So I was sitting at the doctor’s office waiting to be seen for a muscle spasm in my long-suffering back (and I am now dosed up on a large quantity of muscle relaxants, which makes writing a bit of an adventure), and I had a copy of the New York Times Magazine. Specifically, the Ninth Annual Year in Ideas, which is a fairly entertaining feature in which they toss out all kinds of futuristic concepts that make me realize “oh, my God, I am going to get a flying car soon!”.
But I would not be blogging about this in my tiny forgotten attic-corner of the internet if it were a purely happy experience, because bloggers like to complain and I am no exception. I got through the A, B, Cs– no problem. H, I, K– perfectly cool, although I might have some scientific quibbles with the ‘Killer Earth’ proposition, but that is another topic for another space. And then L comes along and luckily I am in too much pain to freak, because, well, take a look at this:
In The British Journal of Psychiatry earlier this year, the neuropsychiatrist Takeshi Terao and other researchers showed that communities in Japan’s Oita Prefecture with higher levels of naturally occurring lithium in their water supplies had fewer suicides than those with lower levels.[...] Terao and his team contend that the lithium levels in their study are low enough not to cause significant side effects, and that in any case the benefits outweigh the risks. In a follow-up paper, they even posited that adding lithium to drinking water could “potentially offer an easy, cheap and substantial strategy for worldwide suicide prevention.”
I honestly did a double-take. The sciencey part of my brain went “ooh, shiny, niftycool”– I think because the part of my brain that cares about human rights and body autonomy and all that jazz just could not believe that they would actually be positing this. This. The idea that we should put lithium in the water to prevent suicides.
Now, before I deconstruct this, let me get a few things straight: First, I have no problem with fluoridation. Second, I am not a believer in mind/body dualism. Third, I agree that suicide in most cases is highly undesirable.
But I would never support or condone adding lithium to the water. In fact, I would consider it my latest injustice to fighting until can’t fucking fight any more (and then you may bury me, because I will likely be dead). The addition of mind-altering substances to public water is a violation of human rights. Even more than that– widespread coercive use of drugs to prevent suicide is an ethically bankrupt measure.
We do not know much about the psychopathology of suicide. We know that it is typically an impulsive act. We know that it is correlated with mental illness. We know that there are certain conditions, particularly mental ones, that drive people to suicide. Despair, particularly. Isolation. Feelings of being trapped.
The paths to suicidal ideation are many: I was not suicidal when I was repeatedly beaten for “being a lesbian” in middle school, though I know some who were; I was not suicidal when I was in an abusive relationship, though I know some who were; I was suicidal when I thought I would never recover, although I know some who were not. It is your own private journey into hell. We all take our own ways there, down to that cavernous echoing tomb, but we all get to that same destination. Alone. And the way out is just as individual as the way down- it is by our own meandering ways that we once more feel the sun. There are ways to help. For some of us they involve drugs. For some of us they involve talk therapy. For some of us they involve institutionalization. For some of us they involve recentering, finding one’s purpose, realizing the things we love. Just like recovery from mental illness, recovery from suicidal desire is a highly personalized affair.
Which is why this is so infuriating. It smacks of the consideration of mental health patients as a collective problem to be handled: drug ‘em up so they won’t do anything particularly upsetting, and don’t bother with anything else. Don’t investigate what got them there. Don’t invest in a mental health care system that actually takes care of people. Don’t personalize their care or get them what they need if it is anything besides what you think they should need. Don’t even examine what it is about our gross consumptive, alienating culture that feeds into suicide and illness and despair.
Just drug ‘em. Drug ‘em and hope for the best. Drug ‘em and watch your statistics ’cause if your suicides drop, who cares if you’re not handling the real problem? Who cares if the sheer number of suicides is indicative of some broader social rot?
Drug ‘em up to shut ‘em up.
That is the problem here, from the perspective of a mental health advocate. Not just a violation of consent, which is also horrendous, but also the treatment of people as statistics and the denial of our fundamental humanity– treating us, instead, as some public health puzzle to be solved.
This is intolerable.
…back to bed. Got some painkillers to sleep off.

