In this comprehensive episode of 'The Things We All Carry,' we delve into the profound challenges surrounding trauma and suicide, particularly among first responders and military personnel. The host reflects on personal struggles, including the anniversaries of significant losses in October. Guest Mike, a trauma and suicide researcher and U.S. Army veteran, provides valuable insights into why these issues are so prevalent in high-stress professions. Key topics include the difference between being 'triggered' and 'activated,' the psychological theories of suicidal ideation, and the impact of addiction. The episode highlights the importance of trust, community support, and actionable steps individuals and communities can take to mitigate suicide rates. Join us as we explore these heavy topics and strive to foster better mental health support systems.

00:00 Introduction to the Podcast

00:25 Personal Struggles in October

01:07 Reflecting on Past Intros

02:08 Embracing Imperfection and Taking Action

04:20 The Importance of Conversation

05:14 Facing Personal Demons

06:34 The Power of Talking

08:24 Commitment to Self-Improvement

12:39 Episode 139 Introduction

13:04 Understanding Suicide

17:09 Triggered vs. Activated

23:12 Overt and Covert Suicide

32:16 Addiction and Depression

33:26 Interpersonal Theory of Suicide

34:41 Understanding Thwarted Belongingness

35:34 Perceived Burdensomeness in Veterans

36:30 Acquired Capability of Suicide

37:34 The Role of Past Traumas

38:55 Substance Use and Self-Medication

39:49 Mental Health in First Responders

42:33 The Importance of Continued Support

46:41 Community and Personal Responsibility

01:00:44 Changing the Narrative Around Suicide

01:01:29 Final Thoughts and Reflections