We know now that 40-60% of Montana Suicides are health(pain) related.
This talk is about resilience.
If pain is the terrorist,
Resilience is worn down.
Yes, techniques to distract,
And build resilience are useful.
Sleep builds resilience
Relief from pain builds resilience
Weaning opiates causes a DECREASE in resilience, as does
All these are increased when someone loses access to opiates,
These folks lose all hope,
Engage in dysfunctional
And come to conclusions,
Which sometimes IS the conclusion.
Acute opiate deprivation in palliative pain patients causes hopelessness
We know how to treat this syndrome.
This subset of suicidality
Let’s reinvent our approach to Pain.
Addiction is killing the addicted.
Hopelessness is killing palliative pain patients.
We can do better.
Why don’t we?
We are seeing hopelessness and suicidal ideation in the refugees of Samos.
We try to restore
In some of the most
Tortured, betrayed and abandoned on the planet.
Why are we abandoning our own fellow Americans who had their suffering effectively treated until arbitrary restrictions were instituted over the last 7 years, even while opiate Rx have decreased 30%.
We are great in American Medicine at treating the acute and life-threatening.
We save more folks from the brink than any other system.
Where are we failing?
We suck and helping folks make the life we have saved worth living.
And, my friends, no one wants to live in agony.
We can do this right.
Mark Ibsen MD
Featured image from Learning More about Suicide, Coping and Resilience. American foundation for Suicide Prevention.