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Managing thoughts of suicide & self-harm

TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Trigger warning: discussions on suicide. I'm ok right now.

Last week I "attempted". Badly. It was only really half-a***d. I failed obviously.

Yesterday, I saw my psychologist and brought it up. I thought it would be worth mentioning given that's what they're meant to discuss.

Well, apparently just mentioning this triggered her duty of care and she called EMS on me. Important to note I didn't say anything about going to do it in the future. Just that I had tried recently.

Weirdly enough she also said I had to leave the offices as I was the last appointment and they were closing for the day. That's fair enough, but I was put in this weird situation where I had to "race" emergency services back home. They got there before me. They knocked at my door but of course I didn't answer so they thought the worst which made things even more awkward. Luckily I wasn't far behind and I met them on the street outside.

I explained the situation and they agreed it was silly to call EMS for a past attempt and let me be. It was a complete waste of their time and resources and it embarrased me in front of my neighbours.

So, I've known how duty of care works and so never mention anything about any current thoughts of suicide. I've been through EMS and the public mental health system here and it makes things worse (for me, my personal experience). So my personal rule is to just not talk about current s***idal thoughts, at least not very, very carefully, for fear of triggering this kind of response. However, now it seems I cannot talk about past experiences as well.

With every new mental health worker I engage with I ask them to clearly outline their duty of care and what can and cannot be discussed safely. This person was no exception. However, they said nothing about talking about past experiences.

How can I talk about s***ide without actually talking about s***ide?


And would anyone know what my recourse is? Not only did the ambulance service's time and resources get wasted, I was put in a very stressful and embarassing situation, and obviously cannot see this therapist again erasing any progress and work we had done. At the very least I feel the way they behaved was not appropriate and violated my privacy. Would anyone know what I could do?

Many thanks

4 replies

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In response to: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Re: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Hi @Jlol, Thank you for sharing your experience. I can hear how distressing and frustrating this has been for you, especially feeling embarrassed and unsure about what you can safely talk about in future sessions.

In most mental health settings, it’s important to be able to speak openly about suicidal thoughts and experiences, including past attempts, as clinicians may need that information to support your wellbeing and assess risk appropriately. It’s understandable that this experience has left you feeling uncertain about that.

Regarding your concerns about what happened with the psychologist, you may wish to raise a complaint if you feel the response was inappropriate. In Australia, this can be done through AHPRA (Australian Health Practitioner Regulation Agency) or the relevant health complaints body in your state or territory: https://www.ahpra.gov.au/Notifications/Concerned-about-a-health-practitioner.aspx

I’m really sorry this experience has left you feeling shaken and unsure about engaging with support. Thank you again for sharing it here 🌻

In response to: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Re: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Hey @Jlol, thank you for sharing your experience with the psychologist recently with the community.

I just want to echo @Nala2022 words and how challenging this interaction with the psychologist and EMS must have been. Our feelings and emotions are already at a heightened state in my experience after an uncompleted suicide and having to deal with the EMS in the way that you describe sounds like it would have been uncomfortable for me too and anyone I would expect.

I hope the community has some insights to share with you as I'm sure this would be an interesting discussion for many your peers.

I also found this page on the internet with more information about making complaints about mental health service providers and thought I would share it with you: https://www.health.vic.gov.au/mental-health-and-wellbeing-act-handbook/safeguards-protection-of-rights-complaints/complaints

I am glad you have had the opportunity to share this with the community and I encourage you to continue to have this conversation with your peers.

Take care

RiverSeal

In response to: Re: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Re: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Thanks @RiverSeal

With complaints it is very hard and I want to avoid it if possible.

This is why:

I did call up the place and speak to a team leader there. I explained that whilst I understood it was reasonable for them to call EMS if somone was saying they were going to s***ide in the immediate future or present, I didnt understand why they would call EMS for a s***ide attempt that had happened in the past. She said that they consider the last few days to be in the "present".

I replied saying that it didn't make sense and that the universal agreed term of "present" would be something like "the period of time occurring right now" (eg and for the record: Miriam-Webster's definition: "now existing". Oxford: "the period of time now". Cambridge: "the period of time that is happening now, not the past or the future"). I said I felt it was pretty silly to argue semantics but she insisted. I asked how long her understanding of "present" stretched for and she said "maybe months". I asked that if you talked to them about a s***ide attempt that occured 2 months ago could they call EMS on you? She said yes.

This is what I mean. Talking to psychologists often feels like talking to lawyers. They're very, very good with words and will massage the definitions of words and phrases to suit their desired outcomes. And any complaint you make goes up against teams of them who have each others backs. And at the end of the day, if you go to a thrid party arbiter, they will just cherry-pick the content of the conversations you've had to make you look like you were the one who "misunderstood" the situation.

It's never talked about, but psychologists have this scary power to take away our freedom. Sometimes, yes, this is absolutely justified. But when it's not it's impossible to express your concerns and have them taken seriously, let alone get any recourse or closure. This is made worse in that the bodies you are meant to express your concerns to just don't want to deal with this "icky" mental health problem. We, as a society, are so willing to defer anything to do with mental health to the experts we never stop to examine whether some of these experts are behaving inappropriately.

I mean, just to illustrate my point and not to conflate my experiences with something far more serious, but how long did we as a society trust these experts when they all said LGBT people were mentally unwell?

In response to: Re: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

Re: TW: Got EMS called on me for talking about a past s***ide attempt. How am I meant to talk about this?

@Jlol, sometimes it seems to be about the risk to the organization rather than the client.

You can chat with a volunteer lived experience peer via Roses in the Ocean Peer Care Warmline https://rosesintheocean.com.au/peer-care-companion-warmline/

They have a 000 policy of not calling 000 unless the person is terminating the phone call and saying they are going to take their life now. https://rosesintheocean.com.au/our-000-position/

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