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Freaking fantastic writing and work Chaise (and Audrey too!). I'm excitedly and exhaustedly looking forward to ongoing conversations about this and am grateful for how these aligned perspectives are deepening my own work.

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Thank you Nicole, it is such a boon to write vulnerably and hear back that it is deepening for others.

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I currently work in a system in which we have outgrown our infrastructure and so one of the most crushing collateral tragedies is the many ways we fail those that arrive in a state of suicidality. I work in an emergency department where all manner of medical emergencies are 'managed' in one unit. That in itself is a type of madness. But I am writing because I would love to have a brave new conversation about it.

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Karin, thank you for this comment. I'm grateful for this sharing from the inside of the system, particularly noting how the trouble of the times has outgrown the possibility of the infrastructures that are in place. I look forward to those brave new conversations.

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I would say that managing medical emergencies such as heart attacks, physical traumas and multitudinous other urgent and emergent things in all age groups sometimes places mental health emergencies into a holding pattern that has the strong potential to be received as a containment, a punishment for being in a state of distress. There is the possibility of trauma to the person who is traumatized and moral distress for the care giver.

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Yes, I love these notes from the inside. Particularly noticing that the moral distress and traumatic energy is rippling out through the "patient" and also the caregiver. In so many ways what we have to offer now is not working for any of those connected to the system.

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