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Question, Persuade, Refer

“You seem to be experiencing a lot of pain.  I am worried about you.  Are you thinking of killing yourself?”National Suicide Prevention LIfelineCan you picture yourself saying those exact words to a friend, an acquaintance, a co-worker, or maybe a student? Does the thought make you squirm, just a little? Be honest. Asking someone if they are thinking of killing themselves might be the difference between life and death, and until attending Socializing for Justice’s workshop I was uncomfortable asking the question.Recently, SoJust held a professional development workshop, led by Robbie Samuels, on the theme of “QPR Suicide Prevention Training for Community Leaders.” QPR stands for Question, Persuade, Refer and, much like CPR, it offers a potentially life-saving process with which to engage a person who is considering suicide. Samuels recommended we all have it in our toolbox of ways to respond to those needing emergency care. This is especially important information for those of us who work with LGBTQ youth. As a speaker with SpeakOUT, I am regularly talking to young people and their teachers. Being able to share this information and these tools will be helpful in particular because, as the Trevor Project reports, suicide is the second leading cause of death in people aged 10-24 and LGB youth are four times more likely to attempt suicide than their straight peers.We don’t talk much about suicide, as if uttering the word could create a self-fulfilling prophecy, or, like Harry Potter’s Voldemort, might invite the villain to visit us. Our silence is effectively reinforcing a taboo that has the destructive consequence of limiting access to support systems and stigmatizing those who would benefit from them. In reality, speaking the question out loud, “Are you thinking of killing yourself?” is like turning the valve on a pressure tank and releasing just a bit of air, providing a little more room to breathe. We learned that directly asking someone often allows the person to talk about their suicidal thoughts and to feel that release.Identifying suicidal warning signs is the first step to helping someone. Direct statements like “I’ve decided to kill myself” or “I wish I were dead” are obvious warning signs that should be taken seriously, but indirect clues such as behavioral changes, giving away prized possessions, or stockpiling pills might also point to suicidal thoughts.*We also received a packet of materials that included local and national resources that might be useful to helping people through a suicidal episode or other mental health crisis. For more detailed information on how to help, visit the American Foundation for Suicide Prevention. Or visit this listing of suicide hotlines for immediate support resources.Saving a life begins with one question. So say it with me, out loud, “You seem to be experiencing a lot of pain. I am worried about you. Are you thinking of killing yourself?”*as listed in the training booklet “Question, Persuade, Refer” by Paul Quinnett, Ph.D. 


Kara AmmonKara Ammon has been a SpeakOUT member and volunteer since the fall of 2014. She is active in the Boston bisexual community. Kara works with Reconciling Ministry Networks promoting the full inclusion of LGBTQ people in faith communities.


The World was Different on June 26th

John Sheehy and dadsThe only marriage license I've ever signed is the one between my dad and step-dad. Signing it was a given, almost to the point that it felt meaningless. What is a squiggle of ink on a leaf of flattened pulp? For that matter, what is the word "marriage" compared to the fact that they have been together since before I can remember, loving and caring for me the whole time? Their "marriage license signing dinner party" was one of the best, but it didn't change my world.On June 26th, the world was different.When I sent my dad a selfie I took exiting the Supreme Court on the day they heard oral arguments for Obergefell v. Hodges (April 28th), he told me how proud he was of me. I was appropriately chuffed, but I texted back that I'm just standing on shoulders. I wasn't pandering cliché, either; I was distinctly remembering smaller times when I would actually sit on his shoulders, holding onto his hair and learning about the world, literally, from his point of view.With a profundity that is ringing especially loudly in the ear these days, my dad taught me the absolute importance of being true to yourself. He taught me about belief and conviction. I had to figure out for myself that he was so keen on these lessons because they were the hardest lessons he had to learn for himself. I would have been angry and sad, but by then he had already shown me what it means to live with dignity. Instead I grew, however indirectly, to know the dull heartache that haunts anyone who feels alone in their beliefs.state house crowdThe Supreme Court's marriage decision on June 26th was so, so much bigger than more squiggles and leafs of pulp. I daresay it's even bigger than love. That victory is for anyone who has ever felt alone. For anyone who has ever fought and sacrificed for change they didn't even expect to see for themselves. That decision shows what faith and conviction can earn.Thank you, from the depths of my being, to everyone who added their voice to this chorus, to everyone who refused to let anyone suffer this alone. Thank you for being an example, for being brave, for being loud. Thank you for what you've given my dad and my step-dad and all their friends and everyone's families.But let me be selfish and thank you most for validating everything my dad taught me. Some day there will be a tiny Sheehy on my shoulders, tangled in my hair, and whatever I'm teaching her will be built on the lessons of conviction that come down from her grandfathers. I'll tell her she can change the world, even if it takes her whole life, if she just stays true to herself.And when she asks, "Really?" I'll be able to answer, nostalgically, "Really."


John Sheehy was raised bi-coastally between his mom in Boston and dad and step-dad in Seattle. After studying linguistics at Brown University, wandering the world, and freelancing in Brooklyn, he attended Columbia's Graduate School of Journalism, where he started writing Queerspawn!, a book gathering stories of individuals who grew up in homes all across the LGBTQ spectrum. Chapter and essay drafts for Queerspawn! are available at https://www.beaconreader.com/john-sheehy, and John would like all agents to note his distinct lack of representation.