All posts tagged suicide

  • Guardian Australia story: ‘”His Death Still Hurts”: Pfizer anti-smoking drug Champix ruled to have contributed to suicide’, September 2017

    A feature story for Guardian Australia. Excerpt below.

    ‘His Death Still Hurts’: the Pfizer anti-smoking drug ruled to have contributed to suicide

    An Australian coroner says Champix had a role in Timothy John’s death, which occurred after only eight days on the drug

    '"His Death Still Hurts": the Pfizer anti-smoking drug ruled to have contributed to suicide" by Andrew McMillen on Guardian Australia, September 2017

    When the retired Queensland schoolteacher Phoebe Morwood-Oldham started an online petition following her son’s suicide in April 2013, she could not have known that her insistence on asking hard questions of one of the world’s largest pharmaceutical companies would lead to an Australian-first finding by a state coroner.

    On Thursday in Brisbane magistrates court, coroner John Hutton found that a commonly prescribed drug named Champix – manufactured by Pfizer and sold internationally under the name Chantix – contributed to the death of a 22-year-old Brisbane man, Timothy John, who died by suicide soon after he began taking a medication that he had hoped would cut his smoking habit from eight cigarettes a day down to zero.

    For Morwood-Oldham, the finding was a satisfying outcome for a lengthy process that began with a Change.org petition that she started four years ago, which asked for on-the-box warning labels on Champix packaging. It has been signed by 49,000 people. “His death still hurts so deep,” she wrote at the top of the petition. “After taking the anti-smoking drug marketed as ‘Champix’ for just 8 days, my beautiful boy hung himself. But despite reports of 25 suicides linked to Champix in seven years – there still aren’t proper side-effect warnings.”

    Every Sunday for four years Morwood-Oldham and her older son, Peter, have visited Timothy’s grave at Cleveland cemetery. The weekly routine involves the laying of lillies and turning their minds toward a young man who was, as his headstone says, “much wanted and loved”. Morwood-Oldham tells Guardian Australia that Timothy’s death “was so sudden” and it affected her deeply.

    “I lost the person I love the most in the world, in eight days. I never expected it.”

    Talking about Timothy, Morwood-Oldham warns that her emotions are “all over the place”. He is never far from his mother’s mind, nor her gaze: when she opens her laptop to share some photographs, there he is, her screensaver. A cute, blond boy aged six, aiming a cheeky smile at the lens.

    Timothy had suffered mental health issues, something his mother speaks of in terms of grades out of 10. He had for a time been a 4/10, then, after cognitive behaviour therapy, he was back to 9/10.

    “How did he go from a 9/10 to a 1/10 in eight days on Champix?” she said. “The autopsy showed there were no alcohol or drugs in his system other than Champix and Ibuprofen.”

    The inquest heard that, on a drive back from the Gold Coast just hours before his death, Timothy asked, “Mum, do you think I should give up the Champix? It’s making me feel strange.” Morwood-Oldham told the original two-day inquest in November last year: “I said to him, ‘Timothy, if it’s helping you to give up smoking maybe you keep it up’.” She had not been part of the consultations with her son’s GP when he was prescribed the drug and the Champix packaging did not contain warnings for any potential adverse effects.

    To read the full story, visit Guardian Australia.

    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.

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

    A feature 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.

  • Backchannel story: ‘Wikipedia Is Not Therapy!’, August 2016

    A feature story for Backchannel. Excerpt below.

    Wikipedia Is Not Therapy!

    How the online encyclopedia manages mental illness and suicide threats in its volunteer community.

    'Wikipedia Is Not Therapy!' by Andrew McMillen for Backchannel, August 2016. Illustration by Laurent Hrybyk

    One recent Tuesday night in the suburbs of Sydney, Elliott* was sitting in front of his home computer, editing Wikipedia and debating with a fellow volunteer who was continually undoing his hard work. He was devoting his weeknight hours to developing an article about Salim Mehajer, a former deputy mayor of a Sydney city council who had attracted national headlines for a variety of indiscretions, including shutting down a public street without authorization in order to film his own wedding. But as Elliott typed, his eyes intent on the screen, his mental state was deteriorating.

    Elliott, 37, knew the inner workings of the online encyclopedia better than just about anyone. Since his first edit in 2004, he had invented the popular ‘citation needed’ tag, used by editors to indicate when a statement requires more evidence. He had started the administrator’s noticeboard,where the site’s volunteer leadership could discuss inflammatory incidents. And he wrote ‘exploding whale,’ a quirky article that remains emblematic of the sparkling brilliance for which the crowdsourced encyclopedia is widely beloved. For the latter creation, which summarized how the Oregon Highway Division attached half a ton of dynamite to a beached sperm whale carcass in 1970, he was awarded Wikipedia’s first ‘oddball barnstar,’ and so another user pinned a bright green badge to his userpage to acknowledge his enterprising work.

    But on this particular night, his virtual achievements were far from his mind. With his wife and two young children occupied in another room, Elliott was locked in what’s known as an edit war, while using a different account than the one that had earned him his earlier plaudits. Elliott was convinced that his detailed account of Salim Mehajer’s traffic violations, including an occasion in 2012 when he ran over two women in his car, belonged on the site. His interlocutor, another Australian editor of prominent standing within the community, remained unconvinced. “I don’t like the guy either, but Wikipedia’s policies on undue weight, original research and biographies of living people don’t not apply because you don’t like someone,” the second editor wrote, mistaking Elliott’s industrious research for bias against Mehajer. On several occasions, this second editor had reverted these lengthy additions, before using one particular adjective to describe Elliott’s work: obsessive.

    Their bickering had been brewing for several days. The pair went back and forth in the article’s ‘talk’ page, which is linked in the top left corner of every entry on the site. Elliott argued passionately for his cause, and at one point logged out of his account to back up his own argument anonymously; these contributions were tagged with his IP address. Two days earlier, he had responded anonymously to another editor, writing, “I fart in your general direction, which is a hell of a lot more pleasant than editing Wikipedia, I can tell you!” After reviewing the conflict, a site administrator decided to ban Elliott on that Tuesday night. “Given the seriousness of this conduct, I’ve set the block duration to indefinite,” noted the admin.

    Elliott’s mind was on fire. Already short-fused from several months of unemployment and recent health and financial woes, he felt overwhelmed with stress. As he sat fuming in front of the screen, his wife approached and asked him to help put their children to bed. The request startled him, and he reacted with a flash of fury. Elliott immediately regretted his anger. Stunned and embarrassed, he grabbed his phone and keys, hopped into a white Hyundai, and sped off.

    After driving for a while, he parked outside a local school and switched off the engine. He pulled out his iPhone and started typing a lengthy email. Titled “The End” and sent to a public Wikipedia mailing list watched by thousands of people around the world, late on the evening of Tuesday, May 17, Elliott’s email begins, “I’ve just been blocked forever. I’ve been bullied, and I’m having suicidal thoughts.”

    More than 2,000 words later, after recounting the events surrounding his ban in the exhaustive manner of a man well-versed in defending his position to nitpicking online strangers, he wrote, “I know I’m not well. I have fought this feeling for a decade.” Elliott ended with this: “I sit here in my car and contemplate suicide. My despair is total. There is not a kind one amongst you.You have taken my right of appeal, my ability to protest and my dignity. You have let others mock me, and I have failed to contribute to Wikipedia’s great mission—one I feel so keenly. I failed. I’m not sure what I’m going to do next. I will drive, I don’t know where. I pray my family forgives me.”

    To read the full story, visit Backchannel. Above illustration by Laurent Hrybyk.

  • 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.

  • Australian Penthouse story: ‘The Low Down: male mental health and Soften The Fuck Up’, March 2012

    A story published in the February 2012 issue of Australian Penthouse.

    Click the below image to read as a PDF in a new window, or scroll down to read the article text.

    The Low Down

    Feelings. We don’t like them – they’re awkward and can suck the joy out of a night on the town with the boys. But can deliberately avoiding our emotions be killing us? New website campaign Soften The Fuck Up believes so, and with youth suicide statistics showing a disproportionate number of men are killing themselves, they might just have a point.

    Story: Andrew McMillen

    ++

    Ehon Chan, 24

    I grew up in Malaysia. When I was 16, my best friend died in a drowning accident. For three months, I went through a period where I was, in some sense, questioning what life was all about. I asked myself, “If everyone lives to die, why do we all live?” I found it really hard to understand that we all could die tomorrow. I did what every man does at that time; the whole “suck it up, just move on,” kind of thing. I kept thinking, “I have to be strong for everyone else”. I kept a very strong face; on the outside I was normal, I was happy. When I’d get home and be in my bedroom at night, all these self-reflective questions would come up.

    When I moved Australia in 2006, I discovered that there is a really low level of mental health literacy in this country; for men, even moreso. Australian men generally can’t pick up mental health signs and symptoms. They don’t know where to get help. A lot of people don’t know that their first point of call could be their GP, or they could call Lifeline. I decided to start something to challenge that knowledge gap. What’s the most common thing that Australian men get when they talk about any kind of weaknesses? The response is generally, “Harden the fuck up.” There’s no equivalent phrase for that in Malaysian!

    My friend said, “why don’t we call it Soften The Fuck Up?” Initially it was a joke; we all laughed at it. It’s currently an online campaign (softenthefckup.com.au, launched in July 2011), but we also want to make it an offline conversation. We want to take the conversation to the next level, so it’s not just about having a conversation with your mates, but equipping young people – in particular, men – with an idea of how to recognise signs and symptoms of mental health issues. And also, when someone comes up to you and says “I’ve got depression”, or “I haven’t been feeling well for the past five days”, what do you tell that person? What are the things you can and can’t say? Where do I get help?

    I was hesitant when the name was first suggested, because the word ‘fuck’ was in there. I wasn’t comfortable going ahead with it, but the more we thought about it, the more we decided, “you know what? That’s the whole point of this campaign”. We want to be unapologetic, we want to be in your face, and we want to push the extreme because we really want to change the culture. The more extreme we go, the more conversation it’s going to generate.

    ++

    Paul Klotz, 51

    At the age of 13, I suffered sexual and physical abuse at the hands of the Catholic boarding system in Brisbane. After many months of being abused in every form you could imagine, I was then beaten with a leather strap for being a ‘bad boy’. After 36 years of hiding in a false existence and having to support a facade of a personality, I finally collapsed, and all of my defences began to crumble. I told a very select group; immediate family, my psychiatrist, and a few other friends. They were shocked, angry, and frustrated in terms of not knowing all these years. It’s not something that was easy to talk about.

    I’ve spent most of my life under the influence of drugs or alcohol to pretend that I was a normal, sane person. Despite that, I was extremely successful throughout my business career. But I’ve always lived with that self-destructive path. Once I achieved, I didn’t feel worthy. Because of this lack of self-esteem and self-belief, I was just continually and totally despising myself. Two years ago, I was able to look in the rear vision mirror, look at all those demons that had been there for the last 35-plus years and say, “enough’s enough; I need to deal with this”.

    This decision came at a huge cost. It’s doubtful if I’ll work again in anything near the capacity that I was before, because I’ve withdrawn from society. I feel uncomfortable around people, moreso than I ever did. It’s great to finally confront those demons and understand and recognise that I’ve suffered from severe depression, and severe post-traumatic stress disorder. I see a psychiatrist. I’m on all sorts of drugs and pills to try and keep that balance of life.

    In the last eight months I’ve been through five suicide attempts, and I’ve had to resign from the last two jobs because of the impact that my mental condition was having, and the episodes of depression, and being put into hospital. That started a period of living on the streets. I have nothing to hide. I’m quite comfortable in saying that if it wasn’t for my four beautiful boys, I wouldn’t be here. I have no doubt about that. During the last few suicide attempts, when I was fading away, it was the image of those guys that allowed me to get some strength, and fight back.

    If I get through all of this, my burning ambition is to assist other males out there. I want to let other males know that it is okay to put your hand up, it is okay to cry. It is okay to say, “I have been abused”, as difficult as that is. It is okay to say, “I’m suffering from depression”. It is okay to say, “I feel suicidal”. I live with the thoughts of suicide every single day of my life. We need to break down all these stereotypes that my generation – and I suppose it continues on, of – “Harden up son. Big boys don’t cry. You’ve just gotta suck it in, and move on,” because that’s such a narrow-minded, dead-end approach. Those feelings of discomfort, unhappiness, pain, guilt, shame; if they’re left inside, they do fester, and fester badly.

    ++

    Nick Backo, 23

    I’ve lived in the same house in Parramatta all my life. I’m a social worker for child protection services, as well as studying post-graduate psychology and refereeing soccer. When I was 15, my Dad died. There was a lot of shock initially, because his death was unexpected. I became the eldest male in the house. I felt that I had to be strong, and look after my family. I saw a counsellor for two years, on and off, which was really useful for just talking with someone who was neutral, and who could give me some strategies around managing grief. I had a lot of support from friends, who gave me someone to talk to, even if it was just, “hey, I’m feeling shit”.

    It was hard to talk about. It brought up a lot of my own emotions, and you feel vulnerable sharing that sort of experience with people. It was also hard because a lot of people wouldn’t know what to say, or how to manage it. They were generally lost for words, so it was an awkward experience for me in bringing that up with them. To an extent, it’s something that you’ve got to live to understand. It would be beneficial for others to learn about grief, though. More broadly, it’s about educating people on supporting their mates, and being open to those types of conversations. Even if you don’t know what to say, just being there to listen and saying how you feel during those conversations is helpful.

    It’s important to embrace the characteristics of masculinity. One of those is ‘being strong’, and it’s not necessarily a bad thing. It’s also really important to talk about how you’re feeling, and your experiences. When Dad died, I was at that ‘coming of age’ stage in life. A lot of people were saying to me, “make sure you look after your Mum”, or “you’re the man of the house now”. I don’t think they were meaning it to put pressure on me. I guess it’s just what people say.

    For people currently experiencing grief, I’d tell them that it’s OK to feel however you’re feeling. If you’re angry or upset, or if you’re feeling okay or happy, that’s all part of the experience of grief. It’s fine to have those emotions. I’d really encourage them to talk to people that they feel comfortable with, and to talk about their grief and the person who has died. Even if it seems a bit crazy or unusual, that’s OK, because it’s an unusual experience to go through. I think about Dad every day, but as I’ve gotten older, I’ve learned how to manage my grief better. I took away a lot of positives from it, as well. I think I’m a better person because of that experience. On the same hand, if I could change that and have Dad back, I would in a second.

    ++

    Ben Pobjie, 32

    I only recognised this year that I am suffering an illness. Since I was a teenager I’ve suffered periodical depression; I’d sink into a deep low for no particular reason. In the past I’ve been advised by people close to me that I should seek counselling. I’d shrug it off, saying “no, no, I’m just sad. Just going through a bad patch.” Which is not the right thing to do, really. You try and fight through it, because I didn’t want to appear weak or like I was making a big fuss over nothing. It builds up and gets worse and worse, and you have to admit that it’s not nothing. I broke down early this year, then realised that it’s not normal. I generally write jokes, and comedy. I’ve been writing more serious reflective things, having admitted to this. It’s possibly made me a little bit more honest as a writer. I’m on medication now, and I’m seeing a therapist.

    When I’ve been at my worst, I’ve self-harmed. I’ve cut myself. It’s hard to explain after the event, when you’re not in that headspace, exactly why you did something like that. It’s a culmination of trying to distract yourself from an emotional pain by giving yourself some physical pain. It’s a confusing time because when you go through those episodes, because obviously you’re not thinking rationally, and you don’t react to your own feelings rationally.

    When you’re depressed, you feel ashamed of yourself. It feels like something that you shouldn’t talk about. But I came to the realisation that if I didn’t tell people about it, then this can’t really be recognised as an illness. It couldn’t just be a secret that I kept. It takes courage to admit that you have a weakness. Everyone has weaknesses. It’s gutsy to own up to that. Most people are very willing to understand, and to show sympathy and support if it’s brought out into the open. That’s what I’ve found.

    ++

    William Wander, 24

    I’m Brisbane born and bred. I went through various Catholic schools, though I’m definitely not Catholic. I work in sales for a software company. By night, I’m a writer and blogger. I’m that guy in their group of friends who always says the things that nobody really wants to hear. I’m a little bit too honest. I’ve always had something to do with depression, even from the age of 11 or 12. I had a very rough childhood; I had an abusive father, and was quite sick as well, while growing up. From the age of 13 or 14, I was on anti-depressants. For me, having depression is like having asthma; it’s just part of your genetic makeup, and you learn how to appropriately deal with it.

    I hadn’t been on anti-depressants for years until the GFC hit. I lost my job, I was unemployed for the first time in my life. I applied for 250 jobs and couldn’t get a single one. I hit rock bottom. The thing about depression is: it’s a hole that you can’t get out yourself. I’ve spoken to a lot of people about depression, and I’ve never met anybody that’s got out of it by themselves. I don’t think it can happen, honestly. You need to have somebody else, or some other group that helps you get out. You can take the first step, obviously, and say “I need help”. But in the end, it’s the support of other people that helps you to get out of that, and start to feel better.

    Depression is a disease that you can’t see. If you get hit by a car and your leg is twisted, that’s very visible and we can understand that. When people talk about depression, they feel weird about it for one of two reasons: they’re experienced it and they’re embarrassed about it and don’t know how to talk about it, or they have never experienced it and they can’t conceptualise it in their own head.

    I don’t care who you are, or how in touch with your emotions you are; it’s never easy to admit that you’re depressed. It’s always difficult, because the nature of depression is that you don’t want to acknowledge it. It’s easy to talk about it now, but when I am actually depressed, it is hard to acknowledge that, even to myself. I’m a very emotional guy. At the same time, I’m a fairly typical Aussie bloke, but I’ve always thought it’s ridiculous how closed-up guys are in general in Australia. Let’s not skirt around the issue. Let’s be men about it. Which, ironically, means approaching something, rather than just avoiding it.

    An enormous thanks to the brave men I interviewed for this story, and to Australian Penthouse for publishing.

    For more on Soften The Fuck Up, watch the below video and visit their website.

    For more about depression, visit Beyond Blue.

    If you are distressed after reading this story, please call Lifeline immediately on 13 11 14 (free call from all telephones in Australia).