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Suicide affects people across race, age, gender, and socioeconomic status. Quite frankly, suicide doesn't care.

More than 42,000 people died by suicide in 2014 alone, according to the Centers for Disease Control and Prevention. For people between ages 10 and 34, it's the second leading cause of death. While thousands complete suicide each year, an estimated 9.4 million adults in the U.S. had serious thoughts of committing suicide.

This problem is bigger than numbers. It's people. It's moms, dads, kids, siblings, grandparents, friends, and partners.


These are complex but treatable issues, and yet too often it's still considered taboo to discuss or speak frankly about suicide or mental health.

When a friend, loved one, or colleague appears to be suicidal, it can be hard to know what to do or say. But the numbers don't lie. Our silence won't slow this public health crisis; when it comes to helping someone in need, inaction is not an option.

Health professionals and people who specialize in suicide prevention say there are small actions you can take to help.

Here are some simple things you can do to help someone who may be thinking about taking their life:

1. Know what to look for.

Familiarize yourself with the warning signs. People thinking about suicide or self-harm may talk about feeling hopeless, trapped, or in incredible pain; withdraw from friends or family; experience drastic changes in mood; and/or increase their use of alcohol or drugs. Someone considering suicide may also talk or write about wanting to die. But the warning signs aren't always cut and dry.

"We tell people to look for changes," says Andy Cartmill, a trainer of suicide and intervention models and senior program educator with Addiction Services for Washington County, Oregon. "Trust your intuition. If you think something is up, there's no harm in being honest and saying, 'I just noticed a change. Are you doing OK?'"

2. Show support without judgment or anger.

Even if your friend hasn't reached out to you, check in. Let them know you care about them and you're concerned. This isn't the time to panic, argue with them, or even to try and talk them out of it.

"We tend to fix things and point out people's strengths and say, 'What about your wife?' 'What about your kids?'" Cartmill says. "It's possible they might not perceive those as strengths. So they very well might think, 'I'm doing my wife or kids a favor by relieving them of a burden.'"

Simply listen. And allow them to speak without judgment.

3. Ask specific questions.

If you're not sure if your friend is in immediate danger, the best thing to do is ask.

Individuals at the highest risk for suicide in the near future will often have a plan, the means to put the plan into action, a time frame, and intention. Asking questions will help you determine immediate risks, and the answers may inform what you do next:

  • "Do you have a plan to harm or kill yourself?"
  • "Do you have access to weapons or things you can use to harm yourself?"
  • "Have you thought about how or when you would do it?"
  • "Are you thinking about suicide?"

If you don't know what a statement or response means, ask for clarity. This may feel awkward or intimidating, but it's important to be direct and honest. And don't worry, talking about suicide won't plant the seed in someone's head.

"Research over and over again says that is not going to happen," Cartmill says. "That's one of the things people are afraid of ... 'If I ask that question, am I going to get them thinking about suicide?' and the answer is no."

4. It's OK to not know what to say.

If you're not a trained health professional or crisis counselor, this territory can be tough to navigate. It's OK to not have the perfect speech or talking points. It's first and foremost your job to listen and recognize they're hurting. That means not changing the subject or minimizing their pain.

"You don't have to be an expert; you really don't. Listening respectfully and being honest is OK," Cartmill says. "It's OK to tell people, 'What you're saying is scaring me. I want you to be OK,' and go from there."

5. Suggest professional help, or offer to help them find it.

This is not an effort to pass them off to someone else and instead aims to get them to a doctor or therapist better equipped to help with their pain. If they're seeing a professional, encourage them to get in touch with them immediately. You can even offer to accompany them to the appointment.

If they're not under a doctor or counselor's care, help them find a mental health professional or call the U.S. National Suicide Prevention Lifeline at 800-273-TALK (8255). It's a free, 24/7 service that can provide people thinking about suicide and those who care about them with support and connections to local resources.

6. Remember, if it's an immediate or crisis situation, it is OK to use the emergency room.

If you wouldn't hesitate to call for a broken bone or allergic reaction, don't hesitate with suicide. In a true crisis, it can't wait.

Suicide doesn't care. But lots of people do.

Keep the number for the National Suicide Prevention Lifeline in your phone, 800-273-TALK (8255). In an emergency, having that number handy for yourself or someone you care about may make all the difference.

Even talking about suicide or suicidal ideation may seem overwhelming or scary, but experts agree: Hope and recovery are possible. There are many treatment options available, with several at low or no cost. It starts with paying attention to warning signs, reaching out, and getting help if you need it.

Joy

Nurse turns inappropriate things men say in the delivery room into ‘inspirational’ art

"Can you move to the birthing ball so I can sleep in the bed?"

Holly the delivery nurse.

After working six years as a labor and delivery nurse Holly, 30, has heard a lot of inappropriate remarks made by men while their partners are in labor. “Sometimes the moms think it’s funny—and if they think it’s funny, then I’ll laugh with them,” Holly told TODAY Parents. “But if they get upset, I’ll try to be the buffer. I’ll change the subject.”

Some of the comments are so wrong that she did something creative with them by turning them into “inspirational” quotes and setting them to “A Thousand Miles” by Vanessa Carlton on TikTok.

“Some partners are hard to live up to!” she jokingly captioned the video.

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All images provided by Adewole Adamson

It begins with more inclusive conversations at a patient level

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Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.

Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.

melanoma,  melanoma for dark skin Avery Smith (left) and Adamson (sidenote)

This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.

To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.

This process, known as supervised learning, could lead to huge benefits in preventive care.

After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”

“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”

Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).

As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.

Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.

“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”

american cancer society, skin cacner treatment"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/

The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.

The mesmerizing lost art of darning knit fabric.

For most of human history, people had to make their own clothing by hand, and sewing skills were subsequently passed down from generation to generation. Because clothing was so time-consuming and labor-intensive to make, people also had to know how to repair clothing items that got torn or damaged in some way.

The invention of sewing and knitting machines changed the way we acquire clothing, and the skills people used to possess have largely gone by the wayside. If we get a hole in a sock nowadays, we toss it and replace it. Most of us have no idea how to darn a sock or fix a hole in any knit fabric. It's far easier for us to replace than to repair.

But there are still some among us who do have the skills to repair clothing in a way that makes it look like the rip, tear or hole never happened, and to watch them do it is mesmerizing.

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Pop Culture

Artist uses AI to create ultra realistic portraits of celebrities who left us too soon

What would certain icons look like if nothing had happened to them?

Mercury would be 76 today.

Some icons have truly left this world too early. It’s a tragedy when anyone doesn’t make it to see old age, but when it happens to a well-known public figure, it’s like a bit of their art and legacy dies with them. What might Freddie Mercury have created if he were granted the gift of long life? Bruce Lee? Princess Diana?

Their futures might be mere musings of our imagination, but thanks to a lot of creativity (and a little tech) we can now get a glimpse into what these celebrities might have looked like when they were older.

Alper Yesiltas, an Istanbul-based lawyer and photographer, created a photography series titled “As If Nothing Happened,” which features eerily realistic portraits of long gone celebrities in their golden years. To make the images as real looking as possible, Yesiltas incorporated various photo editing programs such as Adobe Lightroom and VSCO, as well as the AI photo-enhancing software Remini.

“The hardest part of the creative process for me is making the image feel ‘real’ to me,” Yesiltas wrote about his passion project. “The moment I like the most is when I think the image in front of me looks as if it was taken by a photographer.”

Yesiltas’ meticulousness paid off, because the results are uncanny.

Along with each photo, Yesiltas writes a bittersweet message “wishing” how things might have gone differently … as if nothing happened.
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