A couple of months ago I wrote about my decision to enrol for the ASIST training workshop. Devised by Living Works to enable people to deliver “suicide first aid”, the course is delivered in Ireland by the HSE (National Office for Suicide Prevention), co-ordinated by the HSE Regional Resource Officers for Suicide Prevention and most importantly, it’s available free of charge to everyone, though places are limited.
At the time, suicide was in the news (even more than usual), and it got me to thinking; if the State is going to continue to fail people who are in immediate danger of suicide – and there is no disputing that it is – then the rest of us had better damn well start equipping ourselves to deal with it, and fast.
My reasoning? Once upon a time, I told someone I was close to that I felt so low that I didn’t want to be alive any more. I can still see the look of panic in her eyes, but despite her best intentions I felt even more hopeless and alone after the conversation ended. Late that night I put on my coat, sneaked out and sat numbly for a long time in the cold by the river, weighing up the pros and the cons of being alive. I decided that the pros were few and far between and the world would probably be a better place for everyone else without me in it. But for some reason or another, I decided to go home and sleep on it. The next day brought a different conversation with someone else, with a far more positive outcome. However, many others have left their homes in a similar state of mind and never returned.
Fast forward a decade and a half, to a time when we have realised that far more people than we realise have experienced depression, mental distress or have felt suicidal. There is far less shame in talking about it now, but many of us just don’t know how. We’re afraid of putting someone under pressure, of burdening someone else with our problems, or if we’re asked for help, we’re afraid of saying the wrong thing, or not knowing where to get professional help.
Thinking about my well-meaning friend, and putting myself in her shoes, I realised that even having felt suicidal myself in the past, all these years later if I were placed in a situation where someone told me they were suicidal, I still wouldn’t have a clue how to deal with it. Neither would I know where to look for help if faced with an emergency. Over the two days spent attending ASIST, I learned something very valuable. The help is within each of us.
Though the HSE offers a number of workshops around the topic of suicide prevention (and I’m sure others do too), covering general awareness of and alertness to the signs of suicide, ASIST is an intervention workshop, which means that it’s designed to equip you to intervene in a situation where there is a strong and immediate risk of suicide and ensure that the person at risk is kept “safe for now”, while putting in place supports to help them through this crisis period. The workshop also trains participants to seek a shared understanding of reasons for suicide and reasons for living. For some, this can be as dramatic as “talking someone down” from a dangerous position; for others, it can be interrupting the planning process or planting uncertainty about the decision and helping them to focus on reasons for living.
So, having completed the two days’ training, what’s the verdict?
Well, first and foremost, it does what it says it will. I can confidently say I would feel far better equipped to intervene in such a situation now than I would have this time last week. Basically what the training does is:
- attempt to explore – and subsequently remove – your own biases and attitudes towards suicide, so that they don’t influence the intervention.
- It gives you a clear “pathway” or model to have that conversation with someone, bearing in mind that such conversations can be long, circular and challenging.
- It does not focus on long-term problem solving; merely a “safe for now” approach,
- and at all times, it acknowledges the need to protect the wellbeing of the person who is intervening.
The course is two full days, though they are shorter than average with lots of breaks and plenty of tea and coffee. We had two trainers and broke into two smaller groups of about 12 people. The sessions are mostly interactive – and while many people (myself included) shy away from group work and role play in sessions like these, it’s absolutely essential to contribute, or at least to witness, if you’re to feel confident working with the model. And you will. And it’s not all doom and gloom – there are plenty of laughs too!
One incredibly important thing I felt ASIST did was was to acknowledge that not everyone who dies by suicide has experienced mental health issues. This is a point I feel is frequently lost. It also acknowledged the effect of alcohol on our mood and decision-making. And it also acknowledged that as a caregiver, even if you intervene to keep someone “safe for now”, you may not be in a position to provide further care, and that is fine – you can seek assistance or hand over responsibility if you need, once you have intervened.
Given my own experiences I was apprehensive about attending, and make no mistake about it, the two days are tiring and emotionally draining. If you’ve recently lost someone to suicide, or felt suicidal in the past, or are feeling unwell in the present, it might not be the best environment for you. So bear that in mind, but on the other hand, learning to work your way through the model and equipping yourself with this knowledge and confidence is empowering too.
I won’t go into much more detail here, apart from to say that I would highly recommend attending this training. It’s available widely – and for free – through the HSE National Office for Suicide Prevention along with a lot of other related courses – check them out here. You’ll need to contact your local Regional Resource Officer for Suicide Prevention to get the latest local info. And please feel free to drop me a line or comment below with any questions and I’ll do my best to answer.
For those based near me in Mayo, the next ASIST training takes place in the Ballina on Tuesday 31st May and Wednesday 1st June – contact Mary for more information.