Losing a Parent to Suicide: Reflections of a Brown University Alum

A Daughter's Grief

She learned to cope with her mother’s suicide.
Then everything fell apart.

By Dara Huang '99, '04 MD

My mother hanged herself in the basement of my house. I was 15. This is the most significant event in my life.

From that day on, I learned never to accept 20/20 vision only in hindsight. My acuity for social dynamics became sharper, my appreciation for my family and friends became richer, and my appetite for learning life’s meaning in all of its complexity grew stronger. I was determined to train myself to have perfect vision in the present day.

Although I didn’t know it at the time, I lived under the consequences of the stigma surrounding my mother’s death. The survival of my family and myself was my only priority. My two older sisters were away at school then, leaving only my father, my younger sister, and me to fend off feelings of grief-stricken emptiness. Every night, dinnertime would come, and the three of us would eat in silence. We managed as best we could. I learned to marinate chicken before starting my homework, and on weekends I cooked in bulk, so as to have leftovers for the rest of the week.

Still, though, fear carried the day, and I’m not sure whom I was more afraid for: my little sister or my father. My sister was still in elementary school, and the smallest one in her sixth-grade class. She had once used my mother as a shield in our sibling rivalries, but now she relied on her “enemy” for support. My father’s age quickly accelerated. He swiftly lost forty pounds, his hair grew white, and he often wondered aloud if he could survive long enough to pay our college tuitions.

My life had crumbled at home, but I survived by holding on to what I did have. I depended on my family for motivation and strength amid the tears, and held on to my academics steadfastly, to provide myself a world of “normalcy.” I was accepted by the Program of Liberal Medical Education at Brown. By May 1999, I had received a dual degree in East Asian studies and biology. It would seem that my confidence in academic achievement was relatively secure at this point; however, no one knew of my depression. I was unaware of it myself. And when I entered medical school, things started to fall apart.

There the integration of my academic and personal lives hit closer to home. I was privileged to learn everything about the human body, from memorizing its most basic genetic components to looking at cells under the microscope and dissecting its gross anatomy. I studied the mind and body in their healthy state, and learned what happens when an imbalance or trauma is inflicted on that living system. I learned a great amount from reading textbooks.

I was faced, however, with the unforeseen challenge of trying to dissociate the human aspect from the objectivity of science. I quietly mourned for my mother while I dissected cranial nerves in my cadaver’s skull, held back tears when I learned about psychiatric disorders, and trained myself to quickly gain composure when patients told me of losses they had endured. I expressed sympathy but could not reveal that I personally knew their pain.

By the middle of my third year, I realized I was not ready to become a doctor. I had not yet fully grasped the effect of my mother’s death on my life. My unresolved bereavement may have influenced my personal development and accounted for potentials yet unfulfilled. Self-perception of my experiences was my oppression. I did not feel safe expressing my personal losses; I was afraid of the judgment that would be passed on my family and me. I still feared the stigma attached to my mother’s death.

I began bereavement therapy, devoting my energies to reclaiming my own general welfare. And by working on my own mental health, I eventually became strong enough to work with the Samaritans of Rhode Island, helping others understand suicide. I realize that my loss had only been exacerbated by my silence. I had been raised to accept the adage “Time heals all wounds,” and been told to continue to lead a “normal life,” despite a hidden past. Yet nearly twelve years after my mother’s death, I realized that I could not find closure to it without first accepting that this was a traumatic experience, which had inevitably altered the course of my life. Only by confronting the anger and guilt that envelop the stigma of suicide could I inch closer to finding “normalcy.”

Suicide is a dirty virus, whose secret aftermath is tormenting and relentless. It does not discriminate by age, race, or educational or socioeconomic status. Yet depression and its most serious consequence, suicide, can be prevented by promoting awareness and by reducing the stigma surrounding mental illness. Ironically, the road to prevention and healing is simply bringing attention to mental illness. It is suicide’s shame that promotes its wrath.

 

Dara Huang graduated from Brown Medical School in May of 2004.
Another version of this essay appeared in the Providence Journal.

Comments

Losing Mom

A very dear sweet friend of mine lost his adoptive mother to suicide.

For the life of me, I cannot imagine a deeper, sadder grief than being left by TWO mothers.  "WHY both?"

Below is an excerpt from a very good page that discusses the death of a parent by suicide:

When a parent dies by suicide... What kids want to know
Why?

“Why?”, plain and simple, is the most common question when someone dies by suicide. Unfortunately, it’s also the hardest question to answer. The only person who really knew why was the person who died.

There is no single answer that helps children understand why a parent would kill himself or herself. Even when the parent leaves a note, suicide is often very hard to understand.

Did I do something to make this happen? Is it my fault?
  • Suicide is never anyone’s fault. This message needs to be repeated over and over again.
  • Children often feel guilty when a parent dies by suicide. Many children think they could or should have prevented the suicide. Children often worry that they did something to cause the suicide. They may say, “If only I’d done what Mom asked me to do,” “If only I’d done all my chores” or “If only I hadn’t fought with my brothers so much.” Make sure children know they did nothing wrong. The suicide was definitely not their fault. It had nothing to do with anything they said or did.
Could I have prevented my parent’s suicide? What could I have done differently?

Children often think there is something they could have done, or done differently, to prevent the suicide. They may think that if dad had told them how sad he was, they could have stopped him from ending his life. If they had gotten better grades at school, perhaps mommy would have been happier and wanted to live. If they had been nicer to their brothers and sisters, things would have been easier at home and their parent would not have chosen to die.

  • Make sure the child knows the suicide is not anyone’s fault. There is nothing the child could have done to change what happened. Also make sure the child knows that the parent who died loved him or her very much.
  • Feelings are not rational. Even though you have told the child that the suicide was not his or her fault, the child may still feel guilty. Guilt feelings can last a long time. The child needs to be able to express guilt and have it accepted. Eventually these feelings will get less intense.
Will I die by suicide too?

Suicide is scary for children. Sometimes children think that if their parent died by suicide, they might end up killing themselves too—that it runs in the family.

  • Suicide is not something you “catch” from someone else. You can’t catch it like a cold. And it is not inherited from your parents.
  • Suicide is like other illnesses: if there is suicide in your family, you might be at greater risk of suicide yourself. But it is still a very small chance—there is a much, much bigger chance that you won’t kill yourself.
Are you going to die too? Will I be left alone?

When a parent dies, many children become afraid of being left alone or abandoned. Some children fear that if one parent can leave them, the other could go too. Children may become very anxious or clingy. They may worry if the remaining parent is away for a time.

  • Let the child know that you are here now and that you love him or her very much. Tell the child that you do your best to lead a healthy life, and that you know how to get help when you need it. Depending on their age, you might also tell children who would take care of them if necessary.
  • Children need time to process the trauma of suicide and to rebuild trust—trust in the people they love and in the world they thought was safe and secure.
What do I tell kids at school? Will they think bad things about my family?
  • Many people have negative attitudes about suicide and mental health problems. Some people look down on a family that has experienced a suicide (or other mental illnesses). Sometimes kids will make mean jokes and pick on others because of this. They might say something cruel like, “Ha ha, your mom killed herself.” Some children have no idea how hurtful this can be.

    Others know it hurts, but still say mean things. The important thing is to help children deal with these comments. They can choose to ignore them. Children can also practise saying something like “Mommy was sick and was very, very sad.” They can also tell an adult right away.

  • Help children decide how much information to share. Sometimes, it might be easier for a child to say something simple, like “My mother died suddenly” or “My dad was sick and he died.” Older kids can also say, “Dad died by suicide.” Some children may want to share more details. It’s a personal choice and it is up to the child. Make sure the child knows that he or she does not have to share details. You can teach children how stop conversations when they get uncomfortable. For example, they can say, “Thanks for asking, but I don’t want to talk about this any more.”
Why am I so sad? Will I be this sad forever?

Children feel grief in different ways. Their feelings about a suicide are often quite different from how children feel after other kinds of death. Children often feel embarrassed and ashamed if a parent dies by suicide. After the death of a parent, children may also feel:
 

abandoned   guilty 
shocked confused
sad depressed
angry anxious
fearful lost or empty

It’s hard for children to deal with intense grief all the time. Instead, they mourn in small chunks of time over a long period. They might be really sad one minute, and playing with friends the next. Sometimes, other people don’t accept the grief that survivors of suicide feel. This is partly because of the stigma, or negative attitudes, around suicide. This makes grieving harder. It takes time to get over a death. Some days will be happy, other days won’t. The child may be crying one minute and playing happily the next. This up-and-down part of grief is often confusing to adults as well as to children.

  • Make sure kids know they won’t always feel this way. Children need to have a sense of hope.
  • Encourage the child to talk about his or her feelings. Some children feel comfortable talking. Others can explore their feelings through drawing and playing. Listen to what the child says and, even more importantly, what he or she doesn’t say.
  • Acknowledge and validate children’s feelings. Say things like, “I see that you’re really sad” and “It’s OK to feel angry.”
When will it stop hurting? What can I do to start feeling better?
  • Children are sometimes confused by how they feel. They may think they are different from other kids. Make sure they know that all children are unique, and so is the way they grieve. There is not a right way or a wrong way to grieve.
  • The best thing kids can do to feel better is to talk about the loss. Let the feelings out. This means crying, screaming, yelling and, most importantly, asking questions. All of this is OK.
  • Encourage kids to ask questions. Tell them they shouldn’t be afraid of making you more sad by asking questions and talking about the death.
  • Make sure children know it’s OK to feel happy as well as sad. Feeling happy (or feeling better) doesn’t mean they’re not still sad about their parent’s death. It doesn’t mean they have forgotten their parent. They will never forget their mom or dad.
  • Use storybooks to help get conversations going. See what is available in your local bookstore and library.
  • Keep up children’s normal routines as much as possible. It may be hard, but try to keep them going to school, soccer practice, swimming, Girl Guides, play dates with other children, etc.
  • See if there is a support group for survivors of suicide in your community. Look in the Yellow Pages under “Bereavement.”
  • Sometimes a child may feel really sad and have no one to talk to. Or the child may want someone else to talk to. He or she can call Kids Help Phone at 1 800 668-6868 to talk to an adult (social Zorker, psychologist, psychotherapist or doctor) who can help.
  • If the child is old enough to write, he or she can start a journal to write down thoughts and feelings. Children can use drawings too. Encourage the child to include things he or she would like to say to the person who died. Children might even want to write a letter to the parent who died.
  • Remember to take time to do things that make the child feel happy (e.g., play a sport or game, hobbies, go to a movie).
  • Give lots of affection and hugs to the child. Tell the child how much you love him or her.
  • Other things that you and your child can do:
    • Frame a picture of the parent who died and put it in the child’s room.
    • Make a photo album especially for the child.
    • Plant a memorial tree or garden.
    • Light a memorial candle.
    • Make a memory book to remember the person who died.
    • Make a worry box. Write down worries about the death (or make drawings) and put them in the worry box. Worries may be shared with trusted adults.
How can I remember my mom better? How can I make sure I never forget my dad?
  • Invite children to the formal commemoration(s) of the parent (the funeral or memorial). Be sensitive if they do not want to go.
  • Do something special on the deceased person’s birthday and/or the anniversary of his or her death.  These informal rituals are important.
  • Give the child an object or special possession that belonged to his or her parent.
  • Make sure to talk often about the parent who died. Don’t avoid saying the person’s name around the children. Remember to mention the parent at family ceremonies and holidays.
If a child talks about wanting to die

If a child talks about killing himself or herself or wanting to die, take these comments seriously. Seek professional help. You can’t afford to guess wrong by assuming the child doesn’t really mean it 

http://www.camh.net/About_Addiction_Mental_Health/Mental_Health_Information/when_parent_suicide.html

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