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Re:Simple words that save lives: lessons from “expert talkers” by dazc on Tuesday September 24, 2019 @02:44AM (#21057196)
I once encountered someone who was contemplating jumping from a bridge. My immediate response was to keep him talking, no matter what, because I just didn't know what else to do? Everything I said agitated him more, to the point where he actually ran across the road to the other side of the bridge to get away from me.

Fortunately, I managed to flag down a passing ambulance and a paramedic intervened. This seemed to calm things down for a while until the police arrived.

However, one of the officers had the same effect as I had and the situation became quite desperate. His female colleague intervened though and that's when the situation turned around.

I ended up sitting in the ambulance with the paramedics while the drama unfolded. Eventually, the policewoman came over and said the guy was willing to get into the ambulance so long as 'that man' is not there (meaning me). So I bid my farewell to my new paramedic friends and left the scene.

I doubt he was going to jump initially but I wonder, if it was left to just me, whether the outcome would have been more tragic?

Re:Simple words that save lives: lessons from “expert talkers” by avip on Tuesday September 24, 2019 @03:28AM (#21057424)
As a pointless counter-story, I almost ran over a dude laying in the middle of a highway. Another driver and me pulled off, drugged him to the sidewalk (he was heavy and strong, but not violent per-ce), and we sat on him until police came as he was obviously trying to run back into the cars.

[this story has no lesson, sorry]

Re:Simple words that save lives: lessons from “expert talkers” by proverbialbunny on Tuesday September 24, 2019 @04:03PM (#21064035)
As another semi-pointless counter-story, I was in SF once at a red light and I noticed a guy jumping out at cars on the road, but not actually moving towards them, just lifting his arms up and flailing.

So, my teenage self decided to teach this guy a lesson. When I started driving towards him, before he could jump at me I turned my car at him and drove right in his direction. It scared him half to death and he jumped backwards.

Re:Simple words that save lives: lessons from “expert talkers” by inimino on Tuesday September 24, 2019 @11:43AM (#21061371)
Lesson is sometimes sitting on a dude works when talking doesn't?
Re:Simple words that save lives: lessons from “expert talkers” by jwilk on Tuesday September 24, 2019 @07:54AM (#21058997)
per se
Re:Simple words that save lives: lessons from “expert talkers” by r_singh on Tuesday September 24, 2019 @04:50AM (#21057855)
dragged him*

I guess

Re:Simple words that save lives: lessons from “expert talkers” by avip on Tuesday September 24, 2019 @04:56AM (#21057886)
Thanks
Re:Simple words that save lives: lessons from “expert talkers” by raducu on Tuesday September 24, 2019 @05:20AM (#21057997)
Maybe it was just the fact he wanted to talk to a female and not a male if he was a male himself? Perhaps it made it less threatening, like when two strange dogs meet, if they are the same sex they will usually bark at each other, but if they are of opposite sex the tolerate each other better?
Re:Simple words that save lives: lessons from “expert talkers” by inimino on Tuesday September 24, 2019 @11:44AM (#21061382)
Or it could have been an example of the well-known effect that women are generally peacemakers and men and generally the ones who start wars.
Re:Simple words that save lives: lessons from “expert talkers” by hedgew on Tuesday September 24, 2019 @06:19AM (#21058335)
I worry that if the "keep them talking" -heuristic becomes widespread enough, we'll experience a cultural evolution where people flat out refuse to talk.

If you know the main strategy of your opponent it to get you talking, your most obvious strategy is to not talk.

Re:Simple words that save lives: lessons from “expert talkers” by mrguyorama on Tuesday September 24, 2019 @01:53PM (#21062827)
I'm not convinced. Plenty of suicidal situations are not already sure of what they want, and random passer-bys trying to help are not necessarily "opponents" in this situation. Sometimes (often?) it really is just a cry for help, and talking to a stranger is someone answering that cry
Re:Simple words that save lives: lessons from “expert talkers” by yread on Tuesday September 24, 2019 @03:05AM (#21057319)
Wow must have been tough for you. Sometimes the chemistry just works the other way I guess. Good on you for trying though. Have you noticed what were the others doing differently?
Re:Simple words that save lives: lessons from “expert talkers” by dazc on Tuesday September 24, 2019 @03:16AM (#21057375)
Noticeably, the policewoman kept a fair distance away while talking to the guy and didn't move forward until he'd given her permission to do so. Her general demeanour was calm and respectful and you could see the positive effect this had almost immediately.

Unlike me and her colleague who did, more or less, the exact opposite.

Re:Simple words that save lives: lessons from “expert talkers” by kqr on Tuesday September 24, 2019 @05:09AM (#21057948)
This is very important. I have had the most success when the other person feels in control at all times. Think approaching a wild horse, not saving a baby from a burning building.

Unfortunately, it is also counter to intuition for many, who just want to help and tend to swarm around the problem.

Re:Simple words that save lives: lessons from “expert talkers” by NLips on Tuesday September 24, 2019 @05:58AM (#21058194)
Don't think about approaching. There's nothing you can do if you're next to them that you can't do at a distance. In particular, you should never try to physically stop someone jumping (who is already on an edge). Given that, you may as well keep your distance anyway. The most important thing is to listen.
Re:Simple words that save lives: lessons from “expert talkers” by kqr on Tuesday September 24, 2019 @09:41AM (#21060016)
Sometimes being able to talk in a normal conversational tone is preferable to screaming over a distance.
Re:Simple words that save lives: lessons from “expert talkers” by Kneecaps07 on Tuesday September 24, 2019 @12:17PM (#21061737)
Maybe he disliked you so much that it made the female officer seem that much better. In the end, he didn't jump. Sounds like you got a win to me.
Re:Simple words that save lives: lessons from “expert talkers” by TheSpiceIsLife on Tuesday September 24, 2019 @03:33AM (#21057455)
Can you describe your emotional state?

Do you think it differed at all to the paramedics and policewoman?

Re:Simple words that save lives: lessons from “expert talkers” by dazc on Tuesday September 24, 2019 @05:02AM (#21057925)
Yes, panic. As opposed to calmly dealing with an everyday situation.

The policewoman did have the advantage of being able to close the bridge to traffic though, which also helped calm things down.

Re:Simple words that save lives: lessons from “expert talkers” by mrguyorama on Tuesday September 24, 2019 @01:54PM (#21062836)
There's a reason many country's police forces get trained for deescalation. It's not a natural or easy thing to do for most people
Re:Simple words that save lives: lessons from “expert talkers” by cm2187 on Tuesday September 24, 2019 @04:44AM (#21057832)
What is the right approach in that situation? My intuition would be humour, trying to dedramatise, make the person feel the absurdity of the act. But I have no idea of whether that would make things worse.
Re:Simple words that save lives: lessons from “expert talkers” by DanBC on Tuesday September 24, 2019 @05:19AM (#21057992)
The Zero Suicide Alliance have some very short training that they think is useful: https://www.zerosuicidealliance.com/training/

My advice would be to say hello, ask what's going on for the person, do not approach until they give you permission, do not dismiss what they're saying but hold hope, tell them that while you don't know them that you care about them and don't want them to die.

Don't for fuck's sake try to make a joke about it. This is one of the worst days of that person's life. They're on that bridge, on that train platform, because they intend to end their life. At that point in time this is the only way out they can see. It's not absurd to them.

Re:Simple words that save lives: lessons from “expert talkers” by Fr0styMatt88 on Tuesday September 24, 2019 @06:09AM (#21058261)
Thank you for posting that Zero Suicide Alliance link. I was not aware of their training but will be checking it out.

I had a friend phone me late at night a few weeks back and it took me a minute to realize what she was saying when she just said "I don't want to be here anymore". Fuck the thought of it is still haunting now.

Thankfully she didn't follow through. Still really really scary.

Re:Simple words that save lives: lessons from “expert talkers” by kqr on Tuesday September 24, 2019 @05:06AM (#21057936)
I'm not an authority, but in my personal experience that can definitely make things much worse. A person in that state might not be able to see the absurdity (to them, it's the least painful option -- which is very logical and not absurd at all). You run the risk of sounding like your having a laugh at their misery on their expense.

I'm not sure general advice is possible, but if I had to give some it would be the exact opposite: compassion; acklowledging their pain; understanding that they most likely don't want to die -- they just cannot bear living. Be a person they can talk to. Let them know you take their problems seriously, and that they have value to you, just for existing.

Re:Simple words that save lives: lessons from “expert talkers” by soneil on Tuesday September 24, 2019 @07:14AM (#21058651)
There's a men vs women trope of trying to solve the problem vs actually listening. I suspect it actually applies a lot to these situations.

Once someone's to that point, they either don't want you to help - or don't think they want you to help. If they believed it could be fixed they wouldn't be in this situation. But no-one wants to die alone, so you can offer them someone to listen.

Re:Simple words that save lives: lessons from “expert talkers” by dazc on Tuesday September 24, 2019 @05:01AM (#21057917)
I tried pointing out the absurdity and it didn't have the desired effect. At one point I said 'what can be so bad that you want to do this to yourself' and he said his son had just died. What do you say after that?
Re:Simple words that save lives: lessons from “expert talkers” by gimboland on Tuesday September 24, 2019 @05:14AM (#21057968)
Well, you start by saying you hear him and see his pain, that that is an utterly awful thing to happen to anybody, and that while you can't imagine what he's going through, it is completely understandable that he would be feeling so desperate in such circumstances. Acknowledgement is important. After that... that's the tricky bit. _Maybe_, you might say that while it feels right now like there's no hope, that that won't last forever. _Maybe_ you might suggest that his son wouldn't have wanted him to do this. But anything that sniffs of manipulation is dangerous ground, I think. The first part though, the acknowledgement, that's step one in speaking with anyone in emotional distress.
Re:Simple words that save lives: lessons from “expert talkers” by jodrellblank on Tuesday September 24, 2019 @12:33PM (#21061949)
From the Last Psychiatrist Blog[1]:

----

"TV taught you how to love, it showed you what love looks like, feels like. But when you're actually in love, it doesn't look like that, so you secretly suspect you don't have the capacity for love, that there's something wrong with you.

Same goes for sadness. And it's worse when you're in the presence of someone else's sadness, you have no idea what to do. All you really know about experiencing these emotions is the script you got from TV. "Oh your husband died!? Oh my God, that's terrible! I'm so sorry for you!!" But you don't feel any of that. Nothing.

So you think to yourself, what the hell is wrong with me? This woman's husband died-- sure, I can fake it, but am I such an empty monster that I feel nothing?

Of course you feel nothing. Why would you?-- it's not your loss. What's wrong isn't your lack of feeling, but that you think you have to feel something, that you have to tell this woman, remind this woman, how horrible is her loss. You think the only way to connect with people is to have their emotions. You think she wants to connect with _you_. You think she wants _your_ help.

The problem isn't your lack of feeling, it is that you think that unless you feel it's not real. You forget that she has a life that doesn't have you in it.

What you should say is, "I'm very sorry to hear that. Is there anything I can do?" and that's it. But that feels insufficient. You think this because you think that there is something you can do, that the sadness is not real for you so it must not be real for her and you thus have the power to change it.

She's not looking for you to be sad, she's not looking to you for anything, her loss is bigger than you. If she needs anything from you, it's sympathy, not empathy.

But no one taught you this. So you fall back on the character "man helping grieving widow." Action!

----

What's wrong isn't that you don't know what to say to save him, it's that you think there is something you can say which can save him.

I'm not suggesting you simply walk away and let him die, I'm suggesting that if your reason for not walking away is "society would judge /me/ if I walked away" then you're framing the situation in terms of you. And if your reason for staying is "maybe I can save him, I have to try", then you're framing the situation in terms of you. Only God can save him or bring his son back, you or I cannot, and he knows it - although we might not know it, and act as if we can.

Subconsciously framing it as if the most important part of this man's grief over his dead son is the part you play in it, and how it affects you, is screwy, and it's what we're all taught (by TV and media) to do.

What can you do instead? "I'm very sorry to hear that."; acknowledge to yourself that maybe his grief /is/ enough to justify suicide. Acknowledge to yourself that it /is/ a tragedy that cannot be fixed by the right words, if only you knew them. Release yourself from the bondage of having to save him, and from the responsibility of thinking you potentially can save him (and get the credit), and free yourself up to focus on him, listen to him, be there with him. Or to leave if you're only going to make it worse. Because if leaving helps him, but makes society think worse of you .. surely you can endure the hit to your ego to help a grieving man, right?

Maybe the best thing you can do is help him die with dignity and without pain, carry a message to someone for him. That's what people say they want from a true friend, isn't it? Someone to help bury the bodies, someone who can and will put a bullet in me to stop me suffering?

Or maybe the best thing you can do is let him know that you understand his suffering is bad and you would do those things for him.

By feeling like you are obliged to care, must interject, must save him against his wishes, must say the right thing, you dismiss his grief, disrespect his sadness, appear false, threaten to take away his control over his own life, and push him away. By accepting his grief, sympathising with it, supporting him, maybe you give him room to move.

And maybe he still dies. And maybe he has as good a reason as anyone for it.

And maybe he doesn't, because someone was there listening to how he hurt without trying to change it or fix it or trivialise it, or make it about them. Someone being there with him, while he suffered, without expecting anything more from him. Like a friend would.

[1] https://thelastpsychiatrist.com/2009/01/can_narcissism_be_cu...

Re:Simple words that save lives: lessons from “expert talkers” by jodrellblank on Tuesday September 24, 2019 @01:48PM (#21062761)
(NB. just realised that I'm interested in sending you a link which will fix you, then checking that it doesn't go to -1 votes instantly, to get my own validation here as "helping", instead of sympathising with your stressful and difficult situation without trying to fix it.

isn't that what we narcissistic generations built the "social" parts of the internet for, after all?)

Re:Simple words that save lives: lessons from “expert talkers” by dazc on Wednesday September 25, 2019 @02:26AM (#21068230)
It's OK to expect validation that you did a good thing or didn't do a bad thing, we are social animals. It's only a problem when this need starts taking over your life, much like any addiction?

Thanks for the comment btw.

Re:Simple words that save lives: lessons from “expert talkers” by Nextgrid on Tuesday September 24, 2019 @07:50AM (#21058951)
You could tell him that if he proceeds he'd inflict the same pain he's in now to his friends & relatives. Maybe that would work?
Re:Simple words that save lives: lessons from “expert talkers” by DanBC on Tuesday September 24, 2019 @12:21PM (#21061796)
No.

Watch the video on this page: https://www.kent.gov.uk/social-care-and-health/health/releas...

People already feel huge amounts of shame about the pain that they're inflicting upon other people. Calling them selfish just re-affirms what they're already feeling, makes them feel worse, and increases the risk that they'll die.

Re:Simple words that save lives: lessons from “expert talkers” by dropin685 on Tuesday September 24, 2019 @10:10AM (#21060344)
No! -- at least, that's not what's suggested in the (excellent) course which DanBC linked to. An eye opener for me! Don't divert the focus to others. And (this is my take) don't be talking about what the person mustn't do -- they already feel boxed in! The goal is to steer toward a positive outcome. The course deals with this (and other) points better than I can. Recommended!

https://www.zerosuicidealliance.com/training/

Re:Simple words that save lives: lessons from “expert talkers” by ambicapter on Tuesday September 24, 2019 @09:57AM (#21060179)
holy god please don't ever talk to a suicidal person in a manner designed to guilt or shame them ever.
Re:Simple words that save lives: lessons from “expert talkers” by thaumasiotes on Tuesday September 24, 2019 @11:54AM (#21061494)
Why not?
Re:Simple words that save lives: lessons from “expert talkers” by DanBC on Tuesday September 24, 2019 @12:20PM (#21061776)
Watch the video on this page. It has interviews of people who survived a suicide attempt. https://www.kent.gov.uk/social-care-and-health/health/releas...

Here's a transcript: https://www.kent.gov.uk/social-care-and-health/health/releas...

They already feel immense amounts of shame. Adding to that shame just re-affirms what they already think, it confirms their distorted thinking that everyone would be better off without them.

The distorted thinking runs something like: "Only an arsehole would kill themselves and leave their family to deal with it, and I'm thinking of killing myself, therefore I am an arsehole. And I'm so terrible that they would in fact be better off without me."

Re:Simple words that save lives: lessons from “expert talkers” by thaumasiotes on Tuesday September 24, 2019 @04:30PM (#21064301)
Does it have interviews of people who didn't make a suicide attempt because they were guilted out of it? The dangers of not making a suicide attempt are so low we usually don't even bother to call out "survivors".
Re:Simple words that save lives: lessons from “expert talkers” by ralmeida on Tuesday September 24, 2019 @12:18PM (#21061756)
Because it may backfire and increase the probability that they follow through.
Re:Simple words that save lives: lessons from “expert talkers” by thaumasiotes on Tuesday September 24, 2019 @04:26PM (#21064259)
It may also work and decrease the probability that they follow through. Every strategy has its successes and its failures. If that were a reason not to do something, you'd never do anything.
Re:Simple words that save lives: lessons from “expert talkers” by ralmeida on Tuesday September 24, 2019 @04:45PM (#21064436)
Fair enough. There is indeed a chance that, counterintuitively, "burdening" the at-risk person with the consequences of their acts may work.

However, whose "burden of proof" is it? Should "OP" provide evidence to their claim or you to yours? If no claims are provided, what should the "default action" be?

I argue that, in face of the extreme consequences of the proposed action ("burdening" instead of "no burdening"), "no burdening" should be the default action, unless there's evidence that "burdening" works (which none of us in the conversation have so far provided).

Re:Simple words that save lives: lessons from “expert talkers” by thaumasiotes on Tuesday September 24, 2019 @07:11PM (#21065681)
> I argue that, in face of the extreme consequences of the proposed action ("burdening" instead of "no burdening"), "no burdening" should be the default action

You're wholeheartedly endorsing the idea I was using to mock you:

>> Every strategy has its successes and its failures. If that were a reason not to do something, you'd never do anything.

The consequences of, in your terminology, "no burdening" are just as extreme as the consequences of "burdening". That's obvious, because they are exactly the same consequences.

And the evidence that people will avoid doing things they might otherwise do, even at significant cost to themselves, for the sake of their family and close friends, is abundant.

Re:Simple words that save lives: lessons from “expert talkers” by ralmeida on Tuesday September 24, 2019 @07:23PM (#21065785)
> And the evidence that people will avoid doing things they might otherwise do, even at significant cost to themselves, for the sake of their family and close friends, is abundant.

Rational people, maybe. People on the verge of suicide are not acting rationally.

Where's the citable evidence for the claim that "shaming/guilting/burdening suicidal people makes them less likely to commit suicide"?

Re:Simple words that save lives: lessons from “expert talkers” by thaumasiotes on Tuesday September 24, 2019 @07:32PM (#21065858)
Look at what happened when a person who was actually suicidal shared the viewpoint that worked for him, in public:

https://www.popehat.com/2016/04/21/what-empathy-looks-like-t...

With that level of public openmindedness, the citable evidence (of which this is a part) is guaranteed to dramatically understate the actual effectiveness of the approach.

Re:Simple words that save lives: lessons from “expert talkers” by ralmeida on Tuesday September 24, 2019 @07:42PM (#21065942)
I don't think I'm following here. The viewer was suicidal, but wasn't anymore when he was berated.

My interpretation from your link is that "watching videos of someone playing games helped a viewer not commit suicide".

How's this evidence for advocating berating people while (not after) they are suicidal?

Re:Simple words that save lives: lessons from “expert talkers” by thaumasiotes on Tuesday September 24, 2019 @08:18PM (#21066215)
The viewer was suicidal.

The streamer was also suicidal, and responded to the viewer's note with his personal viewpoint on committing suicide. ("People who do it are selfish and weak" -- pretty much the same viewpoint we're discussing here.) Note that, since the streamer was alive, that viewpoint successfully prevented him, the streamer, from committing suicide.

For sharing his successful views, he was made a pariah.

Re:Simple words that save lives: lessons from “expert talkers” by ralmeida on Tuesday September 24, 2019 @09:00PM (#21066497)
Nowhere in the post says the streamer was suicidal. It says they were depressed.

Even if it did, the suicidal person themselves thinking suicide is selfish is a totally different thing than someone else saying it to them, especially in a moment of crisis.

Re:Simple words that save lives: lessons from “expert talkers” by homonculus1 on Tuesday September 24, 2019 @12:20PM (#21061777)
Not likely IMO. Telling him that ending his suffering makes him a bad person is just adding weight. Suicide isn't a linear decision that can be logically eliminated; it's a vortex of feeling trapped, hopeless, guilty, etc. that needs to be disrupted somehow.
Re:Simple words that save lives: lessons from “expert talkers” by jodrellblank on Tuesday September 24, 2019 @12:59PM (#21062235)
From the "beatings will continue until morale improves" school of things.

"If he feels like shit, maybe making him feel worse will help?"

Re:Simple words that save lives: lessons from “expert talkers” by tempguy9999 on Tuesday September 24, 2019 @06:06AM (#21058243)
It would make things worse. There's not much absurd about considering killing yourself.
Re:Simple words that save lives: lessons from “expert talkers” by milgrim on Tuesday September 24, 2019 @05:04AM (#21057927)
That person is seeing suicide as the only way out of whatever they are going through. You should try to see it their way and not the other way around. Ask questions and try to be understanding.
Re:Simple words that save lives: lessons from “expert talkers” by hubert1234 on Tuesday September 24, 2019 @03:12AM (#21057356)
I think you cant take that person's word for what was actually going on in that situation. Somebody that still gets so angry about other people never wanted to kill themselves in the first place, in my opinion. They happily jumped on the option that you are annoying and so that's the escape out of that situation.
Re:Simple words that save lives: lessons from “expert talkers” by DanBC on Tuesday September 24, 2019 @05:21AM (#21058008)
> never wanted to kill themselves in the first place, in my opinion

This is a dangerous myth and it kills people. https://www.samaritans.org/how-we-can-help/support-and-infor...