#JamesDonaldson on #MentalHealth – Q & A With Matthew Sleeth About #MentalHealth And #Suicide


Author of Hope Always: How to Be a Force for Life in a Culture of #Suicide


Q & A with Matthew Sleeth About Mental Health and Suicide

Ed: We’ve heard #suicide described as an epidemic in the U.S. Would you share some of the facts about the prevalence of this issue among #Americans today?

Matthew: #Suicide is the second leading cause of death among 10- to 34-year-olds.

It’s the tenth leading cause of death in #adults.

#Females are twice as likely to attempt #suicide.

#Males are four times as likely to die by #suicide.

Over the past two decades, #suicide rates have risen about 35 percent—and that’s not counting the people who die by overdose. When people take fentanyl (which is 50 times more potent than heroin) or carfentanil (which is 10,000 times more potent than heroin), they are—at best—ambivalent about waking up the next morning. If we include overdose deaths and adjust for medical advances over the past century (overdose-reversing drugs, antidepressants, 911, and ER systems, etc.), our #suicide rate would be at least twenty times higher than it was during the #GreatDepression.

We are experiencing the greatest #depression the world has ever known.

And while murders dominate our headlines, most people don’t realize that there are 2.5 times more #suicides in the U.S. than homicides.

#JamesDonaldson notes:

Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.

Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.

Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticle

These facts should serve as a wake-up call for the church. #God is always for life, never for death. Ecclesiastes 3:11 says that #God put eternity in our hearts. Satan is the one who says we shouldn’t even try to make it through the day.

Our Father never, ever, ever wants us to choose death. Jesus died on the cross so that we would have life and have it more abundantly. It is in the nature of #God that we share that message, and it is in Satan’s nature that we hide it.

Ed: What is the message that would be helpful to church leaders regarding the subject of #depression and #suicide?

Matthew: I can think of at least four ways Hope Always is different:

1. #God has planted me in the “saving lives” business, first as a secular #physician and much later in life as a pastor. As a result, I speak three languages fluently: medical, secular, and #Christian. The goal is to building bridges rather than separates people.

2. I focus on why people don’t commit #suicide. We can learn so much from people—both in ancient times and today—who reached the end of their rope and seriously contemplated ending it all, but ultimately leaned into #God’s strength rather than their own and made it through to the other side.

4. My desire is to share not only about comforting those who have been left behind, though I pray it does, but instead is about prevention. And it’s extremely practical. What can you do today to prevent the next #suicide? None of us can do everything, but all of us can do something.

Ed: What do you think is the primary challenge for pastors and other ministry leaders trying to make a difference in today’s culture of #suicide?

Matthew: Two challenges:

1. We have created a world that millions of people find unlivable.

2. In today’s culture, #suicide is rapidly becoming normalized, an acceptable “life choice.”

For example, in March, Canada passed a law that expands the right to #physician-assisted #suicide at any stage of #adult life, even if death is not imminent or if the only medical condition is a #mentalillness.

These two trends are in direct opposition to #God’s call to action, which is spelled out in Proverbs 24:11-12 (ESV):

Rescue those who are being taken away to death;
hold back those who are stumbling to the slaughter.
If you say, “Behold, we did not know this,”
does not he who weighs the heart perceive it?
Does not he who keeps watch over your soul know it,
and will he not repay man according to his work?

In other words, all #Christians—especially pastors and ministry leaders—have a clear responsibility to keep people from harming themselves. #God is watching us. He won’t accept any excuses, and he will judge us for the times we did nothing.

Yet telling ourselves we’re too busy, or we don’t want to offend someone, or we are afraid of saying the wrong thing won’t cut it. Jesus left the 99 to rescue the 1 lost sheep. We should do likewise.

Ed: For many of us, fear of accidentally making things worse can hold us back from initiating conversations about #depression and #suicide with those who are hurting. What encouragement or advice would you offer to ministry leaders who are struggling to start a conversation about #suicide with a member of their congregation?

Matthew: No one wants to talk about things they aren’t knowledgeable about. You’ll feel much better equipped to initiate a difficult but necessary conversation.

I don’t pretend to have all the answers, and you don’t need to have all the answers either. But we all have an obligation to help a loved one who is in danger.

Second, not everyone has a degree in medicine or psychology, but it’s been my experience that everyone has a Ph.D. in discerning attitude. If you lead with love, people will know it. Being prepared means you love even more, not less.

Ed: What are some practical ways we as the church can cultivate communities of hope amidst all the trauma and trials people face in today’s world?

If you suspect someone is suicidal, visit, call, and ask questions. Make a playlist or burn a CD of uplifting songs and hymns. Don’t just say you will pray for them—stop and pray in person, over the phone, or in writing. Invite a lonely or hurting friend to share a meal, take a walk, spend the Sabbath together, or just do something fun.

Church communities can start by identifying and consulting in-house experts. Most congregations have a family #doctor, #psychiatrist, social worker, psychiatric #nurse, or #school counselor among them. Ask one of these professionals to lead a small group study to learn what the #Bible says about #depression and #suicide. Some of the study group “graduates” may decide to start a support group, either for those suffering or for those supporting people with #mentalillness. Others can draft a church policy so every youth pastor, elder, college minister, board member, and Sunday #school #teacher knows exactly what to do if they encounter a person who may be suicidal. (Write to me at contact@blessedearth.org if you would like a sample church policy.) Prayer ministries, including healing prayer, are another excellent way to help the hurting among us.

In sum, #God has made us a nation of priests. If you prepare yourself ahead of time and lead with love, you are absolutely equipped to talk with people who are depressed or suicidal.

It’s not only an obligation to do so; it’s a sacred privilege. There is no activity that I’ve been involved in as wonderful as saving lives. You don’t have to be an ER #physician to do that. We are all empowered to go and share the Good News that leads to eternal life. We are all responsible for sharing the message of hope.

Matthew Sleeth, MD, a former emergency room #physician and chief of the hospital medical staff, resigned from his position to teach, preach, and write about faith and health. Dr. Sleeth has spoken at more than one thousand churches, campuses, and events, including serving as a monthly guest preacher at the Washington National Cathedral. Recognized by Newsweek as one of the nation’s most influential #Christian leaders, Dr. Sleeth is the executive director of Blessed Earth and author of numerous articles and books, including Hope Always: How to Be a Force for Live in a Culture of Suicide, released from Tyndale House Publishers in May 2021. Matthew lives in Lexington, Kentucky, with Nancy, his wife of forty years.

Ed Stetzer is professor and dean at Wheaton College, where he also serves as executive director of the Wheaton College Billy Graham Center. The Exchange team contributed to this article.


2 comments on “#JamesDonaldson on #MentalHealth – Q & A With Matthew Sleeth About #MentalHealth And #Suicide

  1. Thank you for all your research/support/information provided to others, by your e-mails. I just recently read about your past few years life story, and started reading your e-mails. Your fervor to help, is so inspiring.! God bless you in your Mission in reaching out to others.

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