The Atlanta Lawyer May 2015 | Page 8

Legal Minute Are You Okay? The Most Important Conversation No One Wants to Have Robin Frazer Clark Partner, Robin Frazer Clark, P.C. [email protected] W hen a friend or family member commits suicide, often the first thing that goes through one’s mind is the “if onlys.” “If only I had seen the warning signs.” “If only I had known.” “If only I had gotten him help.” The “if onlys” are the saddest, loneliest thoughts in the aftermath of suicide, especially when you consider the fact that suicide is largely preventable. Suicide is the third leading cause of death among lawyers. One study in 1991 by John Hopkins University found that lawyers are 3.6 times more likely to be depressed than average, and a 1997 study in Canada found that lawyers were six times as likely to commit suicide than the average person. By comparison, suicide is only the 10th leading cause of death in the general population. When I was President of the State Bar of Georgia, at least three Georgia lawyers committed suicide during my first six months. One did so in the parking garage of the State Bar Headquarters. I decided that if I ignored this crisis in our profession, I would be shirking my duties as President, so I took action, first by learning a lot about suicide. I was surprised to learn that suicide was largely preventable if the suicidal thought is detected or discovered in time. I then appointed Randy Evans to chair the State Bar’s Suicide Prevention Committee, who along with other Committee members, all of whom had, in some way, been touched by suicide, could tackle this issue. I also soon discovered that other state bar associations were being hit with the same problem of lawyer suicides. A friend of mine, Yvette Hourigan, the Director of the Kentucky Bar Association Lawyer Assistance Program (KYLAP), was already in the thick of the issue of lawyer suicide and thanks to Yvette, on the forefront of prevention and healing. Yvette said that in confronting this issue, Kentucky was in an absolute crisis: “Over the course of approximately two years, there were at least 15 lawyer suicides – in Kentucky alone. The Kentucky Lawyer Assistance Program undertook a massive educational campaign over the next year on suicide awareness, recognition and prevention. 8 THE ATLANTA LAWYER May 2015 We’re happy to report that in the two years following the (Wolfson) article, we know of only one or two lawyer suicides here in Kentucky.” Depression and substance abuse play a large role in leading one down the path to suicide. The nature of our work presents a unique level of stress. Many of us handle life and-death issues while trying to put food on our families’ tables, meet payroll, pay off student debt and deal with billable hours just to name a few. The very qualities of a good lawyer that make him or her great at their job also make him or her vulnerable to depression, substance abuse and suicide: perfectionism and pessimism. The unique nature of the practice of law, in which you usually have an adversary trying his or her hardest to prevent you from being successful, magnifies the pressure. As KYLAP Director Yvette Hourigan so astutely says: “If you’re a doctor everyone is working together to save the patient. You don’t have someone come into the operating room to try to kill the patient while you are trying to save him.” Studies of suicide have proven that sometimes simply eliminating the means by which one could take one’s own life can prevent that person’s suicide. About 90 percent of the people who try suicide and live ultimately never die by suicide, which is a startling fact. In a fascinating article in The Lancet, “Means Restriction for Suicide Prevention,” the authors write: The probability of individuals attempting suicide decreases when they are precluded from implementing a preferred method, i.e., Suicide attempts are often method-specific. Moreover, if a highly lethal method is not available and some individuals do not defer their attempt, they frequently use less lethal, more common ones (e.g., drug overdose). From the perspectives of public health and injury prevention, the choice of a method that is less lethal than others can be advantageous if the attempt proves to be non-fatal. The sudden, unplanned nature of many suicides implies that individuals tend to use the method most readily accessible The Official News Publication of the Atlanta Bar Association