Rethinking Suicide
Why Prevention Fails, and How We Can Do Better
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Narrated by:
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Mark Torres
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By:
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Craig J. Bryan
About this listen
An examination of how suicide prevention efforts largely fail due to the mistaken assumption that greater mental health awareness is the key to saving lives.
Rethinking Suicide is a critical examination of what we think we know about suicide, with particular focus on the assumed role of mental illness. Craig J. Bryan, a leading expert on suicide prevention, argues that most prevention efforts have failed because they disproportionately emphasize mental health-focused solutions such as access to treatment and crisis services. Instead of classifying suicide as a mental health issue, careful analysis of research findings suggest it should instead be seen as a highly complex problem with many risk factors—from personal decision-making styles, to the availability of lethal means, to financial uncertainty. As such suicide rates will not be curtailed by conventional solution-oriented thinking; rather, we need process-based thinking that may, in some cases, defy or contradict many of our long-held assumptions about suicide. Rethinking Suicide interweaves the author's firsthand experiences with explanations of scientific findings to reveal the limitations of widely-used practices and to introduce new perspectives that may trigger a paradigm shift in how we understand and prevent suicide.
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Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality", Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addiction is a learning disorder, and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
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For years we have been told to make lists and obsessively monitor when we’re angry, what we eat, how much we worry, and how often we go to the gym. So why isn’t everyone healthy? Now based on the most extensive study of long life ever conducted The Longevity Project reveals what really matters across the long run—the personality traits, relationships, experiences, and career paths that naturally keep you vital.
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America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world.
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Disappointment
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From the best-selling author of Thinking, Fast and Slow, the co-author of Nudge, and the author of You Are About to Make a Terrible Mistake! comes Noise, a revolutionary exploration of why people make bad judgments, and how to control both noise and cognitive bias.
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Disappointing
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In The Upside of Your Dark Side, two pioneering researchers in the field of psychology show that while mindfulness, kindness, and positivity can take us far, they cannot take us all the way. Sometimes, they can even hold us back. Emotions like anger, anxiety, or doubt might be uncomfortable, but it turns out that they are also incredibly useful.
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Boring and learned nothing
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Explaining the long-term fallout that can result from seemingly minor emotional and psychological injuries, Dr. Winch offers concrete, easy-to-use exercises backed up by hard cutting-edge science to aid in recovery. He uses relatable anecdotes about real patients he has treated over the years and often gives us a much needed dose of humor as well.
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insightful and delightful
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When confronted with an ethical dilemma, most of us like to think we would stand up for our principles. But we are not as ethical as we think we are. In Blind Spots, leading business ethicists Max Bazerman and Ann Tenbrunsel examine the ways we overestimate our ability to do what is right and how we act unethically without meaning to.
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Great book! Poor narration
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What listeners say about Rethinking Suicide
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Halucygeno
- 05-08-24
Solid book slightly undermined by a smug narrator
Craig Bryan takes an admirably pragmatic, empirical approach to suicide prevention, debunking some myths about suicide causes and providing a light overview of the scientific data on the subject. It was especially fascinating to hear about the statistical errors and confirmation bias which hamper conventional suicide prevention efforts.
That said, as an intermittently suicidal person myself, there's something cold and dehumanising about being boiled down to a statistic, with the whole rationale behind helping me (and people like me) essentially amounting to "make death numbers go down". Nothing is said about the philosophy of suicide, or the more specific reasons one may hold overwhelmingly negative views about themselves or the world. Every motivation for suicide is flattened into a "risk factor"; the whole issue is treated like a mathematical probability problem.
The final chapter, "Creating Lives Worth Living", rings especially hollow. While Bryan makes a passing attempt to address the social causes of suicide (mentioning air pollution, minimum wages, lack of affordable health insurance, lack of support from friends and family, etc.), which I certainly appreciate, most of his focus is on local, individual contexts. Perhaps it's beyond the scope of his research, but no mention is made of young people's rising anxiety about wider political problems, such as climate change, plastic waste and economic exploitation of third world countries. A lot of the suicide prevention methods endorsed in this final chapter (keeping reminders of reasons for living, focusing on positive experiences, etc.) feel very akin to the typical platitudes and mantras of conventional self-help and psychotherapy, which I thought the book was criticising. Yes, we may learn mechanisms to cope with the stress of life, but is it worth living in a world where we produce tonnes and tonnes of plastic waste everyday, while children in the Congo are forced to mine coltan for our smartphones? The anxiety caused by these pervasive, international issues cannot be fixed by raising the minimum wage or giving people access to parks.
Even so, the book is solid; I don't consider the above omission to be a serious problem, as it doesn't undermine Bryan's thesis and arguments about the inadequacies of conventional suicide prevention. What actually ruined the book for me (specifically the audiobook) was the narrator, Mark Torres! The way he constantly pauses to emphasize individual words and his rising intonation makes it feel as if he treats every single statement like the most surprising, revelatory thing in the world. He always sounds like he's on the cusp of saying "wow, isn't that interesting?" or "who would have thought it?". This kind of prosody might be appropriate for truly unexpected or unusual conclusions, but this is how he delivers EVERY point, even very simple and obvious ones.
The result is this condescending tone, as if the narrator expects me to be in perpetual awe at the insightfulness of each statement. To be fair, Bryan's heavy reliance on visual metaphors and analogies, even when it's arguably unnecessary (I don't need an illustrative example to grasp that practical medical experience beats textbook education, it's a very simple concept), somewhat contributes to this feeling of being talked down to, like a child. Not fun. It was still possible to appreciate the quality of the writing, but it was a struggle.
Overall, good book, well worth reading, but I didn't like the narration.
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- Chris E.
- 03-16-24
Find Some Hope
Dr Bryan did a fantastic job of shifting the narrative to find hope in a positive and holistic way. I hope more of the suicide prevention community adopts this approach as we advance care.
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- Benji & Sari
- 09-27-22
Love the objectivity in writing style
I am a researcher and work in healthcare so I could understand the mathematical and statistical references in this book, but probably over the head for mainstream populations. However, the analogies and examples given are relatable and understandable to a majority of anyone reading the book. Since it’s on audible, I wasn’t given access to the tables and visual references given and would advice to include as part of the purchase in the future if teaching and education towards health professionals is the goal. My husband is a therapist and both of us would have benefitted substantially from a pdf copy to reference and utilize for the diagrams.
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2 people found this helpful