Transcript
WEBVTT
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Hello, little sister, also known as Jessica.
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How are you doing?
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I'm fine, Ingrid.
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Thank you for having me on your podcast.
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Thank you so much for coming on my podcast.
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I've been wanting to have a professional and you actually happen to be a professional right at my fingertips, so that's very kind of you to take your time to join me today.
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You're welcome.
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I didn't know.
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I had a choice, you didn't.
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But I still am going to be gracious and say thank you.
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So today we're going to talk about suicide and its links to domestic violence, slash intimate partner violence.
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So before we get started, I'd like for you please, to give just a bit of a background on your experience with suicide.
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Okay, well, first of all, I'm a licensed clinical social worker in the state of Florida and Texas.
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I have had my LCSW for 14 years I think roughly maybe and in my, the majority of my experience with suicide has been with active duty, military and veterans, and probably about a total of almost seven years of working with suicidality, and so I would like to say I'm a subject matter expert on that.
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It's weird for my little sister to be a subject matter expert on anything but.
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I'd have to agree with that.
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So just could you explain what an LCSW is and what those qualifications are, just to everyone knows.
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Sure, it's a licensed clinical social worker.
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You have to have a master's degree in social work and then, depending on the state requirements, you either have to have two years or three years of clinical supervision and you have to pass a national exam to be able to be a licensed clinical social worker, which means you can provide therapy, you can diagnose pretty much everything that a psychologist can do, except for some psychological testing.
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Okay, so definitely very qualified.
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Thank you All right.
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So let's start talking about suicide and domestic violence.
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I was able to obtain some statistics for you, and one of them the number, you will find interesting.
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One in three women who have attempted suicide in the past year and this is from 2021, was a recent IPV victim.
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That's insane.
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That is, that's a crazy statistic.
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Quickly, ipv.
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I know I've talked about it before, but since we're using abbreviations, I like to update just in case this is somebody's first time listening to this up to this podcast ipv intimate partner violence is what that stands for, and I also have the links to all the resources if you need them or if anyone wants them that's perfect.
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I'll put those in the show notes for sure references, not resources.
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I also do have resources, so quick, it doesn't say that article didn't say like how recent did it?
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because I guess the article was written in 2022, so I believe the stats were taken from 2021 and 2020.
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But it says that one in three is a recent.
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They were a recent victim.
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It doesn't say like how?
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recent.
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Oh I see, no, it doesn't.
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Because I guess technically they can be at risk for forever really right.
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That's actually what I'm going to.
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I do have some of the risk factors for suicide uh are coincide a lot with uh victims of ipv.
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Some of the risk factors uh a history of mental health um substance use, impulsivity, hopelessness, isolation, access to lethal means, psychosocial stressors, which could be financial housing anything to an abusive partner well, yes, I'm getting to that.
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That's.
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That's in a little bit um employment, you know, um legal, and then relationship stressors, which is a very nice way to say part of an abusive partner.
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Toxic relationships, no relationship with family.
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Yeah, so that covers every aspect of domestic violence, so the legal, the financial, the psychological, emotional.
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It doesn't, does it say?
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Did you say physical?
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I did not say physical.
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Okay, well, I'm sure this is going to play into it too.
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But I mean the victimization is associated with anxiety, depression, ptsd, fear, concern of safety, physical injury, which you did mention, and some of the risk factors for experiencing IPV, either as a victim or a perpetrator because I wanted to talk about suicide and perpetrators as well includes substance abuse, alcohol dependence, the social isolation, history of abuse, whether it be as a victim or a witness of parental IPB, and they also all those correlate with suicide as well.
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So there's a lot of risk factors.
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And it makes sense because, as a victim of domestic violence, you're stuck in this situation where you feel alone.
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So the isolation and there's hopelessness.
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Be alone, because one of the things that perpetrators or abusers do is attempt to isolate you, either physically or all those other things you listed financially and socially, whatever.
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So it makes sense that you begin to think that there is no other alternative to escape from your reality other than consideration of suicide, exactly.
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Exactly, there was also.
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So I know that a lot.
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Sometimes sorry I just jumped.
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Sometimes when you kind of think of suicide and IPV, you think of murder-suicide and that is actually pretty rare.
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It's less than 2% of the suicides from the available research I found, and so a lot of the research that has been done has been focusing on the murder-suicide aspect of it.
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So unfortunately, the data out there this is the most recent data that I found that is out there.
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But more studies are being conducted and there was also actually in the UK there was a police force, the National Police Chiefs Council, and they're doing a study on suicide and domestic violence to better train their police officers when they respond to a situation and they listed an analysis which came out last year on March 13th and the key findings from the report.
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I found this pretty interesting.
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There's a total of 242 domestic abuse-related deaths were recorded between April 22nd to March 23rd.
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There was 93 suspected victim suicides following domestic abuse, 80 intimate partner homicides, 31 adult family homicides, 23 unexpected deaths which they did not clarify what that meant.
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This part's a little sad and four quote unquote other deaths which are individuals that live with the family but were not family members, like a friend being at the home which recently in Central Texas there was a murder-suicide of a spouse and her friend in the home.
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I actually know the statistic.
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I think it's about 20% of intimate partner violence.
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Homicides actually involve other individuals outside of the victim, like family members, neighbors, people who intervene, law enforcement officers or even bystanders.
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There was some other data that I got from this report that I also found interesting.
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If you don't mind if I share, Please do.
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That's why you're here.
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Oh, okay, thank you.
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So the majority of the victims were female, between 25 and 54, and the majority of the perpetrators were male and of the same 25 to 54.
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The number of victims and perpetrators of ethnic minority remains slightly higher than overrepresented than the general population.
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Four in the five perpetrators were known to the police before the homicide occurred.
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Three in five were for domestic abuse and over a third were known to other agencies, not just the police so quickly when they're saying the perpetrator, are they saying that that's the person who committed the homicide or that's the person who killed themselves?
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Homicide, okay, yeah, that's a huge link, especially in domestic violence and aggressive domestic violence, to be released many times without letting the victim know that they've been released, and they're released prematurely, I think.
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Yes, and another thing is that the majority of the method of suicide was firearm, which we do know the danger of having a firearm, especially in a domestic violence situation, for the risk of death and then also now for the risk of suicide.
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Yeah, so risk of death.
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It increases by 500%.
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It's insane which is insane.
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Some states have laws that if you have a domestic violence charge on you, you're not supposed to own a firearm and that's where it comes in on.
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Is there a domestic violence charge?
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Because my abuser, for instance, owns firearms and I have never filed a report on him?
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mm-hmm.
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There's well to coincide that there's also supposed to be a limitation with mental health diagnoses and owning a firearm.
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And when you fill out I don't know if you remember when you filled out your concealed permit it asks if you've ever been diagnosed with a mental health disorder, and so it's self-report.
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So that is kind of a flaw in the system.
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I'm not saying everyone's mental health record should be free for all to look at, but it's just a flaw.
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I don't have a solution.
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It's just a flaw, I agree, and we aren't getting.
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We're not saying take the guns away.
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We're not saying pro-guns or anything.
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We're just saying that there are these links to what can happen.
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So I'm not familiar with the gun laws in the United Kingdom.
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Is that?
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Did it mention anywhere use of guns with those statistics?
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No, no, it didn't.
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Let's see, 10% of suspects were either currently or previously had been managed by police or on probation.
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Some of the risk factors controlling and coercive behavior, mental health, alcohol use, drug use, mental health, alcohol use, drug use those are some of the things that they found which also are risk factors for suicide.
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So another statistic I found intimate partner violence was a precipitating factor for 4.5% of single suicide events.
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So this doesn't say whether they were the victim or the perpetrator single suicide events.
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So this doesn't say whether they were the victim or the perpetrator.
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And when you combine that with homicide suicide data, it is suggested because, like I said, the data is incomplete because there's not enough research out there that IPV is a precursor for 6.1% of suicides overall, which is it sounds like a small number, but I feel like that is a very, very large number.
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Well, and you are the expert.
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Well, and to compare, chronic pain is 8.8%, job problems of psychosocial employment 6.4%.
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So it is third on the list of of reasons or not reasons precipitating events for suicide.
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So is chronic pain the number one risk factor, I think it's kind of hard to determine.
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Especially you have to go back and look and review, kind of do a behavioral health autopsy on someone's medical history and mental health history to kind of determine what the cause was.
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So if chronic pain is listed in their medical records, you can say that chronic pain was a precipitating factor, I see, yeah, is the longevity of their risk factor for suicide is because, for instance, chronic pain could be something that they could be 10 years out from their abusive relationship but still be suffering from chronic pain that they got as a result of being physically abused by their partner.
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So these, I guess it's real.
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It would be kind of difficult, maybe Again, if it's in somebody who hasn't reported the IPV, to like exactly, exactly, and so yeah the mental health you can.
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If no one, if no one is aware of the IPV happening, they just say mental health is a precipitating factor.
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So it's like I said, the data is it needs to be researched a lot more so we can try to get to the cause and put resources and suicide prevention resources again out there.
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So, in other words, again, statistics are terrible, but they're way worse than what we understand it to be Like.
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For instance, the one in three women, one in three men who are victims of physical violence or sexual violence by their partners.
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Those numbers are actually way worse because the violence is underreported.
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And so then that also coincides with the suicide, because those numbers are underreported, and so then that also coincides with the suicide, because those numbers are underreported.
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And I mean suicide's a top 10 leader of a leading cause of death in the United States.
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They've increased in the last two decades this is from 1999 to 2019.
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And it was a 30% increase over those last.
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The suicide rates have climbed most sharply for women and Black, non-hispanic youth.
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And that data ends at 2019?
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.
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Yes.
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Okay, so it was probably way worse, considering that COVID was just around the corner from that.
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They put.
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It's one of the resources that I'm going to share for you to put in your show notes and they actually came out with a whole entire report and options for people because of COVID, and they were aware that domestic violence and suicide rates were your partner is able to go to work every day, or both of you is able to go to work and escape from being in the same physical environment 24 hours, seven days a week, and then COVID shuts that down.
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So already before you're getting some sort of reprieve, and suicide might be something that you have been considering, and now you're getting some sort of reprieve and suicide might be something that you have been considering, and now you're just inundated in this abuse.
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There, I, I could complete, and, and nowhere to go, and then you can't even get if you were getting therapy.
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How are you supposed to get therapy with your abuser in the house, exactly?
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So, yeah, I imagine those numbers are insanely elevated.
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So, in regards to the adult section of suicide, survivors of IPV are twice as likely to attempt suicide multiple times than the general population.
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And that's survivors like people who are out of the relationship.
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No, you know, I didn't read the specifications, you know and that's fine, because I think the definition of victim and survivor varies from individual.
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So, like I personally feel a victim is in the relationship and may consider the understanding of what's happening but is still excusing it, like for myself, I was a victim for quite a while and then I feel that you become a survivor not when you physically get out, but when you realize this is happening to me.
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I need to get out, because now you're in survivor mode, I'm going to do this.
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So I mean it varies, because some other individuals will consider a survivor as somebody who is physically removed from the abuse.
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So back to, like, the attempting suicide portion.
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I don't know if you have anything to talk about with this, but there may be attempts as and I'm not sure if this is the correct terminology to use I know that with suicide things have changed a little bit as far as what you are supposed to say and what you're not supposed to say, but attempting suicide could be an actual cry for help, not completing suicide.
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And it may not just be I'm really sad and depressed, really sad and depressed.
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It may be like, hey, somebody pay attention to me, I'm being abused and I have no idea how else to say something about it or bring attention to this.
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It could be Suicide attempts again, it's.
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Unfortunately the definitions of attempts are also subjective, based on the level of training and experience of the person reporting it the medical or mental health professional.
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A lot times self-harm and suicide have been interjected like for each other and it's not correct.
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Self-harm is like cutting where you just like, try to physically harm yourself, not in a way to actually end your own life, and suicide attempts can also vary from.
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There's a thing called preparatory behavior.
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Preparatory behavior is where you say, like you stockpile all of your medications with the thoughts of I'm going to overdose on them later, but you're not physically doing that right now.
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That's preparatory behavior which is also very, very concerning because people are at risk for most.
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It's generally 90 days after someone does that or like goes to a store and buys a gun as preparatory behavior.
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They're most at risk for 90 days following that preparatory behavior.
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A suicide attempt could also be putting a gun into your mouth but not pulling the trigger.
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Or it could also be putting a gun into your mouth pulling the trigger knowing a bullet's not in there.
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Or putting a gun into your mouth pulling the trigger knowing a bullet's not in there.
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Or putting a gun in your mouth, pulling the trigger, knowing a bullet's in there and the gun doesn't fire.
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So those are all my definitions of suicide attempts.
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But again it's subjective on the mental health and medical professional as to what they say it is.
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That makes sense, which makes this whole suicide and domestic violence suck, obviously, but it makes it so much more difficult to identify all the specifics in order to be able to treat all the specifics, because there is such a differentiation in subjective suicide, even thoughts of wishing that they were dead not necessarily suicidal thoughts, but just thoughts of I wish I was dead.
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There are some ways to some mitigating factors that you could do.
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One of the big things is lethal means safety.
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It is trying to put some kind of barrier between that person and whatever method they want to follow through with on suicide.
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So gun locks, giving someone, a family member, access, giving them your firearm for the meantime I know in domestic violence situations that may not always be possible, especially if you're isolated you could always put the bullets in a different spot and put the firearm in a different spot.
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So it takes several steps for that person to actually go get the bullets, put them in the gun and during that duration of time, hopefully some kind of intervention can be put in place, whether it be them calling someone, calling a friend or them just changing their thought process as well.
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And same thing with medications.
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There's a lot of ways that you can dispose of extra medications around the house.
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If you're having thoughts of suicide and you want to overdose, you can ask your provider can I only get a week supply at a time instead of a 30 or 90 day supply?
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And another part of the mitigating.
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Things to do is to involve family and friends.
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That's not always possible in this situation.
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Things to do is to involve family and friends.
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That's not always possible in this situation, so it is.
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There's a.
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There's a phone number.
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There's a crisis line phone number that is the best to use.
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I know there's a domestic violence hotline.
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There's also the 988 crisis line which you can call.
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You can be anonymous.
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You don't have to provide your name.
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The only reason that they will get access to your information is if they think that you're at imminent risk of hurting yourself.
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Well, I suppose one of the concerns with a domestic violence victim in getting other people involved is I mean, there's always so many issues with that Because, again, you may not be acknowledging that what you're having is abuse.
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So I've said before, for instance, I didn't want to let you know everything that was going on because I didn't want you to judge my partner, Because how could we go to you know, how could we hang out together with you knowing everything about him.
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So that might be something that holds a victim back from getting family or friends involved.
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There's also the concern of you don't want someone to intervene so you may confide in a colleague.
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Well, what happens if that colleague is very ambitious and decides to contact law enforcement for a well check or something along those lines and the abuser's home, and so law enforcement comes for a well check on you, not for a domestic violence disturbance.
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But now that has keyed your abuser into the idea of who are you talking to and what are you saying.
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Which puts you at risk, and another, not even the physical abuse, like the emotional abuse of intimate partner violence.
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This person will get beat down and think that everything that they're saying is true and may not want to reach out because they've been beat down so much and I think no one else cares.
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This is what Absolutely that you're lucky to have me.
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You're nothing without me, nobody else is going to care about you.
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That's all part of the isolation tactics, too, right Is you know?
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I'm going to make your.
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Your sister doesn't care about you.
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If she really cared about you, she'd be here and you start to believe it.
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And so how am I?
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I'm not going to talk to my sister about it.
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I believe now my sister doesn't care about me and so yeah, which is never, ever going to be true.
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Well, I know that I'm giving it as an example.
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I probably did believe it for a little bit, though it crossed my mind every once in a while.
00:25:39.320 --> 00:25:44.969
Oh my goodness, I do still believe that You're mom and dad's favorite, but we won't get into that right now.
00:25:44.969 --> 00:25:45.509
Well, that's a given.
00:25:45.930 --> 00:25:47.230
That is 100% a given.
00:25:49.032 --> 00:25:49.353
Okay.
00:25:49.353 --> 00:26:00.363
So I'm going to interject here that if Jessica and I laugh a little bit, we actually one, we're sisters and we have a good relationship.
00:26:00.363 --> 00:26:02.404
But two, we actually have a podcast.
00:26:02.404 --> 00:26:05.106
That's a separate podcast where we do goof around.
00:26:05.106 --> 00:26:11.096
So even on serious topics we will try to laugh here and there.
00:26:11.096 --> 00:26:14.230
So we're not minimizing this topic.
00:26:14.230 --> 00:26:15.172
It's a super serious.
00:26:15.172 --> 00:26:20.058
Both suicide and domestic violence are super, super serious relationships.
00:26:20.138 --> 00:26:25.134
But uh and both, both of our passions, my passion and your passion, absolutely it's it's.
00:26:25.335 --> 00:26:32.334
The passions are colliding and every once in a while we'll make light of something ridiculous mechanism.
00:26:32.515 --> 00:26:32.994
Please forgive us.
00:26:32.994 --> 00:26:33.154
Yes.
00:26:33.556 --> 00:26:35.478
And we're probably making light of ourselves.
00:26:35.478 --> 00:26:37.299
So not the actual topic.
00:26:37.299 --> 00:26:40.503
Okay, so back to you.
00:26:40.503 --> 00:26:42.105
I think this is about to get sucky.
00:26:42.631 --> 00:26:45.035
This is so.
00:26:45.035 --> 00:26:54.376
I wanted also to look into the data on how children are impacted with suicide and domestic violence, intimate partner violence.
00:26:54.376 --> 00:26:58.434
I did not find any research in the United States.
00:26:58.434 --> 00:27:05.721
I didn't do a lot of deep digging on it because it's just a really crappy topic and I don't.
00:27:05.721 --> 00:27:06.522
Yeah, sorry.
00:27:07.329 --> 00:27:17.777
So again, your background is primarily adults yes, so I found an Australian report from.
00:27:17.777 --> 00:27:20.798
It was published in 2022.
00:27:20.798 --> 00:27:24.740
So I wanted something recent because actually there's not a lot out there.
00:27:24.740 --> 00:27:35.407
And psycho, psychosocial risk factors were the most common factors associated with suicide in Australia.
00:27:35.407 --> 00:27:40.201
So the you know things going on in interpersonally.
00:27:41.790 --> 00:27:46.181
And did it give an age range, or that's just blanket, that's just blanket, okay.
00:27:46.662 --> 00:27:46.863
Okay.
00:27:46.863 --> 00:27:52.458
So then also international studies, which were.
00:27:52.458 --> 00:28:00.195
When I looked, there was a lot of Asian studies, like there was Bangladesh was in there, there was some Indian studies in there.
00:28:00.195 --> 00:28:02.898
It was fascinating, but I couldn't find any from the US.
00:28:02.898 --> 00:28:17.298
So the international studies have specifically identified child maltreatment and experiences of domestic family violence as significant contributing factors to avoidable deaths in early adulthood.
00:28:19.471 --> 00:28:27.038
This is just so the abuse that they witnessed or experienced as a child is carrying over into their suicide risk as adults.
00:28:27.981 --> 00:28:29.877
No, these are still children completing suicide.
00:28:29.877 --> 00:28:41.184
So Australia has decided to pay closer attention as to the leading causes and risk factors of children completing suicide, because their rates have been higher.
00:28:41.184 --> 00:28:54.566
There's a recent national study of a little over 5,000 young Australians and it revealed that one in two of young people in Australia grow up with some form of domestic family violence.
00:28:54.566 --> 00:28:56.998
One in two.
00:28:56.998 --> 00:28:58.368
One in two, one in two.