April is the cruelest month, breeding
Lilacs out of the dead land, mixing
Memory and desire, stirring
Dull roots with spring rain. — T. S. Eliot (excerpt from The Waste Land)
For many unknown reasons, and for many speculative reasons, suicide rates tend to peak during the spring and early summer. Counterintuitive to most assumptions, winter is not the apex of self-inflicted obliteration, and a range of factors continue to be studied as to why this suicidal surge coincides with the blossoming seasons. According to the CDC, more than 41,000 suicides occurred in 2013 with roughly 51 percent of successful attempts facilitated by the use of firearms (most recent available data).*
Some plausible hypotheses for the spike in suicides during the flowering months include an increase in cytokine production (inflammation response molecules), a seasonal reduction in melatonin (an evolved physiological response to springtime), and the cumulative effects of an extended “winter’s nap” that leads to a significant decrease of vitamin D by the time March arrives. A combination of these factors may result in increased agitation that exacerbates any underlying mood disorder, but intervening variables and the nature of individual sensitivities make it empirically difficult to determine any statistically significant causation.
In The Waste Land, T. S. Eliot goes on to reminds us that “winter kept us warm, covering earth in forgetful snow” and how “summer surprised us.” One possible explanation for the rite of spring suicide trend might be the jarring effects incurred when transitioning from a state of relative hibernation to a state of full exposure to new weather conditions and altered social dynamics. The protective insulation of winter’s coat may allow those suffering from depression to avoid acknowledging how disconnected they are from the world until shifting temperatures thaw the landscape of frozen emotions to reveal a person’s most precarious vulnerabilities. Witnessing the exhilaration of others as they embrace a variety of unrestricted activities can also be invalidating to one’s sense of worth. Furthermore, environmental changes accompanied by warmer weather are an existential reminder of metamorphosis, inevitability, and the impermanence of experience. In other words, safety is an illusion and fluctuation is the sine qua non. Cold weather forces social proximity, whereas warmer weather causes dispersion. If a person is already feeling isolated during the winter, the intensity of abandonment may become overwhelming as their acquaintances leave the security of their cabins to resume more active lifestyles during sunlit intervals.
For those who suffer from ongoing suicide ideation or demonstrate a history of suicide attempts, proper assessment, de-escalation, and clinical stabilization is necessary. During therapeutic processing with clients presenting suicidal ideation, I have discovered three effective de-escalation techniques based on the Socratic dialogue that place conversational pressure on maladaptive cognition while illuminating behavioral discrepancies to disassemble the emotional atmosphere of desperation.
- Argument from irreversibility: One thing’s for certain, if a suicide attempt is successful, there is no way to change your mind. It’s not as if you can reflect on the critical moment and say to yourself, “If only I had waited another week, because I would have felt differently.” As the psychologist Daniel Gilbert reminds us concerning the unreliability of affective forecasting, no one can successfully predict how they will feel in the future or how their lives may transform in unexpected ways. Even a prosaic recreational distraction or transient change in perspective can make all the difference in circumventing the decision to embrace an incontrovertible ending. Remember, forever is a lot longer than your current disposition.
- Argument from personal appraisal: Most clients I have spoken with who have discussed suicidal thoughts often mention feelings of low self-worth. To establish a minimum foundation of self-worth is necessary, although not sufficient. Nonetheless, a tactic that I’ve employed is an argument from statistics and how the individual is “worth more than being a statistic of suicide.” Creating feelings of empowerment by further demystifying the dramatic lure of self-destructive behavior may close the trap door to endless descent. Keep in mind, this technique is not meant to minimize the lives of those who have committed suicide, but it challenges solution aversion for those who consider suicide an option while proposing a durable baseline of self-worth.
- Argument from modest gratification: Although anhedonia (the inability to experience pleasure) is commonplace among the symptoms of chronic depression, most individuals enjoy some pattern of daily interaction or some small sensory experience that would be unattainable without existence. For example, when accused that life must be pretty bleak and meaningless based on admitted philosophical inclinations, the American biologist James Watson cleverly replied, “But I’m anticipating having a good lunch.” Miniscule anticipations matter and we often take for granted how many of these ephemeral sensory experiences provide us with micro-meanings. In addition, if there is one object, activity, or person you care about, this capacity for future engagement should dissuade a commitment to macabre yearnings.
Being the recipient of life is more improbable than not having life at all; so in the springtime of our darkest hours, it behooves us to reconsider the brevity, importance, and fortuitousness of human phenomenology.
*For more information: https://www.afsp.org/understanding-suicide/facts-and-figures
Dedicated to the memory of Gerald Taylor Jr. (1978 — 2014)