Why I Tried To Kill Myself at Penn
pennmentalhealth.tumblr.com
pennmentalhealth.tumblr.com
My kids are going to college in a couple of years. How do I avoid sending them to places like this?
People expect (and should expect) to be treated better than this by their employers. But by their vendors?
The general dismissive attitude of higher-ups and admins is that pill overdosing is attention-seeking behavior and that things like kids jumping off high locations is communicable behavior. So that's what suicide prevention folks are up against in terms of enlisting help from those on campus.
I would guess if this is a significant concern to you then you'll want to make sure the college has an active, directed, intentional position for a suicide prevention specialist or group whose sole responsibility is identifying, preventing, and treating potential suicide cases.
Because unfortunately admins and even RAs aren't always going to be the most attentive about this issue on their own.
I went to a <1000-student college, and when I had some trouble at home I had an hour-long session with the school counselor, who referred me to a nearby professional. I was also on a first-name basis with some of the deans, and they were able to help accommodate me.
tl;dr Go somewhere that you're a person and not a statistic.
And while the faculty was very strong, I sometimes felt jealous of friends from the University of Washington (the nearby Huge Research Institution) and what seemed like a more extensive CS program with more resources. I heard about some of the classes my friends took that our program didn't really have any equivalent for. I would read about some of the problem sets that sounded amazing, like a security class where you're given a VM image and the problem set is to compromise some of the programs inside the VM. Advanced curriculum like that seems difficult to develop without a lot of grad students around. A part of me has always pined for that experience I didn't get to have.
I guess it's hard to have it all.
If that's something that's still interesting to you, check out http://microcorruption.com.
I was very excited to see that for just that reason. :) I think I peaked at #24 on the day it was announced, but I'm sure I've slipped quite a bit since then.
Fundamentals are important; agreed, but the difference between knowing the theory of buffer overflows and having actually exploited one is a huge to me. Now I can say that I have actually done that, thanks to you having packaged everything up so nicely on microcorruption.com, but even that isn't 100% of the experience I would like to have, because the environment is a lot different than what I program on day-to-day.
For example, I know that I shouldn't map any memory wx (and I explained this rule in my article about JITs: http://blog.reverberate.org/2012/12/hello-jit-world-joy-of-s...), but I don't really know why. I don't actually know what an attack would look like where having wx memory around makes an exploit easier.
In either case, having that kind of memory around can only make things easier for an attacker, while by itself not being exactly a vulnerability.
College students everywhere are cruel and callous (which seemed to be one of the big factors in the story). And my school did not have the kind of therapist support described in the article---seems like Penn is probably ahead of 99% of large US schools in that regard.
I accept without reservation that this is how this person perceives the interaction with the administrator. But before accepting that this is how Penn's administrators believe they interacted with the person, or how a third party would perceive the interaction, I'd like more information. Being ill enough to be in the hospital -- even for non-psychiatric disease -- can cloud the sensorium. And this is a grave allegation.
And the other huge factor to me is what your kids want to study. A big factor in this person getting into this situation in the first place was the crushing sense of loneliness she felt at Penn due to the fact that she couldn't have real social interactions with her friends. There was always some secondary motive (studying most often) that didn't allow her to just relax and be comfortable. I went to a large state school where people certainly valued doing well at school, but where socializing and being there for each other was paramount. There just wasn't such an ingrained culture of '4.0 GPA or death' that seems to come up in these more competitive schools. I had a bunch of friends with minor to severe mental health issues and there was never any doubt about what came first - grades or friends, and this seemed to be the way I saw most people interact.
However I was also lucky to be in a field where my side-projects and initiative counted for more than anything else. If I had been trying to become a doctor, or a lawyer, or some trader on Wall Street, my choice in schools could have been a serious detriment to my career. But to me becoming a well adjusted person and learning to deal with all the world can throw at you were perhaps the most important things I got out of college. Just my 2 cents.
If a person threatens suicide and gets nothing but attention and sympathy, this can trigger a cyclical, escalating pattern of threats and sympathetic responses that can sometimes trap the person into going through with the suicide.
Here's a true story -- many years ago one of my brothers committed suicide. After a few weeks, another brother told me he was compiling a list of people he felt were responsible for the suicide. My first comment was, "Is [the suicide] included on the list?" Of course, he wasn't. My next comment was that the list was dangerous -- the suicide's son would see how attentive and sympathetic everyone was being and he might begin to think suicide was a good idea. My brother didn't really understand what I was saying, the list got created and passed around, and a few years later, the suicide's son committed suicide also.
True story.
I'm sorry about your brother. I've lost close friends to suicide. For what it's worth: I don't blame them, anymore than I would blame someone who died of leukemia for their illness. But a suicide has many victims, and I can't blame you for being angry either.
It's not a "sentiment", it's a case history. My brother created a list of guilty parties, people responsible for a suicide, but didn't include the suicide on the list. My nephew drew the obvious conclusion -- if he killed himself, this would place him outside any notion of responsibility, and he would get massive sympathy as well.
It was unbelievably irresponsible to portray suicide that way, and it had a predictable effect. But the responsibility for suicide rests solely with those who kill themselves.
> I've lost close friends to suicide. For what it's worth: I don't blame them ...
I do. To me, if suicides understand that they'll be held responsible, that they will be judged to have ungratefully thrown away the gift of life, they shouldn't expect sympathy, that might have a beneficial effect on the suicide rate.
But I can be clinical about a case I read in a blog post by a stranger, and I remain interested in your response to that case.
I didn't say it that way, either here or at the time. I only warned my brother that the list might provoke my nephew to kill himself, not that this would make my brother responsible. The actual suicide was, of course, solely the responsibility of the nephew.
Treating a suicidal person harshly because you don't want to encourage suicidal behaviour is a sub optimal strategy if your aim is to reduce the numbers or people attempting suicide and dying from suicide.
Suicide is a significant cause of death so it's probably a good thing to better understand suicidal thinking and behaviour.
Wait, what? That's not what I said. I'm saying it's a mistake to give too much attention and sympathy to suicidal ideations.
It's more constructive to think of a way to get the person to imagine something other than suicide, but in a way that doesn't encourage a repeat performance.
Another person suggested small teaching colleges. Seeing as Butler is a 4000-ish person college, maybe there's something to this. But I'd like to think that even in big colleges, the student-health-oriented administrative staff would be on their game. I dunno.
Now that's anecdotal, and your mileage most certainly may vary, but I now understand how a mis-diagnosis and an inappropriate prescription can cause problems.
(Source: several friends with clinical depression who have gone through this, plus a wife who recently completed a semester working as a psychiatric student nurse.)
Are you basing this claim on the following study?
http://en.wikipedia.org/wiki/Bupropion#cite_note-FDA-43
I'm not taking a stand on whether that study's conclusions are correct or incorrect. I'm just seeking to clarify how you reached your conclusion.
Regarding that study, Wikipedia states that "Considered in isolation, [Wellbutrin] was not statistically different from placebo." Again, I won't judge the accuracy of Wikipedia's statement. I just wanted to point it out.
FDA Warning (partial) (http://www.nami.org/Template.cfm?Section=About_Medications&t...):
"In short-term studies, antidepressants increased the risk of suicidality in children, adolescents, and young adults when compared to placebo. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24. Adults age 65 and older taking antidepressants have a decreased risk of suicidality."
The word 'friend' is used over ten times referring to some human acquaintance or other but it really seems like this person doesn't have a single real friend.
That describes happiness as a method, rather than an effect or an outcome. But it's an effect, generally out of people's control except as a desirable outcome of things that really are methods, like jogging or crossword puzzles.
Happiness isn't a switch that you can throw, it's the light that results from throwing the switch.
I feel sorry for those who suffer from depression, I have been there myself in a rough patch of my life. It seems like the author is indirectly blaming Penn, that it causes all students to "NEED" a therapist. This simply isn't true.
With that said, I am firmly of the opinion that it is not the responsibility of an educational institution to change to accommodate people who find an environment too stressful. If one finds it too difficult or stressful and the institution is providing adequate mental health services (which the author acknowledged), you are simply in an environment you should not be in. Go to a college that is more relaxing. You have hundreds of other options that will be much less stressful. Changing Penn to a less stressful environment would not make it Penn anymore. Lots of people thrive at and enjoy Penn.
I do not mean to sound harsh - it's simply a reality. It just concerns me that the author acknowledges the school makes him/her suicidal yet is unwilling to leave and lays the blame on the school for his/her suicidal attempts.
Penn can be a stressful environment, no doubt. Most of the students who attend Penn were at the top of their class in high school. Many dominated in athletics as well. For these reasons, some students are shocked by the level of excellence, and the rigor of some classes.
That said, I would be cautious to generalize this story. I know people who have received help from CAPS, and they are healthy-minded friendly students today. As with any school, the most important thing you can do is join communities or clubs where there is a collective enthusiasm for something outside of class.
As a graduate, I can confidently say I loved Penn, and my peers would say the same. I'm also glad these stories of students are being shared because there is always room for improvement.
Don't be too hard on them -- it's likely they were also struggling and making difficult choices too.
When I have a severe mental health problem why do people think that a few chats with people who have little experience of mentla health treatment is going to help?
Sure, for the mild end society really needs to be better at talking about this stuff. And it's great if people are supportive when talking about the severe end too. But chatting to a pal is 't going to fix my suicidal thinking.
I found the blog post confusing. It refers to an event from a few years ago and MH practice moves rapidly. It mentioned how tricky the author found it to talk about MH problems but then asks other people to be better at talking about MH problems. She mentions a history of depression and anxiety but she didn't appear to have good rainy day action plans or coping techniques.
I'm not sure what the takeawY is: "don't be a high stress environment" seems reasonable but you're fighting a losing battle with that one.
[1] lol as if I have friends.
Ultimately I just remember struggling so much with... "identity," if that's the right word for it. Penn basically ended up disproving everything I thought I knew about myself when I was 18. I thought I was a "high achieving" individual, then I was suddenly very average. I thought I was someone that made friends easily, then I found myself on a campus with 11,000 undergrads yet basically felt like I had no friends. I thought my ethnicity was irrelevant because I we now lived in a post-racial America (hah!), but it seemed like so many organizations there defined themselves by socioeconomic or racial lines. I thought I was good at programming, yet I felt so completely lost in my comp sci classes.
It was pretty harrowing feeling like everything I thought I knew about myself was false, and I couldn't figure out what was true, and I was still expected to achieve at a very high level while I was figuring it out. The OP's anecdote about going to Wawa really hit home, because I remember almost literally the same thing happening to me, and that's all it would take to feel like nothing made sense anymore. Am I really the kind of person who doesn't have a single fucking friend out of 11,000 undergrads that would take a 10 minute break to grab a sandwich?
The OP seemed to blame Penn as an institution, and I do think these selective universities could do more to recognize that some of their students will basically feel like they've been abruptly thrown into a crucible, and it's not always painless to adjust. The OP advocates things like publishing suicide rates, but I think that's just another way of advocating, "please tell everyone they don't need to pretend everything is great, because I've felt fucking miserable sometimes and I don't think I'm the only one."
There was a guy in my freshman dorm that basically did "crack" and abruptly withdrew for the semester, and I just remember everyone just kind of smirking about it. "Yeah, Sean went nuts or something. Was spazzing out over a midterm and then next thing I know, all his stuff's packed and he's gone. Guess he couldn't hack it."
I didn't smirk. I just remember feeling sad and wishing Sean had said something to me. Feeling overwhelmed apparently meant "going nuts." Was that fair? That didn't seem fair. I don't think Sean would have thought it was fair either. Maybe we could have gotten a sandwich at Wawa and talked about that.
Going to Penn is basically accepting all of the expense and pressure of attending Harvard or Yale, without the prestige. And in my mind, the only reason to put up with the expense of those schools is the prestige. It's not like you can't get a great education at far cheaper schools.
[1] other than to say that the story of the relationship with an emotionally abusive pre-med boyfriend isn't terribly surprising.
To colleges, create a system that makes it easy to organize such clubs and maintain them. Like a college centric meetup. Set it up and promote the hell out of it to the first years. Perhaps there is a startup opportunity here, to make the system and sell it to colleges! Facebook works well for this, but it would be easier to do this if there was a central repository of different group that college students have started, and a simple way to request university resources, like rooms, etc.
On suicide, this may sound cold, but if you want to kill your self, do it. Honestly, I feel it's every persons right to dispose off with their life as they will. But DO NOT threaten suicide as a way to get attention! Doing so is no different then you taking someone as a hostage and threatening to kill that person just to get attention. You are basically saying to the world "Pay attention to me, and if you do not, someone is going to die, and it's YOUR fault." If you feel really sad, call your friends and be honest, tell them that you feel really sad and you NEED someone to talk to desperately. If they are your true friends, they will make time for you. I would, for any of the people I call friends, no matter the time of night or what ever. And if they ignore you, telling them you are going to kill your self isn't going to change anything, they are not your friends, and they don't give a shit. Call your parents or family, if that's an option. Parents may seem like distant and not understanding at that age, but in most cases they will stick by you even if you have no one else.
Finally, just food for thought, my dad once told me this about evolution: In nature the "winners" are those creatures that pass their genes on to the next generation, and the "losers" are those creatures who's genetic lineage is cut off. Just based on the fact that you are alive today you can be assured that you come for a very, very, very long line of winners. So, when you feel down on your self, just remember, there are millions of generations of creatures which came before you. They figured out how to succeed in life, thus making you possible, and so will you, just give it time. Just about the only way to lose in life it to stop playing. So check out if you like, but if you stick around, the odds are on your side.
Society makes it worse by kicking such people when they're down and making it a lot harder for people to pull themselves out of depression and get the recovery they need.
For example, when I missed a midterm exam because I was in the hospital after my suicide attempt, my professor did not allow me to make it up.
See, it's shit like that. One period of illness and now you're playing for a D+. One slip and your life just might be fucked.
Ok, and here's why this will never improve in American society. We run this contest of superficial reliability at relatively easy (intellectually speaking) work, and our corporate overlords are selected based on who drops last. Usually, the culling agent is a short-term episode of anxiety or depression (or "burn out") in a normal person. They're considered "the weak" and pushed aside. That is why our society cannot, on the terms it lives by now, ever accommodate these genuine (and serious) medical problems.
As it's structured now, society is more about competing for position than excellence, and the result of that is that people have to be kicked when they're down.
I would argue for scrapping the whole thing (society, that is), rethinking all assumptions, and gearing our society toward genuine excellence (and toward helping the sick, unconditionally) rather than mindless, senseless competition... but that's just me.
It transpired they had tried to reach help online, the place where most youth head these days, but instead of help they received encouragement to kill themaelves.
Cracking the very tough nut of getting people actually talking would save more lives and disrupt more attempts.
also not sure how this story relates to hacking, computers, etc
Why didn't the college do more? Because it's a place intended for learning, not mental health rehabilitation.
If I was the only person on Earth, I wouldn't kill myself. Life isn't about feeling happy all the time.
If you would feel way worse most of the time, then maybe you would kill yourself. And if you would not, is that morally superior behavior and if yes, why?
In the latter case, you can kind of ignore it a little, in the former it's right in front of you, teasing you, but just out of reach.
You simply don't understand the mind of the depressed, so what you would do or wouldn't do doesn't matter in this discussion.
Being alone is not "an issue", as the common status quo of occidental society tries to make us think.
Correct me if I'm wrong but I assume the following about the author: 1. He's an american. You were lucky to be born in a first-world country where you can really get to be EVERYTHING you want. Yeah, even with all the "McDonalds/Starbucks/DumbAmericans" criticism being born here gives you access to many things that 90% of the world population can only dream of. 2. He's a middle-class young man. Society, your family and the people that care for you set everything up so that you can go through this period of your life without worrying about anything else than GETTING BETTER AT THE THINGS THAT YOU LOVE in order to earn yourself a place in society that you will enjoy for the rest of your life. 3. "This same nurse was present when some of my friends came to visit to wish me a speedy recovery from my allergic reaction. After they left, she looked at me and said, “Look at all those friends you have!” " - He can be a cynical asshole as much as he would want, but the fact that he had people that took some time to visit him at the hospital because he was ill (i.e. FRIENDS) also makes him a very fortunate person.
What I'd like to say to the author of this post is this: I don't want to change your mind and I don't care, I just want to tell you what's going to happen next. Ten years from now you will meet someone who didn't have half the things that you have access to now, this person will be happy with his/her life and you will still be bitching about how terrible yours is "because of the government", "because of a significant other(or lack of it)", "because money", "because... because... because...". The day you stand in front of this person, you will see the person that you had been if you weren't just a little pussy and that day you will enter a state of depression that is nothing like you have ever experienced before; definitely not the kind of depression that you are used to see on your teen movies. And that day you will kill yourself... and that's it, that's you.