The Link Between “Ambiguous Loss” and Suicide Risk

Profile of a man looking through a shattered mirror, with broken glass fragments reflecting different angles of his face, conveying a sense of loss or emotional conflict.

Losses come in many forms, all of which can have a deep and profound psychological impact on those left behind. One important element of the grieving and healing process is finding a sense of closure. However, that sense is harder to find in some situations than others.

Decades ago, family therapist Pauline Boss, Ph. D., coined the term “ambiguous loss” to refer to a type of loss that lacks certainty, which can freeze the grieving process and prevent resolution. Ambiguous losses can be incredibly stressful, and only by recognizing them in ourselves and others can we find ways to cope and heal.

What is ambiguous loss?

Put simply, ambiguous loss is loss without closure, according to the Cleveland Clinic. Dr. Boss categorizes ambiguous loss into two main types:

  • Type One ambiguous loss means a loved one is physically absent but psychologically present. The end of a relationship through a breakup or divorce is this type of ambiguous loss, as is loss of contact due to immigration. A Type One ambiguous loss also occurs when a person goes missing due to kidnapping, war, terrorism, or natural disaster.
  • Type Two ambiguous loss is just the opposite: a loved one is physically present but psychologically absent. Usually, this is associated with cognitive disabilities and mental or physical illnesses that take away a loved one’s mind, such as Alzheimer’s disease, dementia, traumatic brain injury, addiction, or severe depression.

What makes both types of ambiguous loss difficult is the lack of closure. A confirmed physical death is certainly difficult, but that difficulty is concrete. The mind can process what happened, and there are rituals associated with it: the wake, the funeral, support from friends and family during a period of grieving, and so on. When a person is missing and presumed but not confirmed dead, or when they are physically present but unrecognizable, the sense of closure isn’t there.

Finding ways to cope with ambiguous loss

Coping with ambiguous loss means naming what has happened, recognizing it as a loss, finding meaning, and developing resilience. Dr. Boss has identified six pillars of coping with ambiguous loss:

  • Finding meaning: making sense of the loss and finding a new purpose in life. For instance, some people who have experienced ambiguous losses channel their grief into advocacy,
  • Adjusting mastery: recognizing your degree of control in the situation and learning to live with things beyond your control.
  • Reconstructing identity: coming to understand your new identity following the ambiguous loss.
  • Normalizing ambivalence: coming to terms with conflicted feelings, such as wishing for closure versus wishing for the person’s’ return.
  • Revising attachment: carrying two contradictory ideas in your mind at the same time. “She may come back, or she may not.”
  • Discovering new hope: finding a reason to carry on, often by helping others to avoid suffering the same ambiguous loss.

It’s critical for people who have suffered an ambiguous loss to get support and, when necessary, mental health treatment from a provider who has the right training and experience to help navigate these complex emotions. Ambiguous loss is, unfortunately, part of life, but with the right support system, it’s possible to develop resilience and find the resolve to keep moving forward.

Our law firm is honored to stand up for families

Unfortunately, the link between ambiguous loss and suicide is self-reinforcing. Suicide itself can cause a type of ambiguous loss: while someone who dies by suicide completion is definitively gone, losing someone to suicide can still create a psychological ambiguous loss because it’s so difficult to make sense of what happened. And experiencing ambiguous loss may increase the risk of suicide because someone who becomes frozen in the grieving process may become overwhelmed and unable to move on.

Ambiguous loss is one of several contributing factors to preventable deaths by suicide. If you have lost someone to suicide completion, we will listen to your story and explain your rights and options. Contact the Law Offices of Skip Simpson for a free, confidential consultation. We’re based in Texas but serve clients across the United States.

“Skip Simpson was my attorney regarding a mental health treatment team. I became the first person in the country to win a lawsuit against treaters who practiced recovered memories. That was 30 years ago. Skip was an amazing attorney for me and still is. He is the best in dealing with mental health issues. First a client, still a life long friend.”
— Laura P.

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Suicide Attempts Spike Among Trans Teens in States with Anti-Trans Laws

A teenager sits by a window with arms folded, feeling depressed.

As a wave of laws targeting transgender and nonbinary young people sweeps across the nation, a new study shows a corresponding spike in their already-high suicide rates.

In an era when LGBTQ young people are already experiencing dangerously high levels of suicide risk, these laws are the equivalent of pouring gasoline on a fire. Lawmakers need to understand the human cost of this legislation and do their part to protect America’s most vulnerable youth.

When laws targeting trans and nonbinary teens pass, suicide increases follow

The study looked at the period from 2018 to 2022, during which a total of 48 anti-transgender laws were enacted across 19 U.S. states. Such laws included bans on trans-specific healthcare procedures, access to bathrooms, participation in sports, and laws against updating identification to reflect a person’s true gender.

According to the study, there was no increase in suicide attempts while these bills were merely being considered in state legislatures. However, after these bills became law, there was a statistically significant increase in suicide rates among transgender or nonbinary people aged 13-24 in those states, especially among those aged 13 to 17.

The study authors believed that, rather than directly prompting suicide attempts, the new laws added to the level of stress that trans and nonbinary young people were already experiencing. “So laws restricting access to gender-affirming bathrooms, ending participation in sports activities that align with one’s gender, may lead to experiences of rejection, social isolation, bullying,” study co-author Dr. Ronita Nath told CNN.

New legislation may drive bullying and harassment towards LGBTQ youth

October is National Bullying Prevention Month, and as we’ve written before, bullying is a key driver of suicide risk among young people. Unfortunately, bullying in schools and online often tracks with broader societal trends. Just as Black youth experienced elevated levels of bullying in the wake of the killings of George Floyd and Breonna Taylor four years ago, LGBTQ youth may be experiencing more bullying and isolation as anti-LGBTQ laws are passed, with corresponding political and cultural rhetoric, in their home states.

In addition, certain laws may directly expose LGBTQ youth to bullying and harassment. For example, laws that prohibit updating identification may lead directly to being hassled at places where ID must be shown, such as airports. And laws restricting participation in sports have led to bullying and abuse related to sporting events—not just directed at trans and nonbinary youth, but any athlete who is perceived as transgender, as the controversy around Olympic boxer Imane Khelif showed. 

Our law firm stands up for families of youth who die by suicide

Nothing is more tragic or painful for a family than losing a child to suicide. Our law firm is honored to stand up for families in these dark moments and fight for accountability and justice. If you have lost a loved one to suicide completion, we will listen to your story and explain your rights and options. Contact the Law Offices of Skip Simpson for a free, confidential consultation. We’re based in Texas but serve families nationwide.

September is National Suicide Prevention Month

Photo of teal and purple ribbon atop a light gray concrete background with text that reads "Suicide Prevention Awareness Month"

As September comes to a close, we’re reminded of the loss too many families have felt when loved ones died by suicide. We’re thinking of the communities that have been affected by preventable deaths by suicide. And we also recognize the progress that has been made in identifying and implementing suicide prevention methods that save lives.

September is National Suicide Prevention Month, an opportunity to reflect on the challenging but important work of suicide prevention and the critical role individuals, families, and communities play in saving lives. We’re participating in this effort because we have seen over and over again the devastating impact that deaths by suicide can have.

Know the warning signs

Suicide prevention starts with recognizing that someone is at risk of dying by suicide. Unfortunately, too often, these warning signs go unaddressed. Key warning signs of suicide in adults include:

  • Anxious, agitated, or reckless behavior
  • Talking about feeling trapped, hopeless, or like a burden to others
  • Changing sleep patterns (too little or too much)
  • Withdrawal or isolation
  • Increased substance use
  • Extreme mood swings or overwhelming rage
  • Talking about or making plans for suicide

In children and youth, the warning signs often manifest differently:

  • Displaying overwhelming emotional distress
  • Expressing hopelessness about the future or talking about plans for suicide
  • Significant behavioral changes, such as withdrawal from social connections or unusual anger and hostility
  • Giving away prized possessions
  • Significant increase in agitation or irritability

If someone displays signs of suicide risk, immediate intervention is critical. The QPR model (Question, Persuade, Refer) provides a useful framework for friends, family, and others who interact with at-risk individuals to help prevent suicide. And It’s critical to connect at-risk individuals with suicide prevention resources, including the 988 Lifeline.

Dispelling myths about suicide

  • Myth: If someone wants to commit suicide, there’s nothing anyone can do. In reality, suicide is usually an impulsive decision or can seem that way. At times, people can think about a plan, shelve the idea, and then pick up the suicidal thinking and act on the shelved plan when some stressor or thought appears to your loved one. Either way, intervene with keeping the conversation about suicidal thinking going until you feel better about your loved one. However, it is really a good idea to take the QPR course for your own confidence and peace of mind. Eliminating access to lethal means and taking immediate steps to intervene can and does prevent deaths by suicide.
  • Myth: Talking about suicide increases the risk of suicide. In fact, talking about suicide or directly asking if a person is thinking about suicide is one of the most important steps to help the person find help.
  • Myth: Access to firearms has nothing to do with suicide risk. As we’ve written before, access to firearms can dramatically increase the risk of dying by suicide because guns are much more deadly than other commonly used suicide means like pills and cutting.
  • Myth: People who die by suicide are selfish or weak. Far from it. Any kind of killing is hard to do. Suicide isn’t a choice; it’s a reaction to severe emotional pain and feeling that there’s no way out of a bad situation. Many people who die by suicide suffer from psychiatric illnesses like depression, anxiety, bipolar disorder, or substance abuse disorder. People become so overwhelmed that cognitive abilities are weakened severely.
  • Myth: Treatment doesn’t work. Effective mental health treatment, including talk therapy, medications, and more, can absolutely reduce suicide risk. The key is to identify and implement the right interventions for a particular person’s needs.

If you have lost a loved one to suicide completion, we’d be honored to help

An important part of suicide prevention is holding medical professionals accountable when they fail to diagnose, manage, and treat suicide risk. Not only do we enforce patient safety rules when we must, but we teach clinicians and hospitals how to avoid being in a malpractice trap by being competent and what that means.

That’s what we do at the Law Offices of Skip Simpson. If you have lost a loved one to suicide, we are here to listen to your story and explain your options. Our law firm serves families throughout the United States. Give us a call or contact us online today.

New Data Shows Rising Child Suicide Rates

Texas suicide lawyer

New data released by the National Institute of Mental Health (NIMH) shows a disturbing trend: among children aged eight to 12 years old, the suicide rate has steadily climbed over the last 15 years. As the Washington Post reported, there seems to be no single reason for this increase; rather, it’s a multifaceted problem that will require myriad solutions.

The NIMH data shows a steady increase since 2008

According to the data, there were 2,241 total suicides among preteens aged eight to 12 between 2001 and 2022. From 2001 through 2007, the suicide rate in this population was decreasing; however, since 2008, the suicide rate increased by about 8 percent each year.

Within this demographic, the largest increase came among preteen girls. Boys have always had a higher suicide rate than girls, but a disproportionate increase among girls has narrowed that gap. Between 2001 and 2007, the suicide rate among preteen girls was about 1.25 per 1 million; by 2022, that rate increased to 4.15 suicide deaths per 1 million.

The most common suicide method among preteens is hanging or suffocation, but firearms have played a significant role in the increase and are now the second-leading cause of death.

An ongoing mental health crisis among America’s youth

So what’s changed since 2008? Again, according to experts quoted in the Washington Post article, there are several causes, including the increasing role of technology and social media in preteens’ lives, as well as increasing access to firearms.

In 2008, social media was still relatively new; today, teens and preteens are using social media more than ever. Unfortunately, social media is known to increase suicide risk among young people. One study found a significant link between social media use and suicidal ideation in vulnerable adolescents, citing the rise of “cyberbullying,” exposure to substance abuse via social media, and social media’s role in body image concerns, especially among adolescent girls.

Another key factor in the increase in suicide rates is increased access to firearms. As we’ve discussed before, access to guns can dramatically increase the risk of dying by suicide because guns are much more lethal than other commonly used suicide methods. An access to a gun increases the risk of a suicide attempt, and it greatly increases the probability that an attempt will result in death.

The coronavirus (COVID-19) pandemic accelerated the mental health crisis in myriad ways: kids were home from school, watching loved ones get sick and even die, and dealing with a highly disrupted and uncertain future. However, it’s important to note that this is an ongoing mental health crisis that preceded the pandemic and did not improve with the widespread availability of vaccines and return to normalcy.

Parents, teachers, and medical professionals need to do their part to prevent suicide in preteens

In short, America’s preteens need help, and the adults in their lives need to step up and take action to prevent deaths by suicide. According to the American Academy of Pediatrics, warning signs of suicide risk in children include:

  • Talking about suicide
  • Talking about feeling like a burden or having no reason to live
  • Depression
  • Anxiety or agitation
  • Increased substance use
  • Withdrawal from family, friends, and activities
  • Sleeping too much or not enough
  • Giving away prized possessions

All adults in the lives of children need to be on alert for changes in behaviors. If adults see these changes, question the child for more information. Ask directly about thoughts about suicide. QPR is the best training for adults to help children. Just like CPR, QPR is an emergency response to someone in crisis and can save lives. QPR is the most widely taught Gatekeeper training in the world. Just as people trained in CPR and the Heimlich Maneuver help save thousands of lives each year, people trained in QPR learn how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer someone (including children) to help. See qprinstitute.com for more information and courses on how to save those around you from suicidal behavior.

Medical professionals who care for children need to recognize these warning signs, conduct suicide assessments, and refer their patients to the appropriate resources to help prevent suicide. When they fail to do so, lives can be tragically cut short. That’s why a key element of youth suicide prevention is accountability for victims and their families.

If you have lost a child to suicide completion, we can help

The Law Offices of Skip Simpson is dedicated to representing families and holding medical professionals accountable when they don’t protect patients. If you have lost a child to suicide, we would be honored to listen to your story and explain your legal options. Our firm is based in Texas and represents families throughout the United States.

New Study Sheds Light on Suicide During Pregnancy & After Giving Birth

Woman in blue pajamas sitting on a bed with her knees pulled to her chest, looking pensive and distressed, in a room with a crib in the background.

Suicide prevention is a key part of preventing maternal deaths

It’s well-known that the United States has the highest maternal mortality rate of any developed country. Many of those maternal deaths are caused by physical health conditions related to pregnancy or complications during childbirth. However, maternal deaths by suicide also play a significant role, and a new study sheds light on the risk factors and possible prevention methods.

The risk of suicide is often elevated during stressful and transitional moments in life, and pregnancy is no exception. Medical providers, as well as partners and family members, need to do their part to protect women from suicide during this vulnerable time.

The study identifies key risk factors during the perinatal period

The study, conducted by researchers at the University of Michigan, looked at 1,150 women and girls who died during pregnancy or the post-partum period, either of suicide or of unknown causes. According to the researchers, key risk factors included:

  • Intimate partner problems
  • Depression, including postpartum depression
  • Substance abuse
  • Physical health problems
  • Death of a friend or family member

Some demographic factors also played a role in the suicide risks examined by the study. The authors noticed that single mothers were more likely to die by suicide compared to married women. The authors also noted that low income and low educational attainment are correlated with an increased risk of intimate partner violence, which in turn increases the risk of suicide.

“This work suggests that pregnancy is a period of transition in people’s lives when preexisting factors that contribute to suicide risk can come together in various ways, in addition to social, psychological, and biological risk factors that are part of the perinatal period itself,” said study co-author Briana Mezuk, professor of epidemiology and director of the Center for Social Epidemiology and Population Health at the University of Michigan School of Public Health.

Loved ones and medical providers need to do their part to prevent maternal suicide

According to the 988 Lifeline, loved ones can help to reduce suicide risk in pregnant women and new mothers by:

  • Asking and listening. Many mothers are afraid to speak up about their mental health symptoms or are so focused on the baby that they are unable to take care of themselves. They may also experience stigma and shame around mental health. That’s why it’s important to check in with loved ones, listen empathetically, and tell them it’s okay to talk about how they’re feeling.
  • Know the facts. Mental health symptoms are the single most common childbirth complication, and they’re not the woman’s fault: they can be caused by biological, psychological, and social factors. Friends, family members, and professionals alike need to know the facts about maternal mental health when interacting with pregnant women and new mothers.
  • Get help. Just like CPR, QPR is an emergency response to someone in crisis and can save lives. Question, Persuade, Refer (QPR) is the most widely taught Gatekeeper training in the world. QPR is the best source you can find to help a loved one (including our moms or moms-to-be) who may be at risk for suicide. See qprinstitute.com for more vital information on how to be a helpful friend, spouse, brother, or sister. Resources such as the 988 Lifeline, mobile crisis teams, and outpatient and inpatient mental health services are available to help mothers stay safe. These resources are the “R” part of QPR, but you have to know there is a problem first. You know there is a problem by asking (Q) questions. Asking someone about suicide will not put the idea into their head; they will be relieved you asked.

If you lost a loved one to suicide completion, we’d be honored to hear your story

In the aftermath of a preventable death by suicide, families deserve answers. The Law Offices of Skip Simpson holds negligent medical professionals accountable when they fail to protect mothers and other patients at risk of dying by suicide. If you have lost a loved one to suicide, our legal team would be honored to listen to your story, free of charge. Our firm is based in Texas and serves families throughout the United States.

Study Finds Link Between Nighttime Wakefulness and Suicide

Clock on bedside table near blurred man on bed at night.

Researchers say being up late at night may be linked to dangerous behavior

It’s well-known that better sleep has numerous health benefits, while disrupted sleep can cause or exacerbate many medical issues. However, many people may not be aware of the link between disturbed sleep and suicide.

But that link is quite strong, according to researchers at the University of Arizona College of Medicine – Tucson, who studied the times at which suicides and homicides occur. The result: while the most overall suicides happen in the middle of the day, when adjusted for the number of people who are awake at the time, the risk of suicide is five times greater between 2 AM and 3 AM.

The researchers’ “mind after midnight” hypothesis

The study, published last month, reviewed data from more than 78,000 suicides and 50,000 homicides in 35 states between 2003 and 2017. Suicide and homicide likely have more in common than is currently known; this study found another common feature: increased risk due to nocturnal wakefulness.

According to the study authors, being awake late at night has dangerous effects on the brain. Complex decision-making and rational thinking are weakened, risk/reward processing is distorted, and all this occurs while negative mood is at its peak.

The study found that these risks were exacerbated by other factors that impair decision-making and rational thinking, such as intoxication with alcohol. And the risk was highest among people age 15-24, who already have less ability to make complex decisions and think rationally compared to older adults.

A previous study, published in 2016 in the Journal of Clinical Psychiatry, found a similar connection between being awake at night and suicide risk. The authors of that study suggested that disturbed sleep and circadian neurobiology may have an effect on suicidality.

Understanding the link between sleep and suicide is critical for suicide prevention

The good news hidden in these study results is that insomnia can be managed and sleep disruptions can be mitigated. If we can help people who are at risk of suicide get better sleep, the data says that the risk of death by suicide will be at least somewhat reduced. Psychiatrists and other mental health providers should incorporate sleep assessments and appropriate interventions into their safety plans for patients who are at risk of suicide. They also need to follow up on patients’ complaints of disrupted sleep, treating them just as seriously as any other suicide risk factor.

Death by suicide occurs at times when decision-making, rational thinking, and impulse control are completely impaired. The popular myth that if a person wants to die by suicide, they eventually will, is just that: a myth. If appropriate interventions are made when a person is at the highest risk, the evidence says that they will most likely survive for the long term.

If you have lost a loved one to suicide completion, we can help

Another important component of suicide prevention is fighting for accountability for victims. The Law Offices of Skip Simpson stands up for families and holds negligent medical professionals accountable when they fail to protect patients at risk of dying by suicide. If you have lost a loved one to suicide completion, we would be honored to listen to your story in a free, confidential consultation. We’re based in Texas but serve families nationwide.

Survey Highlights Mental Health Challenges for LGBTQ+ Youth

A stethoscope alongside a Rainbow Pride flag, symbolizing healthcare and mental health support for the transgender and LGBTQ+ community.

Queer and transgender youth are facing an escalating mental health crisis, with many contemplating ending their lives. The Trevor Project’s 2024 U.S. National Survey on the Mental Health of LGBTQ+ Young People highlights this urgent issue and sheds light on the challenges these young individuals face.

The 2024 survey is the sixth of its kind conducted by the Trevor Project, which gathered responses from over 18,000 LGBTQ+ individuals ages 13 to 24. This report reveals that LGBTQ+ youth are not only grappling with suicide risk, bullying, and discrimination but are also heavily impacted by anti-LGBTQ+ laws and face difficulties accessing mental health care.

What is the suicide risk for LGBTQ+ youth?

The survey’s findings are alarming: 39% of LGBTQ+ young people considered suicide in the past year, and 12% made an attempt. Transgender and non-binary youth are particularly vulnerable, with nearly half contemplating suicide and about 14% attempting it. The risk is even higher among transgender youth and LGBTQ+ youth of color. For example, 48% of Indigenous LGBTQ+ youth considered suicide.

Ronita Nath, vice president of research at the Trevor Project, made it clear that these youth are not inherently prone to higher suicide risk but are placed at risk due to societal stigma and discrimination. Threats of conversion therapy, discrimination, and physical harm exacerbate this risk.

What are the mental health challenges LGBTQ+ youth face?

In addition to the high suicide risk, LGBTQ+ youth experience elevated rates of depression and anxiety. According to the survey, 66% reported anxiety symptoms, and 53% reported depression symptoms in the past year. Among them, transgender youth and youth of color again showed higher rates.

A significant pressure point for LGBTQ+ youth is the surge in discriminatory legislation across the United States. This year is poised to break records for the most anti-LGBTQ+ bills introduced, further worsening the mental health crisis for these young people. Stephen Russell, director of the School of Human Ecology at The University of Texas at Austin, notes that these laws are undoing decades of supportive work in schools.

The survey indicates that most LGBTQ+ young people feel their mental health is affected by anti-LGBTQ+ policies, with nearly two in five considering moving to a different state due to these politics. Among transgender and non-binary youth, 61% of those on gender-affirming hormones are concerned about losing access.

What can we do to support the LGBTQ+ community?

Community support plays a crucial role in the mental health of LGBTQ+ youth. However, only 40% reported that their home environment is supportive. The survey also revealed that 32% of LGBTQ+ youth were verbally harassed at school, 9% sexually harassed, and 4% physically attacked in the past year. Additionally, 60% felt discriminated against at least once in the past year due to their sexual orientation or gender identity.

Despite the high prevalence of mental health challenges, half of the LGBTQ+ youth who needed mental health care were unable to access it. Major barriers included:

  • Fear of discussing mental health.
  • Not wanting to seek parental permission.
  • Concerns about not being taken seriously.
  • Affordability.
  • Fear of being outed.
  • Worry about being misunderstood.

Despite these challenges, the survey also highlights ways to support LGBTQ+ youth. That includes supportive homes, schools, and communities. Nath points out that LGBTQ+ youth report lower rates of suicide attempts when they have access to supportive spaces. For example, the survey found that 78% of LGBTQ+ young people have at least one adult at school who supports their identity.

Supporting LGBTQ+ youth involves various actions, such as:

  • Educating oneself on LGBTQ+ issues.
  • Opposing politicians who advocate for discriminatory legislation.
  • Respecting gender expression and pronouns.
  • Welcoming their partners.
  • Showing support on social media.
  • Displaying pride flags.

Our law firm fights for justice and accountability

Supporting LGBTQ+ youth is not just about preventing suicide; it’s about affirming their right to live authentic, fulfilling lives. However, medical professionals who treat LGBTQ+ patients must be aware of the unique challenges such patients face and recommend appropriate medical interventions to prevent self-harm or suicide attempts.

The Law Offices of Skip Simpson is dedicated to holding negligent medical professionals accountable and demanding justice for grieving families. If you have lost a loved one to suicide completion, contact us for a free, confidential, and no-obligation consultation, either by phone or online. Our law firm is based in Texas, but we proudly serve families nationwide.

Study Reveals Alarming Suicide Rates Among Young Black Men

Young male sitting in a hallway, feeling depressed.

Young Black men often face systemic racism, socioeconomic disparities, and other challenges that impact their mental health. A recent study from the University of Georgia reveals that one in three rural Black men have experienced thoughts of suicide or death in the past two weeks. The study suggests that early-life adversity and racism are significant factors contributing to these feelings.

Suicide ranks as the second leading cause of death among African Americans aged 15 to 24, according to the Centers for Disease Control and Prevention. The rate at which Black men die by suicide is notably higher than that of Black women, with men dying by suicide over four times as often. This issue appears to be under-discussed and is escalating.

According to Michael Curtis, a co-author of the study and an alumnus of UGA’s Human Development and Family Science Department, there seems to be a lack of focus on identifying which groups are most vulnerable to suicidal thoughts.

“Historically, research has not invested a lot of time and effort in looking into what are the unique cultural contexts that make certain men more at risk for suicidal thoughts than other men,” said Curtis.

How childhood adversity and racial discrimination impact the mental health of young Black men

According to the research, growing up in environments with limited resources and experiencing racial discrimination in early adulthood can hinder the development of healthy, trusting relationships. This lack of trust and caution in social interactions can lead to isolation, which may, in turn, trigger suicidal ideation.

The study tracked over 500 African American men from rural Georgia, from their late teens into their early 20s, over several years. At three different points during the study, these individuals were prompted to recount their childhood experiences and focus on economic struggles and traumatic events. The survey included questions about:

  • Physical or emotional abuse
  • Witnessing abuse within the family
  • Feeling cherished and valued
  • Having sufficient food
  • Access to medical care during their childhood

Participants in the study were also questioned about their perceptions and emotions regarding close relationships. That includes their trust in romantic partners and concerns about being exploited in relationships. They were asked how often they felt they had been treated unjustly due to their race in the past six months. Additionally, the researchers inquired about symptoms of depression and the frequency of suicidal thoughts or thoughts about death in the last two weeks.

The findings indicated that childhood experiences of trauma, deprivation, and racial discrimination significantly affected the mental health of the participants as they transitioned into adulthood.

Curtis explained, “We found when Black men were exposed to childhood adversity, they may develop an internal understanding of the world as somewhere they are devalued, where they could not trust others, and they could not engage the community in a supportive way.”

What challenges of adversity do young Black men face?

Young Black men, particularly those in rural areas, face greater challenges from childhood adversity. They are more likely to emerge from economically struggling families, live in under-resourced neighborhoods, and encounter trauma within their communities compared to their white counterparts.

Previous studies have documented that racial discrimination heightens the risk of depression, anxiety, and psychological distress among Black individuals across all age groups. While childhood neglect and trauma are predictors of suicidal ideation, the research also highlighted that racial discrimination alone significantly contributes to higher instances of suicidal thoughts.

Steve Kogan, the study’s lead author and a professor at UGA’s College of Family and Consumer Sciences, found that even those who had positive childhood experiences but faced racial discrimination in early adulthood struggled to form and sustain healthy relationships. This isolation often led to increased suicidal thoughts.

“For people who have suicidal thoughts, there’s this sense that no one knows me, nobody cares about me, there’s nobody there for me, I am alone,” said Kogan.

What is the role of healthy relationships in suicide prevention?

Healthy relationships are crucial for mental health and suicide prevention, according to researchers. These connections provide a vital support system for reaching out when overwhelming feelings arise. Parents also have a significant role in aiding their children through these challenges.

“More research is needed, but one finding is unequivocal: Loving yourself as a Black person is foundational,” said Kogan. “Teaching children and youth to be proud of being Black counters the potential for them to internalize negative messages about Blackness that pervade U.S. society.”

This study, conducted by Ava Reck, a doctoral student at UGA’s Human Development and Family Science program, and Assaf Oshri, an associate professor at the College of Family and Consumer Sciences, was published in the journal Cultural Diversity and Ethnic Minority Psychology.

Contact a suicide lawyer who advocates for justice

When families experience the devastating loss of a loved one due to a preventable suicide, they are often left searching for answers and accountability. The Law Offices of Skip Simpson is dedicated to supporting the families of young Black men. We hold accountable medical professionals who could have prevented a suicide but failed to do so.

If your family has suffered such a tragic loss, we encourage you to reach out to us. We offer a free, confidential consultation to discuss your case and explore your legal options. Based in Texas, we provide experienced and compassionate legal services to families across the entire United States. Contact us either by phone or online to learn how we can assist you during this difficult time.

The Silent Crisis of Autism and Suicide

Sad man sits alone in a hallway.

Adults with ASD have three times the risk of dying by suicide.

People with autism spectrum disorder (ASD) face numerous challenges in life, and one of the most tragic is a highly elevated risk of dying by suicide.

A 2021 study found that adults with ASD have more than three times the rate of both suicide attempts and suicide completion compared to the neurotypical population. For women with autism, that figure increases to four times the suicide rate. For autistic individuals with co-occurring mental health disorders, the suicide rate is 92% higher than those without ASD.

Given these findings, mental health professionals who work with autistic patients need to be acutely aware of the danger and respond accordingly. Suicide is preventable. Preventing suicide in the autistic population requires tailored interventions and strategies to meet the needs of individuals with ASD.

Why are people with ASD at increased risk of suicide?

Numerous studies have investigated the reasons for the correlation between autism and suicide. Many have focused on “masking” and “camouflaging” behavior; that is, autistic people feeling social pressure to blend in, which is emotionally and mentally exhausting. Another theory is that autistic people have high rates of trauma, and trauma, in turn, increases the risk of dying by suicide.

A recent article in Psychology Today suggested that the problem goes deeper, however. Autistic people have a neurological condition called hyperconnectivity: their whole-brain activity is very high. This translates into being overwhelmed by their environments and social demands, both at work and at home. And feeling overwhelmed, in turn, increases the risk of suicidal thoughts.

The Psychology Today article stated that people with autism can thrive when their support needs are met. Among other things, that means creating quiet spaces and emphasizing flexibility. It means ensuring that autistic people spend time every day in spaces where they are not expected to conform to neurotypical expectations. It means giving people with ASD room to be themselves.

Warning signs of suicidality in people with autism

An important part of suicide prevention is recognizing when someone may be at risk of suicide and promptly responding with appropriate interventions. Warning signs of suicide often present differently in people with ASD. According to the 988 Lifeline, key warning signs include:

  • Sudden or increased withdrawal.
  • Acute distress with no words to express.
  • A current traumatic event.
  • Self-harm behavior.
  • Worsening symptoms of anxiety or depression.
  • A new focus on talk of suicide or death-related topics.
  • Perseverating and ruminating on suicide.
  • Hopelessness.
  • Statements about losing a sense of purpose in life or reason for being.
  • Acquiring suicidal means or making plans.

People who know an autistic person well are often best equipped to recognize these warning signs and respond accordingly. Medical professionals who work with autistic patients also need to know these warning signs and recommend the appropriate medical interventions to prevent self-harm or suicide attempts.

Our law firm fights for accountability for families

When families lose loved ones to preventable suicides, they deserve answers. The Law Offices of Skip Simpson stands up for families and holds negligent medical professionals accountable when they fail to protect patients. If you have lost a loved one to suicide completion, give us a call or contact us online for a free, confidential consultation. We’re based in Texas but serve families nationwide.

Families Seek Accountability For Inpatient Suicides

In the inpatient department. The corridor has a quiet atmosphere with a modern high-tech design.

Negligent facilities need to be held responsible

Every year throughout the United States, many people considering suicide are admitted to an inpatient mental health facility for protection and treatment to stabilize their mental health condition. One of the most important responsibilities of these facilities is to take measures that prevent patients from taking their own lives. Sadly, these measures are not always followed – and many suicide attempts result in death.

For many years, Skip Simpson has filed successful lawsuits on behalf of family members to hold facilities accountable for neglecting this extremely important responsibility.

“When people go into the hospital to be protected, it’s a systemic issue,” said Attorney Skip Simpson in a Law.com article. “That means it’s not just the nurse, it’s not just the physician, but it’s the hospital itself. What happens is that the money is not spent to properly train and supervise those people who are watching the patients.”

Treatment by unqualified and unlicensed interns

One case filed by an attorney in New Jersey involves Anthony Sun, a 23-year-old pharmacy student who was experiencing depression, anxiety, and suicidal thoughts. After two suicide attempts and stays at two different inpatient facilities, Sun was put in the care of Christian Health Care Center and placed in an outpatient program.

On Dec. 1, 2017, Sun could not be located after his mother came to pick him up. Following a search, his mother found him hanging by a noose from a tree.

According to the lawsuit, most of Sun’s intake assessments – which included an assessment for risk of suicide – and treatment plan were done by a student intern who was unlicensed and unsupervised. The intern made critical errors in both the assessments and the treatment plan, the suit alleges.

Inadequate measures taken to prevent suicide

Another case in New Jersey involves Jaxson, a 16-year-old with female characteristics who later transitioned. Court documents note that Jaxson had attempted suicide and reported thoughts of hanging himself. He was taken to Morriston Medical Center and then transferred to Summit Oaks Hospital.

Measures had been taken at Morristown to prevent Jaxson from harming himself. These measures included having a sitter to watch him, placement in a room across the nursing station with the door always open, and removal of personal articles of clothing.

But these measures were not taken at Summit Oaks. Jaxson was placed in a corner room away from the nursing station with no sitter. He was observed in 15-minute intervals. There were two beds, fully made with sheets. Jaxson was found hanging by a noose made from a bedsheet that was affixed to a heavy wooden door.

The families of loved ones deserve justice

Simpson said 15-minute observation intervals are common for suicidal patients. But the problem, he notes, is that patients who hang themselves lose consciousness after just 45 seconds, and brain damage occurs after two minutes. After five minutes, the patient usually dies.

“They sometimes say, ‘Well, that’s the standard of care.’ And it’s not,” he said. “The standard of care means that they’re on either one-to-one or line of sight. The reason why they want them on every 15-minute watch is because it’s less expensive.”

Simpson also notes that hanging with a bedsheet is the most common method of suicide for people in institutions.

According to the Centers for Disease Control and Prevention, the suicide rate in the U.S. grew by 37% from 2000 to 2018. After declining in 2019 and 2020, the suicide rate grew 5% in 2021 and another 2.6% in 2022.

The Law Offices of Skip Simpson is dedicated to suicide prevention. Attorney Skip Simpson is well aware of how negligence at inpatient facilities can have devastating consequences. When families have lost loved ones to suicide that could have been prevented, he provides compassionate representation and demands accountability.

Learn more about how we can help. Contact us to schedule a free consultation.