“Trauma defies language; it resists being communicated”

Central to healing in the aftermath of a traumatic event is the transformation of trauma’s unspeakable imprint to a story that can be told without reliving it.

Understanding how trauma leaves us without words may make it easier to consider ways that can help unlock the story hidden in visual images, painful feelings, flashbacks, bodily symptoms or silent avoidance. Both are important steps toward finding your words and continuing your story.

What is a Traumatic Event?

A potentially traumatic event is most often one that is threatening to the life or bodily integrity of self or a loved one. It may include combat, sexual and physical assault, death of a child, suicide of a loved one, accidents, being held hostage, imprisoned, or tortured, natural and man-made disasters, as well the diagnosis of a life threatening illness.

Suicide ranks as the eleventh leading cause of death in the United States. We have lost loved ones across the generations.

• Older Americans are disproportionately likely to die by suicide. Although they comprise only 12 percent of the U.S. population, people age 65 and older accounted for 16 percent of suicide deaths in 2004.
• Suicide is the second leading cause of death in college students and the third leading cause of death in adolescents.  Every day 14 teens take their own lives.
•  According to the Centers for Disease Control and Prevention, for the second year in a row, middle -aged adults have the highest suicide rate in the country, surpassing even older Americans.

While there are many factors that contribute to suicide, an important new study identifies two factors that have been associated with increased risk for suicidal thought and behavior across the lifespan – hopelessness and lack of connectedness to others.

Last week the media reported the sad and unanticipated deaths of two men. Derek Boogaard of the Rangers died from an accidental overdose of the drug oxycodone mixed with alcohol and retired lieutenant, John A. Garcia, a 23-year veteran of FDNY who not only responded to 9/11 but responded and lost two of his men in the Deutsche Bank Fire. died by suicide.

One can’t help but wonder if the tragic deaths reflect the danger of hidden depression in men.  Increasingly we have become aware that although women are twice as likely to be diagnosed with depression, many men, beyond the 10-17% diagnosed, may also be suffering with depression.

Depression May Be More Deadly for Men

What makes depression in men so dangerous? It too often goes unrecognized and untreated because it is masked by physical complaints, substance abuse, anger and other stealth symptoms.

Today a concerned parent commented to my blog “Could My Teen Commit Suicide?” by describing his 14 year old daughter who had begun cutting herself.

He asked “Could this be a warning sign?”

Also today two colleagues raised concerns about young people engaged in cutting – one a female college student and one a 15 year old male.

Whether parent or professional, this is a topic that concerns and confuses us. It is one that we cannot ignore. It is one worth considering.