1. We must at all times remember, that the decision to take your own life is as vast and complex and mysterious as life itself. Al Alvarez, The Savage God

2. Suicidality as a Crisis of the Self Suicidality is best understood as a crisis of the self: sui in suicide, both victim and perpetrator closer to the lived experience encompasses whole person – physical, mental, relational and spiritual immediately raises important questions that suicidology largely ignores, especially … who or what is this self that is in crisis? Myth: depression is the major cause of suicide

3. Integral Model - 4 Quadrants Interior Exterior Subjective Objective Intentional (felt experience) Behavioural (observable) IndividualIndividual CollectiveCollective Inter-Subjective Inter-Objective Cultural Social (systems) Psychology/Psychiatry Validity: aesthetic personal meaning/values integrity, sincerity Validity: empirical observable, measurable testable, repeatable Validity: functional fit cohesion, efficiency ecological, economic Validity: moral shared meaning/values ethics, justness Sociology/Ecology Phenomenology Anthropology I We Its It

4. In theory theres no difference between theory and practice, but in practice, there is. Anonymous

5. 4 Quadrants of Mental Health & Suicide Lived/felt experience personal, private stories, self-talk, dreams hope, purpose, meaning consumer perspective depth psychologies (DBT) Observable behaviour biology (brain) diagnosis/treatment clinical risk assessment behavioural psychologies (CBT) Social infrastructure hospitals, services etc public policies, laws etc workforce, training etc social work media Mutually shared experience shared meaning-making collective story-telling peer support consumer delivered services First-Person (invisible) Third-Person (visible) SingularSingular Plural Plural

6. Matter -------- Physics Life Mind Soul Spirit Biology Psychology Theology Mysticism The Full Spectrum (Levels) of Consciousness Sources: Plotinus Aurobindo St. Teresa Grof Steiner Baldwin Habermas Maslow Buddhism Yoga Kabbalah Vedanta Theosophy Sufism Non-Dual Spirit

7. Holistic = All Quadrants, All Levels (AQAL) I - intentional WE - cultural ITS - social IT - behavioural First-Person Third-Person SingularSingular Plural Plural

8. How holistic is suicidology?

9. Evidence-Based Suicidology I - intentional WE - cultural ITS - social IT - behavioural First-Person Third-Person SingularSingular Plural Plural

10. I - intentional WE - cultural ITS - social IT - behavioural First-Person Third-Person SingularSingular Plural Plural Evidence-Based Suicidology

11. Flatland the great nightmare of scientific materialism was upon us (Whitehead), the nightmare of one- dimensional man (Marcuse), the disqualified universe (Mumford), the colonisation of art and morals by science (Habermas), the disenchantment of the world (Weber) – a nightmare I have also called flatland Ken Wilber, Integral Psychology

12. Special mention The Aeschi Group Problems In Clinical Practice even in the case of a severe depression, it is not the disorder itself, which initiates the suicidal act, but the "owner" of the depression, the individual itself a striking discrepancy between patients' explanations of suicide attempts and those of examining psychiatrists What's New: A Patient-oriented Approach the patient's experience is conceptualized as the "gold standard the patient's narrative is the basis of a shared understanding 5th Aeschi Conference, 4–7 March, 2009 Suicide attempters: To hospitalize or not to hospitalize? For more: www.aeschiconference.unibe.ch

13. I - intentional WE - cultural ITS - social IT - behavioural First-Person Third-Person SingularSingular Plural Plural Suicide Prevention It Takes a Village

14. Do our mental health laws help or hinder suicide prevention? scare people off from seeking help can worsen or trigger suicidality do they save lives or cost lives? o a gruesome calculation – what is an acceptable ratio? primary source of stigma – i.e. discrimination involuntary detention versus involuntary treatment social model of disability – esp. human rights replace Mental Health Act with Suicide Prevention Act a question/challenge for the (LL) village... It Takes A Village To Prevent A Suicide

15. Ken Wilber Integral Psychology: Consciousness, spirit, psychology, therapy, Shambhala, Boston 2000 Integral Spirituality: A Startling New Role for Religion in the Modern and Postmodern World, Integral Books, Boston 2006 The Integral Vision, Shambhala, Boston 2007 David Webb 'Self, Soul and Spirit: Suicidology's blind spots?' New Paradigm September 2003 - online at www.vicserv.org.au/publications/new_parawww.vicserv.org.au/publications/new_para Bridging the Spirituality Gap Australian e-Journal for the Advancement of Mental Health (AeJAMH) Vol 4(1) 2005 - online at www.auseinet.com/journalwww.auseinet.com/journal Or contact me: davidwebbo@gmail.com

16. We must at all times remember, that the decision to take your own life is as vast and complex and mysterious as life itself. Al Alvarez, The Savage God