as well as I don’t think nosotros speak much nigh narrative or storytelling. So what practise y'all hateful yesteryear that? And why practise y'all think that’s important?

Stacey Freedenthal:  Sure. Well showtime allow me tell I didn’t brand upwards that phrase. I was quoting some other researchers who have got created an approach centered on hearing the person’s floor of how they came to think nigh suicide. And it’s therefore of import to me because what I notice often, non only amongst the students I instruct but fifty-fifty inwards the professional person community amidst professionals who have got years as well as years of experience, is there’s therefore much anxiety nigh “is this someone inwards front end of me going to boot the bucket yesteryear suicide?” that the interview becomes to a greater extent than nigh coming together the professional’s anxiety than nigh coming together the needs of the suicidal person. So, y'all know, no i who is having suicidal thoughts wakes upwards inwards the morning time as well as says, “God I really want respond 25 questions posed yesteryear a mental wellness professional person today.” That’s non why they attempt help, y'all know. They’re non coming into our business office to calm us down. And what they are thinking—and I hateful of course of instruction I can’t speak for everybody—but inwards many cases what people are thinking is: I experience hopeless, I experience alone, I experience similar nobody could maybe empathize what I’m going through, as well as I promise I’m wrong. I think many people are coming to a professional person to connect as well as to experience some hope, as well as to experience that, y'all know, maybe they’re incorrect as well as life tin live lived. So amongst a narrative approach, amongst suicidal storytelling, the thought is non to brand the focus on assessing adventure at the exclusion of hearing the person’s story. So, oftentimes inwards video adventure assessment interviews that my students do, when the someone playing the purpose of the suicidal customer discloses that they’re thinking of suicide, the real side yesteryear side question, y'all know, hither this someone says, “I’m thinking of killing myself,” or “I’m therefore unhappy I want to die.” And the real side yesteryear side inquiry posed is: “Do y'all have got a plan?”

Jonathan Singer:  Mmm.

Stacey Freedenthal:  “Do y'all have got the means? Do y'all have got the intent to deed on the plan?” Somebody who is thinking of suicide, they reveal suicidal thoughts, that their want isn’t to… to allay your anxiety. What they want to practise is tell their story. And it’s therefore powerful, if instead of beingness interrogated, y'all know, as well as instead of beingness asked this checklist of questions, if the professional, if this social worker or whatever sort of professional person could say, “Tell me more.” You know? “Tell me—tell me what’s happened that made y'all want to die.” So that would live the narrative approach, is tell me the floor of how y'all came to think of suicide.

[12:18]
Jonathan Singer:  And that is such a unlike feel… I mean, if somebody said, “Oh, practise y'all have got a plan? Is it general? Is it specific?” Like, y'all know, all those sorts of things. Part of me would be, like, yay! Like, y'all know these essential questions to ask. You’re getting the information that y'all demand to get.

Stacey Freedenthal:  Yeah, I mean, I think y'all know, oftentimes what the professional person is getting at when they are hollo for all these questions is: I demand to know that this someone is condom to walk out the door. You know, because I’m scared equally all get-out that this someone volition kill themselves when they acquire out my office. And, y'all know, that’s a fright therefore many people have. And, I hateful it’s a natural fear, y'all know? It’s real humbling to sit down amongst somebody who wants to destination their life. And therefore oftentimes the questions revolve around that fright instead of around the person’s demand for healing, empathy as well as connection. And validation I would add. But I practise want to tell also that you’re right. Those questions are good. How much danger is this someone in? Is it somebody who when they walk out the door they’ve got a firearm inwards their machine that they’re going to utilisation against themselves. In hollo for people to tell their story, nosotros oftentimes acquire the specifics organically, y'all know. Without in that location beingness an interrogation, the someone inwards telling their story, as well as therefore beingness gently coaxed to tell more, y'all know, that they reveal: “Ugh, I only can’t halt thinking of this,” “This is what I would do,” “This is how I would attempt,” “This is when,” as well as y'all know, as well as therefore in that location tin live follow-up questions like, “What other ways have got y'all thought of?” “Well, y'all know, I want to empathize improve what’s going on for you, as well as I’m concerned nigh your safety, as well as therefore I’d similar to inquire y'all some to a greater extent than questions.” And that tin live where, on a scale of 0 to 10, amongst 0 beingness “not at all” as well as 10 “Oh my gosh, 100%” how much practise y'all intend to deed on your suicidal thoughts? You know, therefore inwards follow upwards nosotros tin inquire those questions that give us the information nosotros need.

[14:41]
Jonathan Singer:  I really honey the indicate that having a conversation amongst somebody who is suicidal ultimately has to live nigh that someone beingness heard as well as knowing that somebody else gets them as well as understands where they are. And that the details of the ideation, the intent, the plan, they have got to live there, but that’s non the essence of the interview. And therefore y'all talked nigh the anxiety that clinicians feel. And i of the tips—you really have got 2 tips, tips 35 as well as 36 nigh hospitalization. And I know that i of the things that happens all the time, is that people say, “Oh, y'all mentioned that you’re suicidal. Go to the hospital.” And… we’re both smiling. Can y'all speak nigh these 2 tips, the “Know When as well as Why to—” as well as “When Not to Pursue Hospitalization”?

Stacey Freedenthal:  Sure! Sure. Let me tell y'all that I was at a workshop a few years agone as well as a forensic psychologist—a real highly acclaimed forensic psychologist—was leading this. And he said the infinitesimal a customer mentions that they are thinking of suicide, ship them to the ER.

[16:10]
Jonathan Singer:  Mmm. [Laughs]. Ok, therefore y'all as well as I are laughing here, but tin y'all speak through this for folks who are listening as well as saying, “But wait, that’s our agency’s policy!” or “That’s what I was taught.” Why, why is that non a proficient idea?

Stacey Freedenthal:  Sure, sure. Well as well as I think you’re right, many people they’re taught that’s what they’re to do, is this someone is proverb they want to boot the bucket yesteryear suicide therefore I demand to ship them to the hospital, either for an evaluation or I’m going to telephone telephone the constabulary as well as have got them taken involuntarily. And the occupation amongst that is, whose needs are beingness met? If it’s coming together the clinician’s demand to non experience anxious, therefore that’s non a proficient argue to hold that way. If in that location really is clear evidence that this someone is inwards danger of dying yesteryear suicide inside hours, therefore yeah, hospitalization may live necessary. Might non be, but it may be. And the argue I tell it mightiness non live is in that location may live other options to pursue inwards terms of security planning, rallying back upwards for the person, seeing the someone betwixt sessions, having check-ins, things similar that. But where hospitalization or sending someone to the ER, or really god forbid, calling the police, if that’s non 100% necessary, where that’s problematic is when it’s… when it’s non for the client’s needs, it’s for the clinician’s.

[17:52]
Jonathan Singer:  So y'all said, “god forbid telephone telephone the police” [laughs]. You know, unless you’re similar a Jewish mother, right—

Stacey Freedenthal:  You know I am Jewish as well as I am a mother. [laughs]

Jonathan Singer:  I know I know, you’re a Jewish mother. [laughs] So… therefore what should clinicians know nigh or think nigh amongst regard to calling the police?

Stacey Freedenthal:  Ok, how long is this podcast? [laughs] I’m real passionate nigh this. There’s therefore much potential, non only for harm, but for needlelike trauma to the person. And there’s really something that’s been written nigh recently, it’s sort of a novel concept, as well as that’s post-hospitalization PTSD. And the authors who are writing nigh it are really looking at people who were involuntarily committed to a hospital, as well as how incredibly traumatic that that is, for the obvious reasons of the someone is beingness deprived of their civil rights, they’re non able to come upwards as well as travel equally they please, they’re… they’re beingness kept from their theater unit of measurement as well as pets as well as friends, but therefore also for reasons that a lot of people don’t consider, as well as that’s that… that it’s traumatic. I don’t hateful to live circular, but in that location may live restraints, in that location may live real debasing handling yesteryear the hospital, in that location may live fears nigh other patients. Assaults inwards hospitalizations are non uncommon. And therefore clinicians demand to really, really think nigh what is the potential for damage as well as what is the potential for assist inwards pursuing hospitalization. And if the potential for damage outweighs the potential for help, therefore it’s non a wise decision.

But the number amongst constabulary is, non only, y'all know, that instantly the someone is beingness forcibly taken to a hospital, but it’s beingness done inwards a real populace way, y'all know. Influenza A virus subtype H5N1 lot of people who are taken to an ER yesteryear the police, they’re handcuffed. And they’re handcuffed at a fourth dimension where they experience incredibly vulnerable. They already want to die. And some people volition come upwards dorsum afterwards as well as say, “Oh! The constabulary saved my life! Thank y'all for calling them.” And those are people where it really was necessary. But other people volition come upwards dorsum as well as say… good they won’t come upwards back, showtime of all. They won’t come upwards back. But they’ll tell to their friends or family, or they’ll ship service a comment on my website, because in that location have got been many, many comments to this effect, of “I volition never tell a mental wellness professional person i time again that I’m thinking of suicide. I volition never practise that again.” And that’s non what nosotros want.

Jonathan Singer:  Mhmm.

Stacey Freedenthal:  We want people to experience that they tin tell us.

If somebody’s life is really inwards danger, therefore this is sort of a petty concern. But it’s expensive. And so, if someone’s taken to the infirmary involuntarily for an evaluation—I don’t fifty-fifty hateful in-patient, y'all know, this could live ER. So someone’s clinician is nervous, they telephone telephone the police, they say, “I want y'all practise a welfare check, because this someone hasn’t answered my telephone telephone for an lx minutes as well as they were having suicidal thoughts inwards session, therefore delight practise a welfare cheque as well as accept them to the ER.” Well instantly the constabulary come, they accept the someone to the ER, as well as when the someone is discharged there’s a $5000 bill! And there’s no sort of immunity or exemption if y'all didn’t inquire to live taken to the ER. So, again, if someone is really at imminent adventure for dying yesteryear suicide, $5000 is a small…

Jonathan Singer:  …price to pay.

Stacey Freedenthal:  …thing on the listing of priorities. Right. But if this is something that really isn’t necessary, y'all know, that combined amongst the mistrust it sews, the trauma it tin create, y'all know, all those other things, therefore it all creates a compelling instance for non involving the constabulary or involuntary hospitalization unless it’s absolutely necessary.

[22:19]
Jonathan Singer:  So when nosotros showtime started talking, y'all mentioned this thing that y'all heard at a conference which was this thought that it’s non only plenty to focus on keeping people alive, it’s nigh giving hope. And y'all have got a whole chapter nigh instilling hope. Can y'all speak nigh some of the things that y'all do, that things people tin do, ways they tin think nigh instilling promise amongst folks who are suicidal?

Stacey Freedenthal:  Mhmm sure. I hateful I think, y'all know, i of the things that nosotros know nigh working amongst people who are thinking of suicide is that they experience hopeless. And there’s fifty-fifty enquiry that shows that hopelessness is a much bigger predictor of suicide than depression. Hope is sort of the antidote to suicidal thoughts, that if somebody tin build promise therefore the suicidal thoughts volition diminish because it refutes their thought that there’s no promise for them to experience improve or to have got a proficient life.

So a large slice of edifice promise is the promise kit. And the promise kit—I have got a tip on that inwards the book—the promise kit tin live whatever the someone envisions it to be. It tin live inwards a box, it tin live on their phone, in that location are promise kit apps, but it’s a house to get together unlike souvenirs, songs, reminders that the someone has for living. And it tin live things that they’ve done, things that they want to do. It tin live letters they’ve received from people, I hateful really it tin live anything. And whatever it is that tin live a reminder, sort of a cue—a retentivity cue if y'all will—of why to remain alive.

[24:13]
Jonathan Singer:  So y'all mentioned that there’s the… that it tin live a box, it could live this app, sort of a virtual promise box, which I think is bully particularly for teens because kids have got therefore much of their life on their telephone anyway, as well as therefore to live able to have got access to that at-the-ready is really coming together them where they are.

Stacey Freedenthal:  Mhmm.

Jonathan Singer:  And it’s non only for teens, obviously, but it really meets that need. But y'all also advert nigh a shoe. Could y'all speak nigh the promise shoe? [laughs]

Stacey Freedenthal:  [laughs] Well that’s something inwards the mass that really I read inwards some other book, as well as that’s that an adolescent decorated her high-top lawn tennis shoes amongst reminders of all the things that gave her life meaning. And I really honey that instance because it really is only nigh whatever plant for that person. And the thing nigh a promise kit—some people telephone telephone it a promise box, but equally we’re discussing it’s non ever inwards a box—but the thing nigh a promise kit is, on the i mitt it’s therapeutic because it gives people reminders for why to remain alive, but it’s also therapeutic ‘cause it gives people something to do. And it gives something people to practise inwards 2 regards. One is the creation of the promise kit tin live real generative. It really tin acquire people’s imagination flowing as well as acquire them seeing things through unlike eyes. “Oh yeah! I could set that in!” “Oh wait, that’s a argue for living.” You know? So it tin acquire them seeing things amongst a fresh perspective. But it also gives them something to practise when they are caught inwards the pocket of suicidal thoughts. And they tin travel through whatever it is they’ve collected, whether it’s on their phone, whether it’s inwards a box, whether it’s inwards a scrapbook, whether it’s on their high-top lawn tennis shoes, y'all know? They tin travel through as well as review these unlike things they’ve collected, as well as it’s something they tin practise rather than perseverate nigh why they should die.

[26:20]
Jonathan Singer:  ‘Cause nosotros know that enquiry has said that when you’re feeling distressing it’s easier to access memories nigh other times when y'all were feeling sad, as well as it’s harder to access memories of times when y'all were feeling happy. And therefore this, similar y'all were saying, it is a touchpoint. It’s a way of saying, “Oh hey, happy—" Or maybe non happy is the correct word. Hopeful. There’s something that’s affirming nigh this. And it’s theirs, similar they really chose it. And therefore it’s therapeutic for them to consider that, because therefore they tin start accessing those other memories. But I also really similar what y'all said nigh how it’s therapeutic to practise it. And equally the therapist, beingness able to discover out what is it that y'all would set inwards your promise kit. What inspires you? What practise y'all discover hopeful? You can’t, y'all can’t have got that only equally an academic, intellectual conversation as well as have got it hateful the same thing, equally when you’re like, “Oh, what is that? Tell me nigh that,” “Why did y'all set that inwards there?” “What is it nigh this?” “Oh really?” Right? That is a beautiful conversation.

Stacey Freedenthal:  I agree. It’s definitely beautiful conversation. But I think there’s also a worthwhile conversation for people who don’t want to practise a promise kit. You know, because some people they’re like, “No I don’t want to practise that,” or “Oh that’s stupid,” or, y'all know, “How volition that assist me?” You know? I mean, there’s all sorts of refutations that somebody could have. And therefore to only ask, “Well, what would y'all set inwards if y'all were going to practise it?” You know? And that tin withal assist people thinking—get people thinking of, “Well… I would set inwards the ticket stub from when I went to such-and-such concert,” “I would set inwards a painting demo of this volcano inwards Hawaii I really want to consider before I die.” You know? So therefore that tin acquire people thinking, fifty-fifty if they don’t physically, or virtually, set together visual reminders of the things that give them hope.

[28:20]
Jonathan Singer:  So that’s a really proficient indicate nigh how some people mightiness really practise goodness from what I described equally only sort of similar an intellectual conversation nigh what would travel inwards the promise kit. But towards the destination of the mass y'all really speak nigh sort of a conversation that somebody would have got amongst themselves.

Stacey Freedenthal:  You’re talking nigh the missive of the alphabet that they would write to themselves?

Jonathan Singer:  Yeah, which is a really interesting idea. I hateful only inwards terms of a therapeutic thing inwards general, like, y'all know, letters to yourself. Right? And inwards fact, inwards mesh culture, there’s the thought of, like, “glo up.” These pictures that somebody volition ship service of me when I was 11, as well as instantly here’s me at historic menses 24. Look how I’ve grown up! I’ve “glo’d up.” So there’s this sense that in that location is this hereafter self. And therefore y'all speak to this. How would y'all write a missive of the alphabet to yourself at some fourth dimension inwards the future?

Stacey Freedenthal:  Mhmm. Yeah as well as I hateful I think it’s really of import inwards several ways. And i is that it tin engender self-compassion, or at to the lowest degree tap into self-compassion that may already live there, when a someone is talking to themselves almost equally a unlike entity. You know? So when they’re writing a missive of the alphabet to their hereafter self, “Hey, if you’re thinking of suicide, these are the things I want to remind y'all about.” And that oftentimes people tin tell things inwards that context that are difficult to tell to themselves otherwise. So that’s i slice of it. And y'all know, like, inwards CBT, i of the… i of my go-to questions so-to-speak is, “What would y'all tell to somebody y'all attention nigh who’s going through the same thing that you’re going through?” And so... as well as therefore again, oftentimes people tin summon much to a greater extent than pity for some other someone than for themselves. So the missive of the alphabet to the compassionate—I’m sorry, a compassionate missive of the alphabet to the hereafter self is sort of similar talking to some other person. And it’s similar to the promise kit inwards that this missive of the alphabet may incorporate reasons for living as well as things to promise for, but it also captures things that the someone has learned from the suicidal crisis that they’ve only endured as well as survived. You know, therefore the promise kit is sort of, “Here are the reasons to live as well as remain live inwards the future,” as well as this missive of the alphabet to the hereafter self is “Here’s what I’ve learned inwards the yesteryear that tin assist you.” And when somebody does have got a suicidal crisis again—and nosotros know that many people who have got thought of suicide volition think of suicide again, as well as maybe many times again—often they can’t recollect the proficient things or the things they’ve learned. And y'all talked nigh that earlier, nigh people beingness able to access distressing memories when they’re distressing to a greater extent than than they tin access promise or memories of proficient times. So that’s some other component division that the missive of the alphabet to the hereafter self serves.

[31:31]
Jonathan Singer:  Well, Stacey, give thank y'all you therefore much. I can’t believe that in that location are 89 tips inwards hither as well as we’ve really only talked nigh iv or 5 of them. It really is a phenomenal resources that y'all have got created hither as well as I really appreciate y'all taking the fourth dimension to part some of your insights amongst us.

Stacey Freedenthal:  Well give thank y'all you real much Jonathan, it was real sort of y'all to tell as well as also it was bully beingness on this podcast.

Jonathan Singer:  I’m Jonathan Singer as well as thank y'all for beingness amongst me today for some other episode of the Social Work Podcast. If y'all missed an episode, or have got suggestions for hereafter episodes, delight see SocialWorkPodcast.com. If you’d similar to back upwards the podcast, delight see our online store at cafepress.com/swpodcast. To all the social workers out there, hold upwards the proficient work! We’ll consider y'all side yesteryear side fourth dimension at the Social Work Podcast.

END


Transcription generously donated yesteryear David Viitala, 2018 MSW graduate of the University of Toronto.

APA (6th ed) citation for this podcast:

Singer, J. B. (Producer). (2018, Apr 16). #119 - Helping the Suicidal Person: Interview amongst Stacey Freedenthal, Ph.D., LCSW [Audio Podcast]. Social Work Podcast. Retrieved from /search?q=11/well/mind/a-suicide-therapists-secret-past
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