this post was submitted on 13 Sep 2024
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Every show with a suicide now has a disclaimer with a suicide hotline at the beginning. Is there any evidence that these warnings make a positive difference?

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[–] [email protected] 58 points 2 months ago (2 children)

Based on what I've heard about the US's 988, it may rather be negative.

Oh, you're thinking of killing yourself, let us reinforce that by being absolutely rude, or better yet, time to get taken away by cops into a psych ward.

Let's see what's out there with some example (Reddit)
Summary: Person called 988, police showed up 90 minutes later, got taken for mandatory psychological evaluation, forced to stay 2 days in ER, ended up getting billed $6,470.

[–] [email protected] 7 points 2 months ago (2 children)

I think this kind of anecdotal horror story exists in every country, but of course it's not the usual outcome.

There's a whole chain of people involved in a process like this, and I have a hard time believing that everyone in that chain routinely locks up healthy people just to give themselves more work to do.

I think it's far more likely that there are many people who genuinely should spend a few days in a psych ward but are unable to due to a lack of resources.

[–] [email protected] 9 points 2 months ago (1 children)

The bill is a fairly unique U.S. thing.

[–] [email protected] 1 points 2 months ago

Yeah but that horror story is the same in Australia and there's no bill.

[–] [email protected] 6 points 2 months ago (1 children)

This isn’t anecdotal. It’s really quite a common response that only further traumatizes the victims and leaves them with a financial burden.

[–] [email protected] 1 points 2 months ago (1 children)

This is really reductive and doesn't really consider how complex these situations can be.

What should police or first responders do when someone is at risk of harming themselves or others?

Whatever your answer, consider that the person is already having a bad day, and there are no on the spot cures for what ails them.

Hospitals in general are not nice places to be, as a patient. If you're there for a physical illness it's still traumatic.

You don't go there to have a nice time, you go there to avoid the worst outcomes, like death.

I am certain that there are very, very few instances where people end up in a psych ward when there's better places for them.

[–] [email protected] 2 points 2 months ago* (last edited 2 months ago) (1 children)

People are there because their lives suck. Traumatizing them and putting them in debt just makes the suffering worse. Putting them through this process DOES NOT help them.

[–] [email protected] 1 points 2 months ago (1 children)

Sorry mate, this is just plain wrong.

People are there because they have complex medical conditions which require specialist personnel and facilities.

Yes it can be scary and expensive, but it's the best way to manage a shit situation.

[–] [email protected] 1 points 2 months ago (1 children)

If you are experiencing psychosis, then this will absolutely help you. If you are suicidal, it will not.

[–] [email protected] 1 points 2 months ago

That's not really true.

For a lot of people who are suicidal, a psych ward is precisely the right place for them. There are appropriately trained people to develop a treatment plan, and appropriate facilities to prevent a suicidal person from harming themselves.

I absolutely acknowledge that being taken to a psych ward against your will is going to be traumatic for anyone. I also acknowledge that in some cases the patient might end up feeling worse than they did before they went.

However, I'm certain that you can acknowledge that taking someone to a psych ward against their will is often the only way to prevent them harming themselves.

[–] [email protected] 1 points 2 months ago* (last edited 2 months ago) (3 children)

Well that last part is a US specific issue ~~and people have the right to refuse treatment~~

[–] [email protected] 19 points 2 months ago

Not if you're "deemed at threat to yourself or others"

[–] [email protected] 10 points 2 months ago* (last edited 2 months ago) (1 children)

You lose the ability to refuse treatments in any scenario the emergency responders / doctors deem you unfit to make a decision in the best interest of your/someone else health. It's why "baker acting" in Florida is so controversial. Taking someone against their will and locking them in a facility for a minimum time without any real need of evidence.

Someone calling and telling them you said you were going to kill yourself is often all the evidence they need to start the process, whether you really said that is up to the emergency responders. For my friend that was 9 cop cars in the middle of the night. They dragged him out of bed at 4am because his partner at the time said he hadn't been responding to her texts and she told them he was depressed so he might kill himself.

Once he got out he told me about it all and I'm fairly certain he won't ever sleep with his phone on silent/vibrate again. (He broke up with them immediately after, but that has nothing to do with consent)

[–] [email protected] 1 points 2 months ago (1 children)

Wouldn't that open the door to the bill being declared illegal since you didn't consent to the services?

[–] [email protected] 4 points 2 months ago* (last edited 2 months ago)

It's been argued for years, The section about involuntary placement was to long to copy and paste here but here is the bill:

The section one would argue unlawful is 1394.467 http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0300-0399/0394/0394.html

Sidenote: You also have to remember that they have to detain and hold you before diagnosing you, so they may not "force treatment" so much as hold you for 72 hours without any charges against you. Release if no charges, or detain if qualify to be held involuntarily.

[–] [email protected] 3 points 2 months ago

not if you live in certain US states and you make a threat that your are going to harm yourself or someone else. depends on the state but they can hold you for a psych eval for a few days, maybe a week