All posts tagged prevention

  • The Weekend Australian Magazine story: ‘Susan, Unbroken: After Dr Andrew Bryant’s suicide’, September 2017

    A story for The Weekend Australian Magazine, published in the September 2-3 issue. Excerpt below.

    Susan, Unbroken

    Her husband’s suicide was devastating. But Susan Bryant was determined to call it out.

    The Weekend Australian Magazine story: 'Susan, Unbroken: After Dr Andrew Bryant's suicide' by Andrew McMillen, September 2017. Photograph by Justine Walpole

    The last few days had been nightmarish and Susan Bryant was tired of explaining. She decided to write an email to try to explain the inexplicable. The words came to her in a rush, powered by grief, anger and frustration, as well as a desire for the cause of her husband’s death to be known, not covered up. It was a Saturday evening in early May and before she travelled across town for a family dinner, she sat in the study inside the beautiful home on the hill she had shared for 25 years with a brilliant gastroenterologist named Dr Andrew Bryant. Her first instinct was to say sorry.

    “I apologise for the group email but I wanted to thank those of you who have been so kind with your messages and thoughts over the last three days,” she typed. “Apologies also for the length of this email but it’s important to me to let you know the circumstances of Andrew’s death. Some of you may not yet know that Andrew took his own life, in his office, on Thursday morning.”

    The family’s beloved white dog lay on the floor beside her in the study, while a cat was curled near her feet. Andrew had not suffered from depression before, she wrote, but his mood had been flat during Easter and he had been sleeping poorly because he had been called in to see public hospital patients every night of the previous week. She wrote that because of these long hours — not unusual for an on-call specialist — he had missed every dinner at home that week, including one to celebrate his son’s birthday. “In retrospect, the signs were all there,” she wrote, then chided herself. “But I didn’t see it coming. He was a doctor; he was surrounded by health professionals every day; both his parents were psychiatrists; two of his brothers are doctors; his sister is a psychiatric nurse — and none of them saw it coming either.”

    Susan addressed the email to 15 colleagues at the law firm where she works in central Brisbane, and she hoped that it would help them understand why her daughter had phoned on Thursday morning to briefly explain why her mother would need some time off. “I don’t want it to be a secret that Andrew committed suicide,” she wrote. “If more people talked about what leads to suicide, if people didn’t talk about it as if it was shameful, if people understood how easily and quickly depression can take over, then there might be fewer deaths.”

    Together, they brought four children into this world and they all still live under the same roof. “His four children and I are not ashamed of how he died,” she wrote. Susan knew that her children felt this way, but she double-checked with them before she sent the email, and before the five of them left the family home to visit the Bryants in Paddington, a few ­suburbs over. One by one, her children came into the study and read the email over her shoulder. They saw no problem with it. She ended her letter with the spark of an idea; a glimmer of hope. “So please, forward this email on to anyone in the ­Wilston community who has asked how he died, anyone at all who might want to know, or anyone you think it may help.” It took her about five minutes to write. She sent it at 5.45pm on Saturday, May 6, and then she went to be with Andrew’s family.

    The next afternoon, Susan thought that a few of her close friends and neighbours might like to read the message. And so, at 2pm on the Sunday, she passed it on to another five people who live in the inner north suburb of Wilston. When two of her children asked if they could share the email on Facebook, she said yes, because she thought that it might help their friends understand what had happened, too.

    Within a few days, her words had been read by hundreds of thousands of people around the world. Her email was republished and discussed online and off; both inside and outside the medical profession. It was as though she had shot a flare skyward on a dark night, and suddenly, she found herself surrounded by strangers who were drawn to the distress signal.

    People responded to her honesty with their own. They wrote to her with deep, dark secrets and confessions, some of which they dared not speak aloud. She gathered their letters and cards in a large basket that sits in the centre of her kitchen bench, while hundreds more notes piled into her email inbox. Writing to her helped them. She did not know it when she wrote the email, but they needed Susan Bryant then, and they need her now.

    To read the full story, visit The Australian. Above photo credit: Justine Walpole.

    For help if you are in Australia: Suicide Call Back Service 1300 659 467; ­Lifeline 13 11 14, Survivors of Suicide Bereavement ­Support 1300 767 022.

    For help if you are outside of Australia, visit suicide.org’s list of international hotlines.

  • GQ Australia columns, December 2015: Fear, climate, guns, suicide and cannabis

    In July 2015, I was invited to write occasional online columns for GQ Australia. I’ve collected these five columns as excerpts below, with the publication date noted in brackets beside the title.

    Are We Living In An Australia Led By Fear? (July)

    An increase in national surveillance powers has an equal and opposite reaction of a decline in civil liberties – writes Andrew McMillen

    'Are We Living In An Australia Led By Fear?' by Andrew McMillen for GQ, 2015

    One particular sentence on nationalsecurity.gov.au catches the eye: “Protecting all Australians from terrorism and violent extremism is the Australian Government’s top priority,” it reads.

    This sentence appears on a website which is home to the National Terrorism Public Alert System, among other cracking reads such as a list of ‘foiled Australian attacks’ (four incidents) and ‘overseas terrorist attacks’ (six).

    The National Terrorism Public Alert System informs us that the nation is currently at a ‘high’ level of alert, indicating that a terrorist attack “is likely”. This is just one step down from ‘extreme’ – where a terrorist attack “is imminent or has occurred” – but a step above the previous ranking of ‘medium’, which warned that a terrorist attack “could occur”.

    It was in mid-September 2014 that the alert rating changed from ‘medium’ to ‘high’. The Internet Archive’s Wayback Machine captured the change, between September 12 and September 18.

    The switch-over itself was pretty simple stuff, really: the web copy is practically identical, and a blue map of Australia with an ugly black font in the centre was replaced by a white diagram ringed by blue.

    To read the full column, click here.

    Why Australia Is Headed For An Avoidable Climate Calamity (August)

    Climate change is the iceberg of our times and Australia is steering straight into it – writes Andrew McMillen.

    'Why Australia Is Headed For An Avoidable Climate Calamity' by Andrew McMillen for GQ, 2015

    One of mankind’s greatest achievements is the discovery that the energy from coal – ancient sunlight buried in the ground – could be used to drive our technological progress.

    In 2015, we continue to reap the rewards of that discovery, yet most of us acknowledge that coal, like oil and gas, is a finite resource: there’s only so much of it beneath our feet, and sooner or later, the supply will be exhausted.

    There is a simple logic behind this problem. When one generation selfishly chooses to use as much coal, oil and gas as humanly possible, the next generation will suffer the supply shocks, as well as the environmental effects: burning these fossil fuels adds a toxic combination of pollutants to the atmosphere, increasing the speed at which the planet warms.

    Intelligent governance acknowledges this as a fact, and a problem to be solved swiftly, lest future generations suffer for our inaction. For a time, Australia led the developed world in this regard, when then Prime Minister Kevin Rudd announced in 2007 that climate change was “the great moral, environmental and economic challenge of our age”.

    These were sage words from a leader who ultimately failed to install an effective mechanism to solve that challenge. Politics got in the way of true progress, cruelling an admirable long-term vision.

    To read the full column, click here.

    Why Encouraging More Guns Into Australia Is A Terrible Idea (August)

    In the wake of the Martin Place siege, Australia’s relationship with its long-standing gun laws might be about to change and that’s a very scary thought – writes Andrew McMillen.

    'Why Encouraging More Guns Into Australia Is A Terrible Idea' by Andrew McMillen for GQ, 2015

    A gunman named Martin Bryant forever changed Australia on 28 April 1996, when he used a semi-automatic rifle to kill 35 people at a cafe in the Tasmanian town of Port Arthur.

    Within twelve weeks, John Howard’s government had devised, drafted, debated and implemented legislation which saw the banning of semi-automatic weapons and shotguns, and triggered a compulsory gun buyback scheme. As a result, the ownership and storage of other firearms were tightly restricted, too.

    The Australian approach to gun control was shown in stark contrast to the United States in September 2013, when John Oliver’s brilliant threepart series on The Daily Show neatly skewered gun-mad Americans who mindlessly oppose any change to gun laws.

    “Obviously, gun control doesn’t work. It can’t work. It will never work. So how was your scheme a failure?” Oliver asked a bemused John Howard, who replied, “Well, my scheme was not a failure. We had a massacre at a place called Port Arthur 17 years ago, and there have been none since.” Australia’s rate of gun deaths per 100,000 people was 1.03, compared with 10.69 in the U.S., according to 2012 figures from gunpolicy.org.

    In the 18 years prior to the Port Arthur massacre, there had been 13 mass shooting incidents , where five or more people were killed by a firearm. The gunman’s destructive actions so shocked and appalled the electorate that Howard’s sweeping changes to gun ownership laws were widely supported in the community.

    To read the full column, click here.

    Why Australian Men Need To Talk More About Suicide (September)

    Too many Australians die of suicide – around 2,500 per year, or 48 per week – and too few talk about it, or its surrounding issues – writes Andrew McMillen

    'Why Australian Men Need To Talk More About Suicide' by Andrew McMillen for GQ, 2015

    The numbers are shockingly high: suicide is the leading cause of death for Australian men and woman aged between 15 and 44.

    I’m a member of this demographic, but stating sad facts such as these in plain black-and-white can have a numbing effect. Though mentally healthy myself, I have seen the devastating effects of severe depression up close with someone I love, which is one of the reasons why I’ve made a few attempts as a journalist to uncover stories about Australians who have faced mental illness with courage and openness.

    The first was an article for Australian Penthouse in 2012, The Low Down, about an online campaign named Soften The Fuck Up, which seeks to challenge the low levels of mental health literacy recognised by its founder, Ehon Chan, after he moved to Australia from Malaysia.

    “What’s the most common thing that Australian men get when they talk about any kind of weaknesses?” he asked me during our interview. “The response is generally, ‘Harden the fuck up.’ There’s no equivalent phrase for that in Malaysian!” he said with a laugh. Soften The Fuck Up aims to encourage offline conversations, by equipping young people – in particular, men – with ideas of how to recognise signs and symptoms of mental health issues among their peers.

    My most recent story on this topic, Over Troubled Water, was published in The Weekend Australian Magazine in early September 2015, ahead of World Suicide Prevention Day on September 10. This article explored the topic of suicide prevention at an iconic location in inner-city Brisbane: the Story Bridge, which is the site of at least four suicides per year, on average. Counterintuitive though it might seem, installing anti-jump barriers on high bridges has been shown to greatly reduce the incidence of suicide, and the problem is not simply shifted to another location.

    To read the full column, click here.

    How We Could All Benefit From Cannabis Regulation (October)

    The potential benefit of legalising cannabis means drug reform in Australia should be taken seriously – argues Andrew McMillen.

    'How We Could All Benefit From Cannabis Regulation' by Andrew McMillen for GQ Australia, 2015

    A few years from today, once other Australian states have followed the lead set by Victoriain early October 2015 to move toward the legalisation of cultivating cannabis for medicinal purposes, the nation might finally be ready to have a conversation that needs to be had. Namely: why don’t we regulate and tax the recreational use of cannabis, our most popular illicit drug?

    At least 1.9 million Australians use cannabis each year, according to the most recent data from the United Nations 2014 World Drug Report. This is a huge proportion of Australians, and it’s significant for a couple of reasons. First, that’s a lot of adults of voting age, who’d probably be keen to support political parties that provide reasonable alternatives to the tired, ineffective tough-on-drugs approach we’ve seen in this country for generations.

    And second, this number represents an enormous amount of disposable income that’s leaking from the national economy into an unregulated market, far beyond the reach of the Australian Taxation Office.

    Given that recreational cannabis use is illegal, the only way to obtain the drug in 2015 is to associate with people who are, by definition, criminals. Once that transaction has been made, and you hand over your cash in exchange for the product, you’ve become a criminal, too. If caught by police, you will face charges of possession which may result in fines or, at the extreme end of the spectrum, imprisonment.

    This reality is known, understood and accepted by most Australians who choose to interface with illicit drug use. Perhaps a small minority of particularly inflammatory cannabis users get a kick out of breaking the law in this way, but most would probably much rather avoid the hassle of potentially being exposed to the criminal justice system purely because of their desire to use a drug that’s increasingly being legalised by state and federal governments throughout the world.

    To read the full column, click here.

  • The Weekend Australian Magazine story: ‘Over Troubled Water: Suicide at Brisbane’s Story Bridge’, September 2015

    A story for the September 5 issue of The Weekend Australian Magazine. Excerpt below.

    Over Troubled Water

    The Story Bridge is a beautiful Brisbane landmark – but it’s also a site of untold misery

    The Weekend Australian Magazine story: ‘Over Troubled Water: Suicide at Brisbane's Story Bridge' by Andrew McMillen, September 2015

    It was raining on the morning that Troy Aggett decided to end his life. Shirtless and ­shoeless, the 39-year-old drove from Logan, 25km south of Brisbane, to the Story Bridge, the city’s key visual icon linking the suburbs of Fortitude Valley and Kangaroo Point. He obeyed the speed limit and all traffic signals on the way there. “There was no urgency to what I was doing,” he says. “There was no rush.” He hadn’t slept the night before. It was March 22, 2012, a Thursday, when he parked near the bridge at around 6.30am and hastily wrote an apology note to a long-lost friend: “Sorry I couldn’t catch up.” Helpfully, he placed his driver’s licence inside the note, so that police could identify him.

    While the rain fell steadily, Aggett strolled up to the 1072m-long bridge, which is traversed by 30 million vehicles annually. Though scared of heights, he paused every now and then to look over the edge. When he found the highest point over a pathway in Captain Burke Park below, he stopped and checked out the drop: 30m onto a hard surface. He didn’t want to land in the ­Brisbane River, as people have been known to survive the watery impact. All that stood between his troubled life and his certain death that morning was a 138cm-high fence.

    Aggett had reached this point of despair after 19 months of sick leave from his job as an ­Australian Federal Police officer, where he had turned whistleblower against what he perceived to be a poisonous and corrupt culture, triggering a drawn-out court action which he ultimately won. He was near rock bottom, having lost everything he cared about. “It was just a private moment; I wasn’t trying to cause a scene, I wasn’t trying to get people involved,” he says. What he didn’t count on was that a passerby – an off-duty member of the Royal Australian Air Force – was quick enough to grab his arm as he swung over the barrier, locked elbows so that Aggett couldn’t drop, and began a conversation. Soon, two police officers were on the scene to hear his final wish: “Just bury me when I’m done. A pauper’s funeral; I don’t care. Just scrape me up nicely, and put me in a box. That’s enough.”

    This story has a happy ending. After three hours of negotiation – most of which took place while Aggett stood holding on to the outside of the railing with three fingers of his right hand, near-naked and shivering – he gave permission to be strapped into a bright red firefighter’s ­harness and brought back over the railing. Within moments he was covered with a fluorescent yellow raincoat to shield him from the cold. Spent from the exertion of holding himself in a precarious position all that time, he dropped to the bitumen. A policeman leaned down and pressed his head against Aggett’s, while nearby officers comforted him with pats on the back. A female officer lent over the barrier and gave the thumbs-up signal to paramedics who had gathered beneath a tree in the park below to shelter from the steady rainfall, stretcher at the ready. A fire engine with its cherry picker ladder extension that had been waiting out of sight, in the shadow of the Story Bridge, was no longer needed. Raincoat-clad police officers waiting nearby were at last able to breathe a sigh of relief.

    On that morning, some two dozen emergency services staff were focused solely on bringing Aggett back from the brink. His life was all that mattered. What’s remarkable about the scene, however, is that its final minutes were captured by a member of the public who happened to be filming from a high-rise apartment across the Brisbane River, on the outskirts of the CBD. A zoom lens framed the scene in extraordinary detail as the amateur director shakily panned to ensure that every emotion was writ in high definition. The care and compassion on display in the four-minute video is humbling. It was uploaded to YouTube on the day of the incident, tagged: “Australian trying to commit suicide”.

    Aggett found the footage around two years later. He has watched the video of this low moment in his life several times, enthralled and a little embarrassed. Today he’s 43, healthy, married, running his own flooring business, and able to speak frankly about that day on the bridge. “I keep an eye out for people who do jump: where they jumped, how many jumped, whether it was successful or not,” he says between sips of a cool drink at a Brisbane cafe, his wife by his side. “It’s just curiosity, I think. It’s hard to explain, but it feels like I’ve got a connection to these people now. I know what they’re going through, inside.”

    To read the full story, visit The Australian.

    World Suicide Prevention Day coincided with RUOK? Day on September 10 2015; details at wspd.org.au. For help, contact: Suicide Call Back Service 1300 659 467, Lifeline 13 11 14, Kids Helpline 1800 55 1800, Headspace 1800 650 890, Beyond Blue 1300 22 4636, Survivors of Suicide Bereavement Support 1300 767 022.