By Dr Margaret Nakhid-Chatoor
The month of September is designated globally as World Suicide Prevention Month. September 10 was World Suicide Prevention Day. The International Association for Suicide Prevention (IASP) has since released the triennial theme for 2024–2026 which is Changing the Narrative on Suicide.
There is a call to action to ‘Start the Conversation’ in our homes, workspaces and wherever there is someone struggling with suicidal ideation. This theme aims to raise awareness about the importance of reducing stigma and encouraging open conversations to prevent suicides.
It emphasises the importance of the language we use when we talk about suicide – not blaming or judging, but being empathic and compassionate, especially when asking someone you’re worried about if they’re having thoughts about suicide.
Changing the narrative on suicide is crucial for several reasons, especially in Caribbean territories where there must be a concerted shift from a culture of silence and stigma to one of openness, understanding, and support.
In Trinidad and Tobago, mental illness and suicide are still stigmatised, and persons are largely hesitant to trust others with their mental health complexities or to seek help due to feelings of shame or fear.
A narrative which is instead focused on hope and resilience, can highlight to others that suicide is preventable and can inform relatives and close friends about the signs to look out for when a loved one is in distress.
Recently, in August, a regional coalition was formed in the Caribbean, with the intent of decriminalising suicide in T&T, the Bahamas, Grenada and St Lucia. This advocacy for mental illness to be seen as a public health issue seeks to influence policymakers to prioritise mental health, improve and increase access to care, and invest in robust data collection for effective prevention and evidence-based interventions.
Part of this advocacy is public awareness of the major life crises that might trigger a suicide attempt, such as the death of a loved one, divorce or break-up of a relationship, a diagnosis of a major illness, or serious financial problems.
Red flags to note are when a person or loved one considering suicide begins to put his or her personal business in order; gives away personal possessions; makes a will or buys a firearm or other means like poisonous substances.
Let us start the conversation. It is time.
Encourage individuals, communities, organisations, and governments to engage in open and honest discussions about mental illness and suicide. By starting conversations, we can break down barriers and raise awareness. Check in with a friend or family member, share personal stories and advocate for increased and accessible mental health resources and support services, especially for those groups who are marginalised.
There are many individuals who need our help, especially young people and older folk, the two most vulnerable categories with the highest rates of suicide in this country.
Let us rally around those persons in our midst, who may not be okay. Let us start a conversation and change the narrative, reducing the stigma and discrimination around mental illness and preventing suicide, wherever and whenever we can. Take care.
Dr Margaret Nakhid-Chatoor is a Psychologist/Educator. She is the Co-Chair for the International Association for Suicide Prevention/PAHO Conference 2024.
Some step-by-step effective ways that you can start a conversation: