Page 8-Friday, December 11, 1981-The Michigan Daily Prevention Low self-image common in depressed individuals 0 By KATHLYN HOOVER The suicide note said he was a misfit, but; many people who were close to University law student David Doroshewitz described him as a brilliant and creative young man. Iioroshewitz hung himself last month in 'the basement of his parents' Sodthgate home. He was 23. NOBODY KNOWS for sure why Dooshewitz killed himself. Friends and teachers were shocked by his death. Others said he was very depressed when he hung himself. I.T IT IS this type of suicide-one in which the victim is a high-achiever with a J#ight future-that catches everyone by complete surprise, according to Dr. Robert Lobis, an authority on suicide and a psychiatrist at the Leonard Mor- se hospital in Natick, Mass. 'is is the hard-working person who sems to have everything going for him, but he doesn't have much aside from his achievements," Lobis ex- plained. Victims like Doroshewitz, he said, may hide their feelings of hopelessness. and worthlessness by continually achieving. But as a result, they may feel valued only for their accomplish- ments, and not for themselves. BUT AFTER they fail at something, they believe their low self-image is con- firmed, and may attempt to hurt them- selves, said Sarah Benet, director of Project Assist, an education and training program on suicide for health professionals and para-professionals. Suicide among people in the 15- to 29- year-old age group has risen 300 per- cent in the last 15 years. It is now the second leading cause of death among young people. There are no simple. answers to questions about why people commit suicide, explained Lobis. "If the per- son's life history were known, then- perhaps the attempt could be predicted, but since it usually isn't, suicide ap- pears to outsiders as if it happens to just anyone," he said. ACCORDING TO a Harvard Univer- sity study on depression and suicide in college students, depression arises in students when they fail to meet unrealistic expectations set by them- selves and/or their parents, or they have made no career choice by the end of their junior or senior years. The study, conducted by Dr..Preston Munter of the Harvard School of Public Health, also points out that depression in students also can be ignited by their lack of a sexualized love object or by their homosexual feelings, fantasized or overt. Students falling into the latter group, as well as foreign students who have flunked out of school and would rather die than go back to their homeland, are considered very high AVE A 00 VISIT OUR RECORD DEPARTMENT GREAT SELECTION OF NEW WAVE, REGGAE, OLDIES & INDEPENDENT LABELS. risk candidates for suicide, the report states. One common denominator Lobis has noted in suicidal youths is low self- esteem. "It's something that develops throughout our lives and grows primarily out of our experiences with significant others (such as parents or lovers)," he said. IN SOME suicide cases, Lobis said, an unpleasant external experience, such as breaking up with a loved one, can trigger these feelings of low self- esteem and prompt the depressed in- dividual to attempt suicide. But this doesn't mean the person wants to kill himself or herself. "Most people who attempt suicide are not with the motivation to kill them- selves," said Marvin Brandwin, a psychologist in the University Hospital's psychiatric department. A suicide attempt is generally a cry fh help; a drastic gesture one resorts to after more indirect methods of trying to connect with someone have failed, he said. LOBIS SAID that for every successful suicide there are between 10 and 100 at- tempted suicides. Dr. Eva Deykin, a professor at the Harvard School of Public Health, said many suicides among young people are accidents that end tragically because of miscalculation or poor judgment. To support her theory, Deykin said statistics show that although young people make more suicide attempts, older people succeed more often. '7-SHNIRT PRINTINq Ann Arbor's fastest! From 10-800 T-shirts screenprint- ed within 24 hours of order.' Multi-color printing our specialty. You supply art or use our expert design staff, Hundreds of surplus T-shirts only $2. each. Located behind the Blind Pig Cafe 2081 s First St Phone994-1367 ANG f\ .R M Peykin said older people commit suicide in higher numbers because they may be more serious about it. "The reality of the situation is different for the old," she says. "Many times there's no one around to intervene." THE MUNTER STUDY lists two criteria to be considered when predic- ting whether a person is thinking about suicide. First, the recent or i npending loss of a significant person, such as the death of a parent or loved one should be evident. Secondly, ruminations about death and/or threats to commit suicide should be noted., People who talk about hurting them- selves should be taken seriously, Lobis .said, noting that eight out of 10 people who commit suicide tell someone they are thinking of doing it before they at- tempt it. Other signs mentioned by Lobis and Benet include a great change in eating and drinking habits, the giving away of prized possessions, a severe drop in school grades, and unnecessary risk taking. "THERE IS no one particular sign," Benet said. "You have to put things together."t Emphatic contact is crucial in suc- cessful interventions with suicidal people, Benet added. She said one should do the following if he or she knows someone contemplating suicide: " Assess the immediate risk of suicide by asking the person how she or he would do it; " Ask the person if he or she has the means to do it; and " Ask the person if he or she has decided when and where he or she would do it. Friends and other interested persons should not worry about putting ideas about suicide in the person's head, Benet said. Almost everyone has thought about suicide at one time or. another, she noted. Lobis said the intervention process is painful and difficult. "We must fight within ourselves the automatic tenden- cy to avoid responsibility, to minimize the seriousness of the situation, and to hasten reassurance, more for ourselves than the suicidal person," he said. If the suicidal individual feels a sense of connectedness, his or her self-esteem will rise sufficiently to diminish the urgency of his or her suicidal impulse and the person can be guided toward professional help, said Lobis. Wisconsin program seeks out students t i NEWEST REGGAE RELEASES FROM J.A. JUST IN MARLEY $4.47 ...................... iAL$ RITA E-RA SPECAONERAW ECORD RENTAL ADAM AND PRINCE BUSTER'S $. LOWEST BLANK CASSE THE ANTS .7 GREATEST HITS, $6.9 PRICES IN TOWN 'PRINCE CHARMING VOL. 1" PRICE""IN"""" R NEW ORDER $5.77 VL BUNNY W ASR $6.97 GTRAY CATS noo 8 O N ROOVE BEST SELECTION AN GINABALL M D $6.47 PRICES IN THE MIDWE GONN~ ALL$6.77 DIAM ONDS U 2 (MOuRT) CHANGES 'OCTOBER TOYS, BOOKS, COMICS, BUTTONS & ANN ARBOR'S LARGEST SELECTION OF SMOKING ACCESSORIES. GChristmasGreeting Card \1 OPEN: MO.-SAT: till 9pm SUN. 1.7 LS ETTE D ST I, 209 S. State St. (downstairs) Ann Arbor, Michigan 662-8672 -? ,,, By KATHLYN HOOVER With college students commiting suicide more than any others in the 15 to 24 age group, universities face a dif- ficult task in creating a system to com- bat the problem. The University of Wisconsin at Madison maintains a renowned program for identifying- depressed students and handling suicide attempts. KEY PARTS of the program, developed by the Dean of Students' Of- fice at the University of Wisconsin, in- clude guidelines designed to instruct residence hall staff members how to deal with suicide attempts and depressed individuals, an intensive mailing campaign, and education and training workshops on suicide. According to University of Wisconsin Dean of Students Paul Ginsberg, the procedure for handling a suicide at- tempt begins when 'resideice hall staff members phone campus police or, security. An officer then transports the victim to the university or local hospital. At the hospital, the victim is treated, and attended to by a psychiatrist who determines the student's length of stay. "WE FEEL IT'S of some value for the person to spend at least one night at the hospital to meet his or her needs and the needs of his or her hallmates," Ginsberg said. Ginsberg stressed the importance of counseling students who live with or near a person who has attempted suicide. "Many times the roommate asks, 'What do I say when he comes home from the hospital?' They aren't sure how to treat the person," Ginsberg said. THE PARENTS of the student who has attempted suicide are contacted. "We do our very best and work very hard at getting the parents involved," he said. "It's likely the parents are part of the problem and the solution." Although under some circumstances contacting parents may be a violation of a student's right to privacy, Ginsberg said that in life-threatening situations, "we use our better judgment." HE SAID contacting the parents may prevent the individual from making a second attempt on his or her life. "There are times when we've made the call without the student's approval, but with his knowledge," he added. After being released' from the hospital, the student is extensively counseled by a professional from either Ginsberg's office or a community men- tal health center. The residence hall staff is required to report all suicide attempts to the dean's office. The housing staff also must report even the remotest indication that a student may be considering hurting himself or herself, Ginsberg said. In the latter case, the dean's office can im- mediately send a professional coun- selor to see the depressed student. This on-call counseling service is provided 24 hours a day, seven days a week, Gin- sberg said. "WE GET numerous calls every week from faculty and students saying- they tfink a friend is hurting," Gin- sberg said, noting that 95 percent of the time the depressed student is ap- preciative that a counselor intervened. "The student (residence hall) staff is very willing to refer people to the dean's office because they know the people will be treated appropriately and humanely, said Bill Sweet, an assistant director of housing and student affairs at Wisconsin. "I think we're reaching out effec- tively," Ginsberg said, pointing out that there has been an increase in the num- ber of students being counseled at the dean's office this year, although the. number of suicide attempts and suc- cessful suicides has not risen. Ginsberg's office sends 5,000 to 6,000 letters to the community two or three times a year in an attempt to make people aware that suicide is a serious issue. The letters identify particularly stressful times of the year, such as during holidays and final exams. In ad- dition, the letters explain what signs to look for in a suicidal person and suggest where people can get help. Throughout the academic year, moreover, residence hall staff mem- bers attend weekly meetings in which student affairs coordinators-who are responsible for training resident direc- tors and assistants-hold workshops on issues concerning suicide, depression, stress and test anxiety. "It's important to talk about suicide and get it out into the open," Ginsberg. explained. "It makes me mad when people try-to cover it up and pretend it doesn't exist. There is so much we don't know about it yet." SATURDAY ia~bec.12 SATURDAY, JAN.16s MICHIGAN THEATRE 2 Shows/2 p.m. & 8 p.m. $8.50 per show/$15 4or $12.50 both shows 4 Performers per show A BENEFIT FOR THE ARK Tickets at Herb David Guitar Studio, Schoolkid's Records and The Ark. To order by mail: stamped enve- lope and money order to: The Ark, 1421 Hill, Ann Arbor 48104. 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