Transcript
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Welcome to Real Talk with Tina and Anne.
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I am Anne, and today I am so honored to introduce Sophia Lorenzi, a very gifted writer, by the way, someone who has deeply touched my soul.
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Sophia has spent years reporting on the lives of people navigating unimaginable loss and injustice.
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Currently, Sophia is pouring her experience as a death row investigator and her understanding of suicide loss into a forthcoming memoir.
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Through her writing in advocacy with Save, which is Suicide Awareness Voices of Education, she's made it her mission to make a mental health dialogue accessible and to help others find agency in difficult systems.
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I sat for hours reading your articles, and I am not kidding.
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I cannot wait for your memoir.
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I sat with them and I lived with them for actually a while.
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You are changing the landscape of mental health with your writing.
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You are removing stigmas, you are putting faces with suicide and are creating a space for people who are on death row.
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I have to tell you, I have never ever met someone who spent days, weeks, months trying to do everything that they could to rewrite the ending of someone else's story.
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The loss of your dad to suicide touched you in a way that caused you to want to reach into the depths of those who had been so horribly changed by abuse that you wanted to help them rewrite their own stories.
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So we will get to all of that.
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But first of all, I just want to thank you so much for being on the show.
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Thank you, and I'm really happy to be here.
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Okay, first of all, I am so sorry about your dad and what you went through.
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That was horrific.
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And I started your articles by reading with the one you were at your dad's condo and you left for the airport in 2018, and you never thought that he would take his life.
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Depression had returned.
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He had just come home from a voluntary stay at a psychiatric hospital, and it seemed like a normal visit with him.
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But 48 hours later, after you had left, he was gone.
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And in that gap between it felt normal and everything changed, what do you wish people understood about how invisible crisis can be?
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Yeah, that's a really beautiful question.
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And I think his story illuminates something that's often missing from our conversations about suicide and crisis in general, is that he was a really great example of being open about mental health and his struggles and trying so many things.
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As you mentioned, he had just done a voluntary stay in a psychiatric hospital.
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He had been in outpatient therapy, regular therapy, seeing a psychiatrist.
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And then he also was doing his gratitude journaling and yoga and he had a sunlamp.
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And he was, you know, putting so much effort into getting better.
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I think a lot of times we hear the stories of, oh, this came out of nowhere, or someone was struggling, and you see the negative signs of their struggles.
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And my assumption or my understanding at the time, I was young when he died, I was 23.
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And for so much of my life, he'd been so open about depression and getting treatment.
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So I thought kind of like, well, if you do the things you're supposed to do, if you go to therapy, if you get the care you need, if you tell people I'm having a hard time, then like, of course, you don't die by suicide because you're doing the things that are supposed to stop that.
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And that's the thing that I would want people to take away.
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One is that you can try a lot of these interventions and not to take away from how important and meaningful they are.
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And it might still not work, so to say.
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And that doesn't mean that you did something wrong as a survivor, and that doesn't mean that the person who was suffering did something wrong.
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It's just that we still know, we still don't know enough about the brain and suicide and mental illness.
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And it doesn't negate how important it is to put in that effort and seek care, but that it's not a foolproof.
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If you do this, this will be the outcome.
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I remember when he died, my brother, my younger brother said to me within the next couple days, you know, he said, Sophia, some people get cancer and they survive, and some people don't.
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And some people have depression and they survive, and some people don't.
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And suicide is can be, you know, just an outcome of a disease that we don't have total control over the progression of it.
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And of course, that's not an exact, you know, parallel to a disease like cancer, but I thought that was such a wise thing for a 21-year-old, my younger brother, to say in that moment.
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Oh, yeah.
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Has stuck with me.
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Right, right.
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Your article that is titled The Problem with Saying Suicide is preventable is really powerful.
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And I know people that have died uh from suicide.
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And, you know, no matter how well you know someone, we don't really.
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And no matter how much preventative things we have in place, if they want to, they will.
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And your dad was one of 48,000 Americans who died by suicide in 2018, and the numbers are rising.
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The Surgeon General has called it a public health crisis.
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Can you talk more about that?
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Yeah, it's a a difficult kind of tension because I think we've had so much progress in reducing stigma and talking more about suicide loss and mental health in general.
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You know, I remember even as a kid growing up, these little moments of learning of people, you know, in the neighborhood who died by suicide and comments I heard about like, would their loved ones still get life insurance?
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Like for years you couldn't get life insurance if there was a suicide loss.
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Uh, for years you couldn't be buried in a Catholic cemetery.
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I grew up Catholic.
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So this is how I wondered about that with my dad.
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And they did change that.
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But, you know, both on an institutional level and socially, we talk so much more about these problems.
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We see celebrities uh open up about mental health and we like collectively mourn celebrity deaths by suicide.
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But at the same time, we're seeing these numbers rise.
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And I don't think it's that, you know, interventions aren't effective or aren't working.
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I think it's a combination of we don't know enough and we don't like access to care is still really, really hard in terms of affording therapy, getting, you know, therapists who are trained and competent in the different issues that people face.
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Um, and then we have kind of this still unknown factor of well, it's not quite unknown, but evolving factor of how is social media and the digital landscape impacting the mental health of young people is a really significant one.
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And we know that, you know, not well overall, but it's been, you know, not long enough to really be able to like parse that within the context of the suicide crisis um overall.
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So I think there's a lot of hope and there's a lot of amazing work that people are doing.
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And it can feel confusing when you see people are doing all these great things and there's still increasing rates of suicide and mental illness.
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And I think we we need to like live with both those realities.
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And it doesn't mean that the positive interventions aren't important and aren't aren't working.
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We're just dealing with a lot.
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I wouldn't be surprised if a lot of it is, you know, continues to be the fallout of living through a global pandemic.
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You know, we just are facing a lot of global struggles too, that I think contribute to mental wellness overall.
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Oh, absolutely.
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You know, I loved Italy's model that helps people who are hurting so desperately, and they have created a peer-managed housing, which I just thought was brilliant.
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You know, California tried to replicate it with a$116 million uh project.
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But can you talk?
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You're you're starting to talk about it, but could you talk more about the lack of resources and having more access to mental health care in this country?
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Because I think that it's getting worse.
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Yeah, a lot of the resources that we have, I'm glad you mentioned those models of community care, which I'm such an advocate for, and care that starts so much earlier and is preventative and is community-based.
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So many of the strongest mental health response systems that we do have are they're too late because they're when you're already in crisis.
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It's amazing that we have 988 now, the suicide hotline.
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Oh, yeah.
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But we need to be having resources 20 steps back before you're at that point, before you're calling 988.
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The same with inpatient care.
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Most of the time, if someone is either voluntarily hospitalized, and certainly if they're involuntarily hospitalized, it's because they've made a suicide attempt or are about to, or you're kind of at the brink already.
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And that's those things are really important.
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But those are kind of what builds the bedrock of our systems.
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And it's not enough to, first of all, it's they're overloaded.
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People can will stay in the hospital for a few days and then it's just like, okay, you can now you are back in your normal life.
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Um I think so much of it is integrating mental health care so much sooner, more in the way that we treat our physical health.
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You know, you go to your doctor annually for your physical checkup.
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We try to aspirationally, you know, exercise regularly, eat well, and sort of do these maintenance tasks for our physical health.
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Treating mental health like that is really important, but we don't have that literacy and education and system for that.
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You don't go once a year to a therapist to just have a check-in and say, like, okay, where are things at with you?
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Um, there's not an equivalent of a gym for mental health care or community um that supports that.
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Um, so those are some of the things that I would love to see more of.
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And and people are doing amazing work in those spaces, but it's hard.
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Yes.
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I know um a child who is pretty young and has gone from hospital to hospital.
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And even with that, uh lots of times while the family is looking to put them, you know, have them in a hospital for help, the hospitals are full.
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Yeah.
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So, you know, I mean, that's really telling to me across the country that kids' mental health is so uh they like you said, I don't know if it's social media or what it exactly is, but they are bombarded right now and they are not healthy.
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Our kids today are not mentally healthy, and our the hospitals are full.
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And you were also right in that within three days, you know, it's well, we're just an acute care, you know, we can't do anything else.
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We can't do anything.
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So we need to send them home.
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And um, all we are is like an emergency placement.
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We can take care of them for a few days and then we get them stable and then they go, and that's it.
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So I mean, it's like really a sad situation when that's our kids today.
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Yeah, it's like the equivalent of if the only time you ever got medical care was when you went to the emergency room, which is true for, you know, some people who don't have health insurance and like the reality for some people, right?
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But that's that's how most people access the mental and access mental health care at all.
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There's not enough therapists for everyone to get one-on-one care.
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Um so it's a really challenging public health crisis, is what it is.
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Well, it needs to be more into the school system.
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And I don't know how they can do that, but I think if we reach them a lot younger, I think that it will help them because we're really heading down a scary place.
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Uh and I was also, you know, please talk more about all suicide cannot be stopped, even with the best efforts.
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I mean, even putting them in the hospitals and using the resources that we do have.
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I mean, there are just some that cannot be stopped.
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And I know that that's what you went through with your dad, because I know you've done a lot of research about this.
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If you've touched into the brain of somebody and and maybe figured some of that out.
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Yeah, I mean, a lot of it is we don't know exactly the the factors that cause one person to die by suicide and one not to.
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Uh, one thing that I've researched is that often there is a really a relatively short window where someone is likely to take action.
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If I'm remembering correctly, it's about four hours.
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Um, and if you can kind of survive the four-hour window, you may still feel be suicidal, um, but less likely to take action uh and harm.
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But I think there's also, you know, variety there.
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I wrote that piece and I was nervous when I wrote it that it would come off as, you know, dismissive of so many advocacy efforts that people have put in.
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And the response I got was much different than that.
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And I I talked to a lot of folks who appreciated the honesty of we don't know enough.
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And that doesn't mean we don't try.
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But I think suicide is so distinct because it has this lens of agency in someone making a choice.
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And I think it's a really complicated question that I still write about and I struggle with of like how much is it a choice?
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It it this balance between making a choice within the confines of not many choices at all when your brain and body and experience feel the way they do.
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And also giving dignity to people's experiences that I can't under, you know, you can't understand.
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You know, I think the more we can understand it like other diseases that we're still always seeking treatments and cures for, and knowing that some we still are not going to save every single person who has a has cancer, for example, um, it makes it a little less stigmatized for people who are struggling with suicidality and people who lose others to suicide, because it can feel like, oh, well, if it's preventable, why what did I do wrong?
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What did they do wrong?
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We were trying, you know.
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Right, right.
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Because the shame and the blame that is associated with people who say, Well, you know, if you could have, if you should have, if I would have known.
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And that's not okay because, like you said, that felt like a double failure.
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And your father wasn't able to save himself.
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People around him were not able to.
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And you channeled your guilt, however, into understanding and advocating for suicide prevention.
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And I would say that you have done much more than that.
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You have made this a life's mission, and your dad is living on for sure.
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And you said that the best thing that you could do for your father or really anyone who had taken their own life is to acknowledge their pain and that their pain was real.
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So, yeah, could you talk more about that?
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Yeah, I think there's um it's complicated.
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All grief is complicated.
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I think grief of us from a suicide loss is extra complicated in that, at least in my personal experience and I've heard from others, there's this instinct to be protective of the person who died.
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Like, well, I want to make sure that they're not defined by this one action in the same way that, you know, you don't want none of us want our worst moments or our hardest moments or our most challenging moments to define us, but they are also a part of us.
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And so much of my journey over the years since my father died is learning how to create space of remembering him for his whole self, his wonderful parts, his flawed parts, the way he died, and also the way he lived.
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Um and so I have found that to be really hard.
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You know, it's not something that came overnight.
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It came over years of thinking about this and writing about this, and um, through other experiences too, seeing stories from other people's perspectives that gave me a different lens on my own.
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And I think that first I just really wanted to protect that image of my dad and say, it makes sense why he died.
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He had depression, he had trauma in his life, and I'm not going to overcomplicate uh why he died or who he was.
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One, I allowed myself to see his pain as more complex and instead of wanting to make it very like cut and dry where I could tell the story in just a sentence or two.
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That allowed me to start seeing him overall as more whole and human and complex.
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Yeah, I loved your sentence about your dad.
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The way he died does not diminish how dedicated he was to growth and evolution, and it does not invalidate the countless ways that he chose to live.
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I thought that was so beautiful.
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Thank you.
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I want to talk more uh on your writing, and I spent so much time.
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I read every word of if then a couple of times actually.
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And before we even started this, I was saying how wise you were.
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I mean, you are wise beyond your years.
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You had watched a show when you were 11 years old called Prison Break, and I watched every episode, so I was very familiar with that.
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You know, yeah.
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Oh my gosh, I loved that show.
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And I have to tell you that I used to work in the jail system, and I was in the jail ministry with women, and I became very close to a woman who had murdered someone.
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And you know, I really liked her.
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Uh, we became friends, and I got to know her really well.
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And I think of her even often now, many, many years later.
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Everyone has a story, and after you saw the show Prison Break, you became obsessed with executions and you read so many of them.
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When you were 24, you moved away from your family and just and you had just signed off on your dad's condo after he had just passed.
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And your job, which your job was an investigator helping people who had been sentenced to death with their legal appeals, and you were obsessed with helping them.
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And your job was to help them try to get off of death row.
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And I can already hear people saying, but they deserved it.
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But you know, why would you do something like that?
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And I'm not advocating for or against that whatsoever.
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What I got out of your article was that I think was the most important thing was that there was more to the story.
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There was more to their story, and it needed to be told.
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And, you know, there was a man that you called Alan.
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And the more that you found out about his life, I think the more human he became to you.
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And he had been molested as a child by his father.
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And I think that that would be a common thread in the jail system.
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And yes, I'll add that every client that I worked with had some history of sexual abuse as a child, among other types of abuse.
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But you're exactly right.
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Yeah, and and his sister had been murdered and his mom was battered.
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You know, he he didn't have a chance in so many different ways.
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Your job was to give him the best chance that he could to stay alive.
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And you wrote, I mean, you said if you could find out why he killed, you could do something to keep him alive.
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And you wanted so badly to understand the person who had killed, you really believed that there was something that made them that way.
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And I sat in this for so long.
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Can you please talk more about this?
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Yeah, absolutely.
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I remember having that thought when I was 11 or 12 and saw that scene from Prison Break.
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And I think something just clicked for me of I have known the death penalty existed and we executed people, or it existed in my mind as sort of this historical thing, right?
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Like I read about, you know, Anne Boleyn and Joan of Arc.
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And I grew up Catholic and were constantly talking about Jesus' execution.
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And then that show made me realize, oh, we do this now.
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And this is the thing that people experience and have to go through.
00:22:18.880 --> 00:22:22.880
And it just shocked and and disturbed me so deeply.
00:22:23.119 --> 00:22:33.200
And as I read about it, I remember thinking, like, but there's no way that someone would kill somebody else if there wasn't something wrong with them.
00:22:33.440 --> 00:22:41.359
A very simplified version as a kid, but it's like a thought that I never really lost or or got rid of.
00:22:41.759 --> 00:22:48.319
And I pursued studying psychology and neuroscience in college.
00:22:48.480 --> 00:23:10.640
I thought I was going to go to law school, but I wanted to have this understanding of how can psychology and knowing more about the brain explain the choices we make and why we do what we do, but especially in this context of harm and violent harm and sort of the worst crimes that we then write people off as soon as they've committed these crimes.
00:23:10.880 --> 00:23:18.960
And it's, you know, you understand, especially for people who are victims or their loved ones are victims, it is often unimaginable.
00:23:19.119 --> 00:23:34.400
And I think that so much of what I learned leading up to working on that job, and then especially in that job, was that it's not as unimaginable as our gut reactions are, because there's so many circumstances.
00:23:34.960 --> 00:23:58.960
It's similar to what I was saying about when people die by suicide, is a pile of factors can just add up and add up and trap people in these boxes of their mind and experience that I don't think anyone would know how they might behave or might react in the moment if they had those things surrounding them and sort of suffocating them.
00:23:59.279 --> 00:24:08.640
So I always believed in the humanity of people who have done terrible things and also in the potential for change.
00:24:08.799 --> 00:24:15.440
I think that's another thing that's deeply important to me and just something I I have hope in and always believe in.
00:24:15.519 --> 00:24:28.720
And that's something that when we choose to have the death penalty and execute people, you erase that possibility of growth and change over time and you and you choose, you know, or the state chooses to stop it on a certain date.
00:24:28.960 --> 00:24:41.519
And yeah, to your point about the client that I was working with and what I saw in overall working with people on death row, they were so much more than what they did.
00:24:41.599 --> 00:24:51.279
And there was so much parallel between the harms that they had caused to others and the harms that had been done to them throughout their lives.
00:24:51.519 --> 00:25:00.559
Again, never an excuse, but it it helped create and give context to reasons of how these things come to be.
00:25:00.880 --> 00:25:04.640
So I think there's just and and the court system's really hard.
00:25:04.960 --> 00:25:06.400
I wanted to be a lawyer.
00:25:06.480 --> 00:25:13.519
Like I have so much respect for the law and our legal system and so much faith in it in some ways.
00:25:13.599 --> 00:25:20.880
And in other ways, it's really difficult because it's designed to be not only black and white, but it's like where there's winners and losers.
00:25:21.200 --> 00:25:28.000
Um, it's a it's adversarial, it's almost a competition of you say you win a case or you lose a case.
00:25:28.160 --> 00:25:34.880
And that doesn't really leave room for the nuance of this crime happened, this pain happened.
00:25:35.039 --> 00:25:39.599
How to how do we repair a sense of safety in a community?
00:25:39.759 --> 00:25:42.160
How do we best support the victims?
00:25:42.400 --> 00:25:49.119
Um, I think there's a lot of questions about what justice um looks like to different people.
00:25:49.519 --> 00:26:04.240
When I was in the jail system um helping the women, I actually ended up writing a book about my the um my experience there because um they referred to themselves as what they did.
00:26:04.880 --> 00:26:24.400
And I didn't want them to see each other for because they would introduce themselves to me and say, Hi, my name is so and so, and I'm a prostitute, or I'm in here because I murdered somebody, or and I would always say to them, No, I want to know you.
00:26:24.799 --> 00:26:27.200
I don't want to know what you did.
00:26:27.759 --> 00:26:40.559
And we would always, they would break down, there would be crying, and we would find out what was behind what led them to what ended up happening.
00:26:40.720 --> 00:26:51.839
And I can remember being in the parking lot and there was a woman who was getting released, and we were going to pick her up and take her somewhere because where she was going wasn't safe.
00:26:52.559 --> 00:27:10.559
And she said that she wanted to do that, and she came out into the parking lot and she looked at us and she looked at her what sugar sugar daddy who was parked not too far away from us, and she went and he just looked at her, and then he got in, she got in his car.
00:27:11.440 --> 00:27:17.680
And it was so heartbreaking, and I still can remember it like so vividly.
00:27:18.000 --> 00:27:21.359
And you know, that's what fear does.
00:27:21.519 --> 00:27:37.920
It really opened my eyes so much so because when they would leave and they would say, I'm never gonna see you again, and you know, and then very shortly after we would see them again, and I just saw this cycle that they couldn't get out of.
00:27:38.000 --> 00:27:45.279
And a lot of it, almost all the time, it sten it stemmed from the abuse that they had gone through when they were children.
00:27:45.440 --> 00:27:56.319
And the fathers were absent, and they really didn't have really great role models, and they had just fallen into some of the most horrific experiences, and they just could not find their way out.
00:27:56.640 --> 00:28:18.640
Yeah, I think exactly what what you said that's such a powerful image and so true to what I've seen and the limitations in which so many people make choices, and poverty is and lack of resources is also a huge factor in this, as you were saying, with the similarities in the backgrounds of people you saw.