self-harm or suicide-related posts
See also the rules for The Haven - viewtopic.php?t=297515
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Giraffe: a ruminant with a view.
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.
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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ADHD-I(diagnosed) ASD-HF(diagnosed)
RDOS scores - Aspie score 131/200 - neurotypical score 69/200 - very likely Aspie
ASPartOfMe
Veteran
![User avatar](./download/file.php?avatar=90110_1451070500.jpg)
Joined: 25 Aug 2013
Age: 67
Gender: Male
Posts: 36,698
Location: Long Island, New York
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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Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity
“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
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