Suicide

Suicide. This treacherous word burns into the marrow of your soul, leaves those behind with wrenched hearts, eyes flooded with tears, or dead as stones. Questions drift through the air, if there is air. Questions unanswered. Unanswerable. Never asked. Never answered. The knee-buckling burden of not knowing. Never knowing.

You are, if someone you know has committed suicide, in a kind of hell.

I know this hell. A beautiful young man I called my brother, one year my junior, put a rifle to the side of his head and fired. He was 23. The end. The birth-father I never met because he put on a tuxedo, slipped a flower into his lapel, put a handgun to his head, and fired. He was 68. The end. My mother who raised me, raised me I tell you, gathered pictures of her family all around her before she loaded her body with pills and alcohol. She was 68. The end.

I remember carrying her stained with blood from hemorrhaging mattress outside. I remember packing up her home, as if we were taking apart and packing away her life. I remember sitting on the floor of the empty room where she died writing, writing writing, writing in my journal, desperately hoping I would wake up and find the horror was all but a nightmare.

I ask you in gentle tones carried on the wings of angels to consider something for a moment. Try it on, if you will. Because if it lifts you, sends some warmth into the chill of loss and heartbreak, you deserve it. There is a cliché that says, Living well is the best revenge. Now breathe and think for a moment. Living well is the best revenge. In the case of suicide the revenge is not against the person who committed suicide, it is against the act of suicide.



There is something else I can tell you too. When someone you know commits suicide, it is not your fault. I know these words may sit like pebbles in sand right now, hard to see, believe, hard to breathe in, but they are true. I will not lie to you. It is not your fault. Laying blame against yourself or any living person is understandable because you, we, are trying to make rational sense where the norm of rational sense does not apply. Have the feelings you have, but don’t let them define you. The person who committed suicide is responsible for the suicide. This truth does not make them bad or evil. It very likely means they were in so much pain they were tragically only able to identify suicide as a way out of the pain.

Hold them close to your hearts. They are not gone from there. Even death has its impotence. But as close as you hold them, hold yourself and each other even closer. You are the living, and you deserve each others loving embrace right now. You do. I promise.

Remember the basics. Remember to eat, bathe, brush your teeth, wash your hair, – breathe. You are alive, and that is a beautiful thing. I promise.

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GOODBYE SUNDAY: A MOTHER’S SUICIDE

AUTHOR’S NOTE: AS I WORK ON MY MEMOIR I WILL, FROM TIME TO TIME, PUT SOME IF IT, IN-PROGRESS, ON THE BLOG. THANK YOU FOR TAKING THE TIME TO READ IT.

My mother called me shortly after 9 a.m. that Sunday morning to tell me she would end her life within the week. She was 68.

My mother said she suffered from arthritis and a mysterious condition, never fully identified, that gave her leg pain. She said no one in the medical, homeopathic and psychotherapy communities had been able to help with either condition.

The result of her pain (or the cause, I’ll never know) was a well-developed addiction to painkillers.

That Sunday morning she told me she could bear the pain no longer and the time for her death was at hand.

“I’m looking forward to the next scenery,” she said.

“Can I come see you?” I asked. My hands were trembling.

“No, Peter, that would be too much for me.”

“When?”

“I don’t know, but soon. Within a week.”

“Mom, I need to get myself together, can I call you back today, please?”

“Yes,” she said. “But not for too long, I want to make it brief. I can’t deal with other people’s emotions now.”

Over the last three years of her life my mother had developed an ever-increasing reliance on the possibility of suicide. Something she could control. And in my view, her fear of losing control played a major role in her decision to leave this world.

She seemed unable to understand – or simply could not believe – that all emotions, including anger and sadness, were a normal part of the human experience. Months before her death, this disabled understanding of the human experience made a wrenching appearance when she told me she did not believe anyone loved her.

One year before her death, when her damaged self-image led her to cliff’s edge, I intervened by reaching out to her psychotherapist, Fred Drobin, and her minister, Laurie Ferguson, a remarkable and loving woman. While our intervention was successful, it was met with displays of rage and puffed-up indignation. For weeks she would rocket the phone back into its cradle the moment she heard my voice on the line. When she finally did talk to me again, she accused me of betraying her by bringing about the intervention.

When I called her back that Sunday, I asked if she was going to tell Fred Drobin about her decision at their Monday session. I felt if she intended on telling a mental health professional, a trained mind, committed to her well-being, would come onto the scene. She said yes, she would tell him.

I asked her what her happiest memory was. “When the two of us went on tour with Joffrey in Tacoma and Seattle,” she said, without hesitating.

I began to weep. Inside I knew she was going. And then, thinking of the others in the family who had died, I said, “Mom, would you do me a favor?”

“What?”

“If you see Daddy, you know, if people are discernible, and you see him and Mommom and Poppop and Grandma and Grandpa, would you please tell them that I love them and I’m really trying to do the best I can?”

“Of course I will, Peter.”

“I’ve tried to be a good son to you these last years, Mom.”

“And you have been, Peter.”

“Mom, do you have any advise for me in life?”

And she paused, thinking, and said, “Yes. Be kind.”

“Okay.”

She then told me she had a Wednesday afternoon appointment with her minister, Laurie Ferguson. To me, this meant she was going to tell Laurie of her decision. She was making her goodbye rounds. I believed this gave me until Wednesday to decide whether or not intervention was the best choice. The Sunday afternoon conversation, our last, ended this way:

“I love you, Mom.”

“Thank you, Peter.”

“Good-bye, Mom.”

“Good-bye, Peter.”

I hung up and fell to the floor, sobbed, and tried and failed to remember the last time she told me she loved me.

That evening I placed a call to her psychotherapist, Fred Drobin, and left a message asking him to call me. He returned my call Monday afternoon and told me my mother had again threatened suicide.

I asked if he thought we should let her go. He said he didn’t know and suggested I call him at home that evening. I did. We spoke for 10 minutes or so before he ended the conversation.

“My dinner’s getting cold,” he explained.

On Tuesday I placed a called to Ray Liberati, a detective in the Orangetown Police Department. The Orangetown PD covered the area where my mother lived and I had known Ray since I was a boy. Ray Liberati was a good cop and a good man. I left a message for him. He knew my mother and had helped her out on more than one occasion.

The following day, Wednesday, August 12, Ray Liberati called me. It was sometime after 2 p.m. and I was so relieved to hear his voice.

“It’s good to hear from you,” I said. “My mother is talking about ending her life again and it feels like everyone is standing around waiting for it to happen.”

There was a brief pause.

“Peter, it did,” he said. “I was just at the house. I heard the call over the radio and went right over. You didn’t know?”

“It did what?”

“She’s gone, Peter. She died. Her minister found her, that’s the way she had it set up. Peter, I’m so sorry.”

The Wednesday appointment my mother said would be used to tell her minister of her decision had, in fact, been her the way she wanted her death discovered.

I arrived at my mother’s home less than an hour after her body had been removed. The police were gone. Laurie and some family members were there. Faces were pale, sweaty. The air did not move. At one point I wanted to throw everyone out and fling myself onto the bed where her life had ended and allow the little boy inside me to dream of holding my mother one last time.

My mother designed her suicide with great thought and care. She was found in bed with the suicide manual “Final Exit” tucked under one arm. She wore a nightgown and her Timex watch. She had surrounded herself with pictures of family and friends. I suppose she wanted to gaze at us while the drugs slowly sucked the life from her eyes.

Above her bed hung a large collage of Ballet pictures. Ballet was the greatest love of her life. Her definition of heaven, to dance throughout eternity with Fred Astaire, was a well-known piece of family lore. When I was a boy one of the only times she would let me stay up past my bed was to watch Fred Astaire’s movies over and over again. We both loved the dance and we both lived Fred Astaire moves. When I was in my early teens, I danced a lead role for the Joffrey Ballet Company.

Dance was the one arena in which the two of us could connect safely with each other when I was a child. It was there that she could allow herself to experience me and not be threatened by my intensity. And it was there, in the world of dance, that I was able to safely experience her, without have to her usual onslaught of Peter you’re-too-intense messages and because of this are mentally ill messages. Throughout my childhood I learned to believe that the words intense or melodramatic described horrible emotional deformities that were to be, if not avoided, hidden. The intense drama of her thoroughly choreographed death scene seems tragically ironic to me now.

Weeks later I would be the one to remove the last box of belongings from her home. Before I left that day, I went into the bedroom and sat on the floor and wrote in my journal – and wept.
There was, as I wrote, the bizarre belief in a mother’s omnipotence that perhaps rests in all sons, perceiving her, mother, as the strongest of them all, somehow believing that if she could choose to leave the world, then maybe, just maybe, she could choose to come back.

The movements of the mind in the wake of a mother’s suicide are movements to be allowed, not judged.

Recently I was going through her old record collection. There were the many albums of classical music we listened to as a family.

And then I saw it. An album cover I’d never seen before. It was a collection of songs sung by Fred Astaire. And there, at the bottom, in a handwritten script with a movement as exquisite as his dancing, it read, “For Virginia Kahrmann, Fred Astaire.”

I am sure she is a wonderful partner.

THE AMERICAN BRAIN INJURY EPIDEMIC

As a brain injury survivor and one who works with brain injury survivors I am saddened but not surprised that a leading expert in forensic pathology says former National Football League player Andre Waters’s November 2006 suicide was likely tied to brain damage suffered by Mr. Waters over his playing career.

The New York Times today said forensics expert Dr. Bennet Omalu of the University of Pittsburgh “determined that (Andre) Waters’s brain tissue had degenerated into that of an 85-year-old man with similar characteristics as those of early-stage Alzheimer’s and that if he had lived, within 10 or 15 years “Andre Waters would have been fully incapacitated.””

There is an epidemic of brain injuries in the United States and we, as a people, are playing catch-up. In some quarters we are waging the catch-up battle valiantly, but we have a long way to go.

I sustained my brain injury in 1984 when I was held up and shot in the head at point blank range. While I received extraordinary medical care, no one, and I mean no one, mentioned the words brain injury or brain damage to me. And so I left the hospital with a bullet in my frontal lobe, bone spray in my left temporal lobe, and a sharp awareness that I would be wise to avoid contact sports.

It would be nearly 10 years before I learned that the damage to my brain impacted my daily life in a very real way. I am far from alone and not even in the same room with unique on this front. Millions of Americans deal with brain injuries. Think this is an overstatement? Try these facts on for size.

– With more than 50,000 Americans dying every year from brain injuries, it is safe to say more than 1 million Americans have died in the 22 years since I was injured, including more than 150,000 children.
– 1.4 million Americans sustain brain injuries annually.
– In 1995, direct medical costs coupled with lost production cost the United States an estimated $56.3 billion.
– Many members of the American military wounded in Iraq and Afghanistan have suffered brain injuries.

If you think only football players or those in contact sports run the risk of injuries like those suffered by Mr. Waters, you are sadly mistaken. A couple of years ago I went to a conference on brain injury at Mount Sinai School of Medicine in New York City. A forensics expert showed that if you have someone lie down on their back, lift their head 12 inches off the ground, and let go, the skull is travelling 40 miles per hour when it strikes the surface.

We are not quite holding our own in this catch-up battle. There was, after all, no brain injury association on the national level until 1980. Now we have the Brain Injury Association of America, a wonderful organization. States have their respective brain injury associations, all deserving of their citizens support. I am a member and board member of the Brain Injury Association of New York.

Unlike cuts and bruises and broken bones, brain injuries do not heal. Yet the reluctance of so many to take simple precautions is mind boggling. I have seen the following scene too many times. A family is on a bicycle ride. The children are dutifully wearing their helmets (sometimes) while the parents are not wearing their helmets. Perhaps the parents think that adulthood means they are no longer beholden to the law of gravity. Or, perhaps, there is a bit of vanity at work, some concern that one’s hairstyle will get messed, or, some “real man” doesn’t wear a helmet because he is , well, a “real man”. Dazzling displays of reasoning for sure. Tell you what though, when you’re paralyzed and/or you can’t remember what happened five minutes ago, remind me to ask you who your hair stylist is, or what it’s like to be a “real man.” But then again, why should I bother? You won’t remember anyway.

If you are from New York State, you can contact the Brain Injury Association of New York, the one I belong to at http://www.bianys.org/

Contact the Brain Injury Association of America for information on a Brain Injury Association near you. Please visit their website at http://www.biausa.org/