The Shadow of Shame
Efforts addressing medical student mental health, including surveys of burnout levels, confidential counseling services, pass–fail grading systems, and student wellness groups, are under way. However, talking about suicide within our communities is a critical first step without which we cannot have psychologically safe learning spaces. We shirk this difficult task and treat suicide as a taboo. Fear that open discussion will tarnish the intellectual, righteous, and self-reliant image of the medical profession perpetuates the shame shrouding these issues. One direct repercussion is the undertreatment of medical student depression and suicidal ideation.3
We need open-forum discussions about depression and suicide that include personal testimonials from students and physicians. We need to share our experiences—in person, in writing, and, when we feel comfortable, over social media. Collectively, we must accept our human vulnerability and thereby foster connection, which is necessary to build resilience, vanquish isolation, and dispel shame.4 This connection comprises the bond of grief: our shared lament for those already lost to suicide.
No longer can we characterize this issue by citing statistics, or fool ourselves that only “other” medical institutions experience student suicide. Silence and secrecy about suicide foster shame. They place a chokehold on our community. Openness is our liberation.
Let us speak.