【Discussion】A post of a suicidal individual being 'analysed' by an unknown therapist went viral, but experts could not agree on the therapist's qualifications and called him out

TLDR:
In my humble opinion, I believe that suicide should not be glorified and instead, focus should be placed on improving mental health support for individuals struggling with depression and self-harm thoughts. I suggest maintaining mental health through preparedness and training, stressing the significance of professional testing to determine the most suitable form of treatment for each individual. Additionally, I stress the need for prompt and accessible assistance during crisis situations through helpline services with sufficient resources and trained professionals. Lastly, I give gratitude towards mental health care workers for their efforts.

The drama

I would not go into the analysis of what happened. I applaud BBK Network for this brave choice of topic, but I also need to explain what can be done about this area in Malaysia at the moment. Yes, it's not just a matter of giving people a call.

For those who don't know, I recommend watching BBK Network's video discussing the incident: https://youtu.be/9aOckBlJ2dQ (this is in mandarin, but there are the subtitles). The original post is attached here just to let everyone see where all the drama started, while having critical thinking. It gets viral but I personally think that it may be a misleading post so please understand more based on your point of view.

For English readers, here’s a summary of the incident.

There's been a lot of talk online about a recent article written by a psychologist about a suicide case in Malaysia, saying that the suicidal case happens due to a revenge taken to the person’s own family, without having the person as a patient. Even if the person is a patient of this ‘psychologist’, I believe that we could not disclose the privacy of the patients without consent or give misleading information based on it.

From there, some folks disagree with the idea that the act could've been motivated by revenge due to mistreatment. It seems there's concern around whether certain professions involved are qualified enough and if everything has been considered properly. One thing everyone agrees on is the importance of getting proper professional help when dealing with mental health challenges, especially when feeling overwhelmed by sad feelings or dark thoughts. Sharing stories and insights helps create greater understanding and acceptance, so some said keep talking and don't forget to look after yourself. Most of us agree on speaking privately with someone trustworthy who is good at listening and cares about helping you and seek for immediate help via the hotlines and helplines for emergency.

My humble point of view

I didn't feel like speaking on this matter, because of many reasons at first. But since I am speaking, I will accept criticism. It is also acceptable to dig down to my personal academic background. What I have said may not be entirely right all the time, but it is a firm stance that I have taken after observing the current situation.

What type of effort must we exert to bring about improvements in the mental health community?

1 Generalise the ways we maintain mental health practices, prepare precautions and tools before it’s too late.

Just as there is a first aid kit to dress wounds on the body, mental health is also a matter of training and gathering tools on a regular basis. That is a concept I love after getting influence by Guy Winch’s books and talks. In media, try to see why Mental Health Day is not more sensational than Double 11 (big promotional events are held, nothing wrong but mental health events could be equally influential or more influential)? Why is the unassessed and unendorsed areas of mental health services harder for people to get professional details than a specialist’s services in hospital physicals? Why is it that whoever writes about mental health can stir up people's emotions often, most of the time, gets more traffic than someone who seriously composes the mental health tools?

These are all things that can't be changed in a day or two, but requires major effort from an individual to all of us as a collective. And personally, I always advocate starting with a preventive approach when it's easy, even adding gamification or more grateful routines, just because when we have to look at things from a serious perspective, it's actually too late.

2 Everyone is encouraged to go through a professional assessment or pipeline to find the best way for them, rather than a certain way that is considered good by the majority.

Everyone has their own different mental health state, and each demographic has its own most and least suitable treatments. We can indeed point to many people's generalisations, but how can we be objective if we don't really understand it ourselves?

Therefore, I personally feel that there is a shortage of Mental health assessment tools in Malaysia. For example, after checking the top 3 certified mental health professionals in Malaysia, there are also hypnotherapists, music therapists, and more. Yes, there are also different certifications and are different professionals, but not every one of them may be suitable for a certain person. The way everyone including the so-called expert predicts that you are suitable is just a prediction until you measure what you are suitable for yourself for real.

It's the same concept as when you normally go to diagnose someone so the doctor knows the symptoms and make some diagnosis, but then you have to understand the case further, we have a blood test, all kinds of body scans etc.

The real verdict.

‘How do the different psychological regions of the board confirm what treatment really works for whom by having credibility and mental health assessments, also known as the professional tests?’

This is one of the things that we discuss too little. Or I shall say that we sacrifice too much while waiting for these devices to become available and generalised in our nation and the entire world. Because it is also true that the BBK Network is questioning the authority behind each organisation is something that we all must do out of common sense and self protection, but then perhaps we can ask another question.

What do professional psychiatrists, registered counsellors, etc. think if religious teachers, who test for the most calming effect on the person themselves, are more effective than using other methods?

There have already been so many contradictions in our research of whether spirituality, chromotherapy and many types of other certified therapies are being accepted as therapies. The discussion is vital and it excites me to go on because it’s a major improvement in our field to talk about all these things.

Our controversy may have just begun.

So, what are these mental health assessment tools we use for now?

I’ve talked a lot about these before, but let me repeat it here. PSG, ECG, EMG, EEG, Neural Network, urinalysis systems, and so on. Some are also clarified and suggested in the one I said would be suitable on testing for the VR that are healing vs the ones that are not. The same assessment tools could be customised and used to test various mental health treatments. The experiment I am currently working on is the EEG, electroencephalogram, which determines the state of psychological stress by the floating brain waves of an individual, e.g. the alpha/beta ratio is lower than usual in a comfortable and calm situation. Of course, it also includes the exclusion of different factors and is adjusted to the individual.

3 Immediate response to requests for help and first connection to the helper when the hotline is contactable.

Even though the current non-profit organisations and government are providing hotlines and ways that are much appreciated, the resources available to the public are still very limited.

What I know from the people that were having conversations with me is that some hotlines may not be connected the first time a person calls and some of them give up on calling after several times. While waiting to be connected, I would recommend limited automated questioning and reassurance models, but of course a temporary understanding of the Anchors, the problem, and immediate referral to the emergency hotline. That’s also why I was working on Theralove (therapy matching with symptoms) and I-Rene models (CBT-bot while you wait for your turn to get a talk in the hotline) to solve this problem in the long run.

This avoids giving the suicidal person the impression that they are trying to get help, only to hear that they are unable to get through.

Finally, the individual will also make more of an effort.

Thanks with lots of love, hope and care.

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