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- 37 - accessHealthNews.net December 2021 Volume 8 | Issue No. 52 This article was originally published in October 2021. " You know you're not okay, right? You're going to have to talk to somebody." These words, uttered by a concerned coworker, were the turning point for mother April Scott to seek help for her suicidal thoughts. Scott's first pregnancy was a breeze, but her second brought relentless doubt, fear for her ability as a mother, and severely worsened mental health symptoms. She knew she was in danger when she began obsessively thinking about the handgun in her purse, but providers missed several opportunities to intervene. Out of fear of being labeled an unfit mother and being separated from her children, she refused to speak up about what she was experiencing. It wasn't until her coworker confronted her directly that she realized she needed to be honest with her loved ones. Even then, access to treatment and other resources took months to receive, prompting a further discussion about the responsibility of providers in suicide prevention. In honor of Suicide Prevention Awareness Month, observed annually each September, the Missouri Behavioral Health Council and Missouri Department of Mental Health hosted a webinar series highlighting risks associated with suicide. The series began with "New Mothers in Crisis: Research Findings and a Mother's Personal Story," featuring Rebecca Ray, MA, PLPC, who worked on the Suicide Prevention Lifeline for several years and now offers various counseling services. Through StressSight she helps patients become aware of a variety of influences on their stress levels. Ray laid the foundation with new research surrounding suicidality in new mothers before Scott shared the story of her own struggle with mental health as a mother of two. Data surrounding suicide is difficult to measure due to the lives lost, but also because of the stigma associated with mental health and suicidal thoughts or ideation. People who are struggling or do not understand what they are experiencing may not be transparent with others. When substance use is present, their death may not be accepted as a suicide by loved ones or their community. While new research presented in this series aims to highlight early opportunities to intervene and prevent suicide, survivors and their stories offer even more valuable guidance. SUICIDE AND ACCESS TO LETHAL MEANS Following the birth of her first son, Scott experienced the normal baby blues, a period of overwhelming emotions that commonly occurs throughout pregnancy and childbirth. Her transition from the hospital to home was seamless, she had a large support system, and she felt confident as a mom. As her son grew older, Scott and her husband decided to add to their family, but experienced two devastating back-to-back miscarriages. "For both myself and as a family unit, it was difficult to navigate," she said. After seeing a specialist and receiving treatment for a uterine polyp, she discovered she was pregnant again. During her pregnancy with her daughter was the first time Scott considered suicide. "I could just feel the dread and anxiety, I had this overwhelming feeling," she said. "I have to cross a bridge every day to get to work – I thought about driving off that every day. My only thought was that I was pregnant – I didn't care about me, I just cared about her and my husband and my son."

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