A University of Pretoria expert has encouraged people who suffer from depression and self-harming ideation to seek the help of a psychotherapist.
Dr Hanlé Kirkcaldy, a clinical psychologist and head of the student counselling unit at the UP encouraged Tshwane residents as part of commemorating World Suicide Prevention Day on September 10 to a deeper discussion about suicide.
“The World Health Organization has called for a global dialogue about suicide, which some may find disconcerting, alarming, gloomy or hopeless. But in fact, the aim is to change the outcome and to stress an important message: suicides are preventable,” she said.
“This is a crucial message across Africa, as the region grapples with the highest suicide rate in the world. In fact, while it was estimated in 2022 that 1 in 100 deaths in the world is a suicide death, a disproportionate burden is borne by low- and middle-income countries, where 77% of suicides occur.”
South Africa is among the African countries with the highest suicide age-adjusted rates globally, alongside Lesotho, Eswatini, Zimbabwe and Côte d’Ivoire, among others.
She said admitting that one feels overwhelmed, that depression and anxiety are constant, unwelcome companions or that continued efforts at coping with life’s adversities seem futile, may feel impossible to admit, even to oneself.
“To take the additional step of admitting it to someone else, and asking for help, is a harrowing and deeply distressing idea for many of us.”
She said to top it all, media reports on suicide often sensationalise tragedy, dragging out the dramatic details of the end of an often well-known person’s life.
“Many people do not identify with these portrayals, do not wish to be the subject of gossip or discussion, or may even be triggered by graphic and sad descriptions if they are vulnerable. And so, ironically, even where there is coverage, taboos are upheld, voices are drowned out, and the cycle of silence is perpetuated.”
Kirkcaldy said in relation to healthcare strategies, the first step is to seek appropriate care.
“People need to engage in psychotherapy that makes sense to them, that is proven to work, and conducted by a qualified and registered therapist whom you can trust.”
She said prevention strategies need to be discussed publicly and often.
“If you prefer online information, seek out reliable and evidence-based mental health information from verified experts in the field and follow their advice, not the opinion of the majority on social media.”
Kirkcaldy said people should consult a psychiatrist or qualified medical professional to review any medication they have been prescribed and ensure that it is still correct and applicable to any underlying conditions.
“Do not default on any follow-up care suggested by your mental healthcare team.”
She added that people facing depression or mental health issues should follow helplines like the South African Depression and Anxiety Group (SADAG) and anti-suicide hotlines.
“Additionally, lifestyle, self-help and community engagement strategies are really at the core of any positive mental health change. Be diligent about basic routines of sleep, eating, exercise, and mindful reflection to review your day.”
She advised people suffering from mental health issues or stress should have close positive relationships with like-minded friends and family.
“Having a tribe has long-term beneficial effects that will enhance and change your mood. Your medical team cannot be with you all the time, but your community, friends and family can. Your relationships with those you get on with, matter deeply.”
She said people suffering from depression or mental health issues should find activities that provide them with meaning, purpose and compassion.
“For some, it is nature, art, sport, travel, or music; for others, it is teaching, tutoring, outreach for charity or conservation, or the mentoring of other people; for still others it is faith, care, or community volunteering.”
Kirkcaldy added that there is evidence that joining activities of this nature combats depression, creates hope, and changes people’s perception of their worth and their place in the world.
“Your school, university or faith-based communities have an abundance of activities where you can volunteer and where other people really do need you.”
Kirkcaldy said many may scoff at these proven ideas about mental healthcare and self-care.
“Perhaps the reason is that it sounds so basic – but basic is not easy. It may also be because not everything works the same for everybody. An anecdotal report of a certain intervention not helping someone does not mean there is nothing that will work for you. Reach out, find your fit, and in the process, find your purpose. You will also find life.”
South African Depression and Anxiety Group (SADAG) Helpline:
0800 21 22 23 (08:00 to 20:00)
0800 12 13 14 (20:00 to 08:00)
Or SMS 31393
Suicide Crisis Helpline:
0800 567 567
If you are a registered UP student, contact the Student Counselling Unit for help: 0800 747 747 or send a please call me message to 31393, or email studentcounselling@up.ac.za.
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