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Cornflake
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15 May 2024, 5:02 am

See also the rules for The Haven - viewtopic.php?t=297515


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Carbonhalo
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Joined: 26 Nov 2007
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28 Jul 2024, 10:14 pm

I have found no stayed differentiation between suicide and end of life planning.
I have a plan in place (and several backups) to be executed as close as possible to loss of agency.
I have previously been chemically suicidal (Serotonin toxicity) but antidepressant discontinuation fixed that.
I do not consider myself suicidal any longer, although my end of life planning leaves my GP thinking I am (which is interfering with treatment for symptoms making life unpleasant)
My only concern is about traumatising whoever finds my corpse, should I choose a method that leaves one.

"Die old and try not to leave a messy cadaver"
I would like to see the Hippocratic principle of non-maleficence adjusted to "Do the least harm"

I suggest end of life planning be incorporated into your otherwise quite detailed manifesto.



Fenn
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29 Oct 2024, 10:18 am

Proposed draft language to be added to the WP bylaws and rules of best behavior (Need to look up the proper name for them).

Suicide and Crisis Response Policy

Purpose: To foster a supportive, respectful community where members facing mental health crises are provided with resources and encouragement, while maintaining a respectful environment for diverse views on autonomy and mental health.

1. GUIDING PRINCIPLES
- Empathy and Support: Community members should respond to posts expressing suicidal thoughts or emotional distress with compassion, offering support within the scope of their comfort and capability.
- Privacy and Respect: Respect the anonymity and boundaries of members, refraining from seeking out personal details without explicit consent.
- Freedom of Expression and Right to Autonomy: Recognize that individuals have diverse perspectives on life and autonomy. Engage in discussions on these topics respectfully and sensitively.

2. ROLE OF MEMBERS
- Members are encouraged to:
- Offer empathetic responses, providing supportive words or listening ears.
- Share general mental health resources and encourage the person to seek professional help.
- Avoid making assumptions about the sincerity of posts. If there is uncertainty, prioritize empathy, as genuine crises can be difficult to identify.

3. ROLE OF MODERATORS
- Initial Review: When a moderator identifies a post expressing suicidal thoughts, they should:
- Engage with the member sensitively, acknowledging their feelings and suggesting they reach out to crisis support or professional help.
- Use standard phrasing that shows empathy without crossing boundaries, such as, "We care about your well-being and want to support you. Consider reaching out to someone who can provide specialized help, like a mental health professional."
- Escalation: If a post is highly explicit or indicates imminent danger, the moderator should:
- Privately message the user with more urgent resources and, if available, escalate to the site owner or administrator who may be able to review available information more closely.
- Discretion on Hoax Concerns: If there is substantial reason to suspect a post is a hoax or made in bad faith, moderators may quietly monitor for patterns, but responses should always err on the side of compassion.

4. ROLE OF SITE OWNER/ADMINISTRATOR
- The site owner, with access to IP and account information, should:
- Review cases flagged by moderators for more comprehensive action if necessary.
- Assess whether more significant actions are warranted, such as contacting authorities in cases where there is credible information about a real-time crisis and where it is ethically justified.

5. GENERAL POSTING GUIDELINES ON MENTAL HEALTH AND SUICIDE
- Trigger Warnings: Members posting on sensitive topics like suicide are encouraged to use trigger warnings to allow others to prepare emotionally before engaging.
- Resource Sharing: Regularly post mental health resources in a pinned forum thread or resource center, including crisis helplines, online support, and professional services, catering to users from various countries.
- Encourage a Culture of Care: Remind all members that supporting someone doesn’t mean they must become a counselor. It's okay to encourage professional help and set boundaries.

6. PERIODIC REVIEW AND ADJUSTMENT
- The policy should be reviewed periodically to adapt to community needs, evolving mental health standards, and emerging ethical considerations, balancing support and privacy.


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ASPartOfMe
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29 Oct 2024, 11:53 am

The only thing I might add is to encourage the use of the spoiler tag in order to hide sensitive/triggering content.


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“My autism is not a superpower. It also isn’t some kind of god-forsaken, endless fountain of suffering inflicted on my family. It’s just part of who I am as a person”. - Sara Luterman