On not being against it

If you’re not on Twitter, or in Vancouver, or a child of the 80s who follows its remaining pop culture, then it might be a shock to you that Andrew Koenig, the actor who played Boner on Growing Pains, was found in Stanley Park today. He came to Vancouver to kill himself, after living a long time with depression, going off of his medication a year ago, and giving away all of his important possessions at home in LA.

Now, with all due respect to his friends here in Vancouver, and his family and loved ones, who I’m sure are feeling the worst pain they’ve felt in a long time, I’m going to say something that I’m sure 99% of you will disagree with, and the 1% that doesn’t, will probably stay silent about…

I don’t have a problem with suicide.

Yes, it’s a selfish act, usually not fully necessary, and always hurtful toward the people who a depressed (or sick) person is loved by, but it’s a human right.

I also, since I’m going out on a limb here (bye, remaining two readers), don’t have a problem with pre-arranged, full-faculties-based euthanasia.

Here’s the thing about suicide.

When people are really in the thick of it, when they’ve planned and fantasized and all they can think of to find peace is ending it, that’s what they have. It doesn’t matter that there’s a mom and a dad, they’re in constant pain. It doesn’t matter that people tell them they’re loved, because they’re unlovable. That doesn’t get erased because they choose to pick up the phone and call a 1-800 number, or a crisis line – not if it’s a serious, in-your-guts-cancer of the soul.

I appreciate that people come back from being suicidal and after unsuccessful attempts. That’s valiant and the effort it takes is something we should all be proud of, and our loved ones (and we) should celebrate every. single. day. they’re blessed with our presence (and the ability to tread above ground), because it could have not been.

That’s not what I’m addressing. I’m not thinking in terms of gray – I’m speaking of the people who have, for a large portion of their existence, so that it’s become all they know and there is no way to unknow it, terminal depression. I’m talking about the people who genuinely wish they’d never been born, who can only associate their life with hurting others, who see no possible respite, whatsoever from the darkness.

We all have a right to govern how we treat our own bodies. I have no right to tell you that the McDonalds, Jack Daniels, sunshine and an SUV is a form of slow suicide and that you should seek out help, immediately. But I can encourage you to find new ways of coping, yeah.

When someone commits suicide, there’s always this cloud of shame over it. This, ‘aw, that’s too bad. Best thoughts for their family and loved ones‘ that cloaks the simple message that I think we all neglect to note in such a situation: this person is no longer in pain.

When a friend’s grandfather passes away of cancer, what do you say to them? I’m sorry for your loss. Do you need to talk? And eventually, when it’s not insensitive, He’s not in any pain, anymore.

Psychological pain can be the worst kind of sensation a human has to deal with – trust me, if you don’t know it, already. There is no ‘not alone’ when you’re in the dark, in your own head; there’s no opiates that can dull it all forever (without being an accidental form of suicide); you can’t wake up one morning and decide that you’ll change, say the right things at the therapist’s and take the right pills and poof!

Deep psychological pain – the kind that drives a person to the really, serious, planning, no-going-back, happy-once-the-decision’s-made suicides – takes forever to work through. And when living with it has been all of the effort someone could muster for the last six months, year, decade, or lifetime, then fine, I hereby grant them the right to say, “fuck off. I don’t want to try anymore.”

I know how insensitive this post is. I know how too soon. I know there are tons of people who will never ever ever in a million years agree with me. And that’s fine. That’s your opinion. But here’s mine, in a nutshell: his friends and family are heartbroken, but he’s not anymore. His friends and family were heartbroken, while watching him feel broken all of the time, and now that’s over with. He didn’t hurt anyone intentionally, even if his actions did, ultimately, and from what I can surmise, he was very private (and respectful) about his method. What I’m saying is, ‘That’s awful,’ about his depression, not his solution to it.

Don’t get me wrong, I’m happy that none of my four attempts were successful, and I’m 99.98% sure that I will never make another attempt at suicide because I’m confident that it would ruin my daughter and that must never ever ever happen. Oh, and I’m happy and not suicidal. But. And this is a huge but.

If I get cancer, or another terminal disease, I reserve the right to party for as long as I can, and celebrate my life, and then end it on my own terms.

That was my father’s plan, originally – but he was so in the thick of denial about his impending death, he didn’t have the chance to do much more than refill prescriptions before he was in a hospice. Four days later, he was in a coma. Three after that, he died, in an incredible amount of pain, with fear and feeling humiliated. There wasn’t anything I, or anyone, could really do at the hospice to ease that pain for him, except for the one statement I could push out to the nurse after he told me that he was scared, “Put him out. Max his ativan and opioids. Bring him as close to it as you legally can, so he doesn’t have to go through anything, anymore.” And they did. And I was thankful on his behalf.

Cancer. It’s an ugly word that people associate with hair loss and chemo, radiation and pink ribbons. It kills, it causes people to rally, it’s like every other person you know has been touched by it. What’s cancer, besides a fucking asshole? It’s cells that grow abnormally. Fast, where they’re not supposed to, virulently. They take over.

What’s clinical depression? It’s a neurons that fire abnormally. Too fast, not enough, sinisterly. A product of nature or nurture or both, neurotransmitters spread like wildfire or forget themselves and rarely come out to play. It’s like every person you know has been touched by it.

I know it’s not the same, and that I might have offended a whole other group by drawing a parallel between the big C and the still-often-whispered little d – but to me, the similarity is clear and strong. No one wants cancer, and it eats you from the inside out, unless you can stop it; no one wants to be depressed, and it eats you from the inside, so there is no out anymore, unless you can stop it.

Sometimes, suicide is the only way to stop it.

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  • al_pal

    Great post. I remember talking about this a bit with you, regarding my friend who killed himself last year: the PTSD was just too much; he was afraid to sleep for fear of the dreams... Poor guy. I'm glad that we [his friends] got to have some quality time with him in the year before he left us.

    I don't believe in Hell--but I do believe in Afterlife School, for people who've done truly bad things. I don't consider suicide to be a sin, or one of those Truly Bad Things. ;p

    Glad you've enlightened some folks with this post. ;)

  • JoVE

    Excellent points. Your point about suicide and depression reminded me of a family friend who killed herself a couple of years ago. Someone who saw her (she jumped in front of a train) right before she did it reported to her mother that in that moment she was calm and smiling. Which I think confirms your point. Her family were most sad that they hadn't realized how bad it was and hadn't helped enough. Horrible to go through but, yes, she is no longer in pain.

    I agree about assisted suicide and euthanasia, too. Too much of the debate seems to assume that other people will be making the decision and takes the focus off the fact that individuals should have some control over their lives.

  • I think what also bears mentioning is this phrase "hadn't helped enough". What is enough? Whatever it takes, so that they don't end up dying? What if that puts them in more pain? Is it worth it then, or is that just selfish?

  • AngelNicki

    I think thats an interesting way of thinking about it, because if someone has been seriously ill with, say, cancer, and it has been causing them debilitating pain, if they eventually die we say, "Well, they are out of pain now, they are at peace." I think people sometimes think about suicide differently because a lot of people do NOT believe that those who commit suicide have peace when they die... they think those people go to Hell, or get reincarnated into more horrible lives, or whatever. I don't personally believe that, but my stepsis's dad committed suicide and thats what people often told her, that he was going to Hell.
    It can also be hard when friends and family members feel like they could have prevented it. If someone dies of a physical disease, most people assume the doctors did everything they could, but when it is suicide, people think, "Maybe i just could have loved him a little more or helped him a little more..."
    I have severe depression and sometimes have thought of suicide, but talk myself out of it, and am sometimes worried that what if I WASN'T able to talk myself out of it in time? But in this case, when the person has given away all of his things and traveled to a specific place to die, it doesn't seem like an impulsive decision at all.
    Either way, death is just sad... but I hope he IS at peace.

  • You know, I'm willing to wager that the week or so that he must have had between putting his plans into action and his last breaths were incredibly peaceful for him.

  • Just before I left work a man that I had worked closely wih for many months committed suicide. It was shocking and upsetting to me that he ended his life. In the days after I spoke to a mutual friend who had also suffered from depression for years. This second man told me that I shouldn't feel bad for our friend that committed suicide - that life was obviously so bad for him that I should feel happy he was out of torment. Although I can't say that I feel happy that my friend died, I do understand this point of view. Still I do wish he could of been one of the ones that managed to come out the other side of his depression.

  • Of course. And don't, please, think for one moment that I don't wish everyone could/did, too.

  • amei888

    I'm not meaning to argue with you with my comment. I understand ending life on one's own terms when a terminal illness is concerned, agonizing physical pain. My late-husband died of cancer in 2003 when our daughters were 3 and 5. He wasn't trying to overdose, but when he was in agonizing pain, of course he wanted a pain pill an hour before the next dose was due. He let me know when it was time to open the Emergency Pack in the fridge, the one with the liquid morphine in it, he could no longer swallow a pill. He was right; he died the next day while sleeping.
    Many won't agree with me, but I think people who are depressed (which I have been, seriously, who wouldnt be spending 2 years watching the man I started dating at 14 die)
    need to think about whether the pain they are feeling is worse than the pain they will cause their parents, siblings, spouse will feel after they kill themselves.
    I understand your stance. We would never allow our beloved pet to suffer. We would have them "put to sleep" b/c that is the kind thing to do. I agree that it is equally cruel to force a terminally ill person to continue suffering until their body just gives out.

  • I'm so sorry. So amazing sorry. I would hug you and cry all over you if you were here right now. Of course, you are entirely allowed your own opinion. As far as I'm concerned, you're a survivor.

  • Wow. I think this is the first time I'm reading your blog, but still, I just felt compelled to comment even if just to say wow. The way you describe depression is right on. I am not sure if I agree with your conclusion, but it is certainly something to think about. Your articulated a point of view for many that is an eye opener. And that is an amazing thing.

  • Well, thank you. That made me feel incredibly bright and I doubt my head will fit through any doors. :)

  • Chris

    WOW!!!!! I have to say that you completely gave me a new perspective that I had never considered and from the standpoint of mental illness would not have been able to because I have not lived with it and I have not experienced it this severely with anyone I have been very close to. I have however experienced the terminal illness of my mother and best friend as she battled cancer and that I can very much relate to. So I thank you for this perspective and for having the courage to write about it so openly and sensitively from the point of view of someone who has been to that place. The world is blessed that you returned and can share so beautifully your experience with the world so we can expand our minds and offer more love to these tortured souls and their families in such a horrible situation. When they too should just grieve and not feel shame. I don't know that there is ever a time that "at least they are not in pain anymore" is a true consolation for grief but shame should never be a part of losing someone you love so much!

  • Thank you. I really really hope that you never see the dark side, and I'm sorry that you've had to experience cancer twice with loved ones.

  • I don’t really understand the intricacies of depression. I’ve never been depressed myself, and I’ve never really faced it full on with friends or family. That said, the idea of suicide as ‘the only way out’ makes me bristle. It makes me angry. The thing about killing one’s self flies in the face of my belief that we are connected, that we are not islands even if we want to be. When we make bad choices, or good ones, that has a ripple effect across the web of that connectedness. Suicide as a solution to personal pain slaps this important concept in the face for me.

    Again, this could come out of my lack of experience when it comes to clinical depression. But, as I understand it, clinical depression is a disease that affects brain chemistry to the point where it can make one think that life isn’t worth living, even when in reach of those who love you. So, suicide as a result of this disease in these cases, it seems to me, is a result of being duped by one’s own mind. It’s like being shown one dark corner of the canvas of one’s life while being disallowed access to the larger, more colourful picture that is just as real. It's a con. As such, to me it feels differently than a case of euthanasia, when a person can choose to die without the influence of what I perceive to be a form of chemically-induced deception coming from a place where we are most vulnerable – our own minds.

    I must admit, a great deal of my reaction to your post is emotional. But, thanks for writing it. I think these discussions should be out in the open, and you’ve done so extremely tastefully, and eloquently - as usual.

  • I'm honestly response-less. I agree with almost everything you just said. And I completely deny its validity too, in the face of the disease. Basically, we're gonna have to put this one to bed, or really talk it out one day.

  • I'm not the type to decide on something for all time, even if certain values of mine remain constant. I'd love to *really talk it out* one day. I'm sure you'd have a lot more to teach me on the subject, even if we still don't agree entirely. I'd consider it a privilege.

  • It's on. But uh, I don't think that's the one to have with the kiddos around.

  • Very profound. Likening mental illness to physical illness, even if only to validate the need for relief, needs to be a more open discussion. We need more open minds like yours - thanks for posting this!

  • It can feel very physical, from the fatigue, down to an almost real ache, even.

  • Michelle

    I am so glad that I read this post this morning. 24 hours ago I really thought I was the only person on this earth that did not have a problem with suicide. It's horrible, but you are absolutely correct in my eyes.

    If I ever get cancer like my mother I am going to party then die on my own terms.

    Thank you. Thank you for making me feel less like a heartless bitch.

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