A compelling and agonising story.

Durban-based journalist Glynis Horning and her husband Chris woke up one Sunday morning almost two years ago to the devastating discovery of their 25-year-old son Spencer dead in his bed. Horning’s story chronicles a parent’s worst nightmare. Establishing that his death was suicide, Horning embarks on a journey of anguished self-recrimination.

Should she not have seen the signs? Could she somehow have prevented it? As she struggles with Spencer’s decision to end his life, she has to learn to understand what the depths of depression entail. We feel Horning’s pain, and learn to understand and feel Spencer’s pain, at a visceral level.

Surrounded by loving family and friends, Horning pieces together the puzzle of Spencer’s death, writing with a brutal and heart-searing intensity of grief and loss, but also of the joys of celebrating her son’s life. This book will touch anyone who has experienced a mental health journey directly or indirectly, or a searing loss. Her wisdom and insight are extraordinary.

An average of 1400 people call the South African Depression and Anxiety Suicide Helpline every day. And those are just the people who know it exists and are able to reach out for help, either for themselves or for a loved one.

Journalist Marion Scher has spent years speaking to people suffering from depression or some other form of mental illness and felt compelled to share some of these stories in Surfacing. Each chapter tells a different and very personal story, from a Springbok rugby player faced overnight with mental illness to a successful businessman who attempted suicide three times in one day. A new mother whose horrific real experiences didn’t match the Instagram photos of blissful motherhood she had expected, and a mother’s heartbreaking story of surviving the loss of her teenage daughter to suicide. The common thread that runs through the stories is how each person learnt to deal with their illness, conquer their personal mountains and go on to lead healthy, fulfilled lives – more than they’d ever hoped for.

Most stories of mental illness go untold, hidden away, for fear of the stigma that mental illness holds. Marion hopes this book will inspire you to reach out for help for yourself or to offer encouragement to people you know who are battling secret demons.

Worldwide, at least 1 million people die by suicide each year and many millions more attempt suicide. However, suicide has been increasingly recognised as a preventable problem in many cases. Because of this, and the rising rates of suicide in young people, many countries have established national suicide prevention strategies. These include the United Kingdom, the USA, Scandinavian countries, other countries in Europe, Australia and New Zealand. There is also increasing emphasis on the treatment of suicidal people and those who have made suicide attempts. In order to be effective it is imperative that strategies for treatment and prevention are based on sound scientific evidence.
In this book leading figures from psychiatry, psychology, epidemiology, public health, and social medicine bring together the research evidence concerning the key elements in suicide prevention and treatment of suicidal behaviour and translate it into implications for practical action. This includes social and public health policy as well as clinical practice. The book draws together the evidence relevant to treatment and prevention, and uses this in order to highlight the most effective approaches. The range of initiatives covered is wide, reflecting the complex nature of suicide and hence the need for a range of approaches. This book will be an essential source for anyone concerned with the design and implementation of effective suicide prevention strategies, including clinicians working with individual patients, strategic policy makers, and researchers.