07/03/2026
Medical gaslighting can be a major issue.
Where someone spends years being dismissed, being told it's all in their head, then the continuation of pain in whatever form becomes more inevitable.
Here I'm thinking of those given the run-around for years with PMDD, endometriosis, anxiety through the roof due to hormonal imbalance....
Even this situation is being harnessed by big pharma in their current TV advertising claiming a wish to work more closely with medics to gain proper attention to the matters of female pain.....
A whole heap of difficult philosophical thoughts in this - and all the while people continue to be disbelieved, told that what they describe just isn't true
Those feeling certain that they're in the wrong body, those who see themselves differently in the mirror, denied care because they "mustn't think like that", or "can't possibly have that".
Long term issues need long term reliable support.
Being heard, and importantly believed, no matter how many times that pain is mentioned.
Because that pain doesn't pay attention to quick and easy slogans, or target statements.
That pain is real.
Physical or emotional.
And if you need or wish to tell me about that pain, I will believe you. Doesn't matter if it's the first time, or the 50th time.
Su***de prevention does not come from slogans or telling people to “get therapy.”
Ongoing, dependable connection prevents su***de. Not surface contact. People who show up, stay in contact, and do not argue with someone’s reality. Isolation increases risk. Consistent relational presence lowers it.
Reduction of harm prevents su***de. When abuse, harassment, and coercion stop, risk drops. You cannot regulate in an environment that keeps injuring you.
Material stability prevents su***de. Housing, income, food, medical care, pain treatment. Chronic precarity keeps the body in prolonged stress. Stabilizing the basics lowers the load.
Credible justice and accountability prevent su***de. When harm is acknowledged and there are consequences, the sense of endless threat decreases. When institutions deny or distort, risk increases.
Relief of unremitting physical pain prevents su***de. Untreated pain is a major driver. Effective medical response changes outcomes.
Community belonging prevents su***de. Being part of something that has shared meaning and shared action reduces isolation and increases coherence.
Access to lethal means matters. When highly lethal methods are harder to access, su***de rates go down. This is well documented in public health research.
Follow-up after crisis prevents su***de. Not a discharge and silence, but steady contact in the days and weeks after acute risk.
Cultural conditions affect suicidality. Societies with extreme inequality, social fragmentation, and normalized violence have higher su***de rates. Conditions that support dignity, safety, and shared responsibility lower them.
Su***de prevention is structural, relational, and material. When those conditions are strengthened, risk decreases.