Becoming a Samaritan listener; what it has taught me about supporting colleagues in a dark place

I have found becoming a Samaritan listener a truly enriching experience. So, I thought I would share a few thoughts about some of my learning.

I do this in service to fellow clinicians who might find themselves supporting colleagues in distress, and as a reminder that the Samaritans listening service is always available.

1. ๐‹๐ข๐ฌ๐ญ๐ž๐ง๐ข๐ง๐  ๐œ๐ซ๐ž๐š๐ญ๐ž๐ฌ ๐œ๐จ๐ง๐ง๐ž๐œ๐ญ๐ข๐จ๐ง. Active listening is both ๐ญ๐ซ๐š๐ง๐ฌ๐Ÿ๐จ๐ซ๐ฆ๐š๐ญ๐ข๐จ๐ง๐š๐ฅ ๐š๐ง๐ ๐ฉ๐จ๐ญ๐ž๐ง๐ญ๐ข๐š๐ฅ๐ฅ๐ฒ ๐ฅ๐ข๐Ÿ๐ž-๐ฌ๐š๐ฏ๐ข๐ง๐ . It creates a space where thoughts can be untangled, emotions explored, healing can occur.

2. The power of silence. “๐˜›๐˜ฉ๐˜ฆ ๐˜ฒ๐˜ถ๐˜ช๐˜ฆ๐˜ต๐˜ฆ๐˜ณ ๐˜บ๐˜ฐ๐˜ถ ๐˜ฃ๐˜ฆ๐˜ค๐˜ฐ๐˜ฎ๐˜ฆ, ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฎ๐˜ฐ๐˜ณ๐˜ฆ ๐˜บ๐˜ฐ๐˜ถ ๐˜ข๐˜ณ๐˜ฆ ๐˜ข๐˜ฃ๐˜ญ๐˜ฆ ๐˜ต๐˜ฐ ๐˜ฉ๐˜ฆ๐˜ข๐˜ณ” – Rumi.

As clinicians, silence can feel awkward, but Iโ€™ve learned to embrace it. Itโ€™s the place where new ideas are formed and insights surface.

โ€œ๐˜š๐˜ช๐˜ญ๐˜ฆ๐˜ฏ๐˜ค๐˜ฆ ๐˜ช๐˜ด ๐˜ฏ๐˜ฐ๐˜ต ๐˜ต๐˜ฉ๐˜ฆ ๐˜ข๐˜ฃ๐˜ด๐˜ฆ๐˜ฏ๐˜ค๐˜ฆ ๐˜ฐ๐˜ง ๐˜ด๐˜ฐ๐˜ถ๐˜ฏ๐˜ฅ, ๐˜ฃ๐˜ถ๐˜ต ๐˜ต๐˜ฉ๐˜ฆ ๐˜ฑ๐˜ณ๐˜ฆ๐˜ด๐˜ฆ๐˜ฏ๐˜ค๐˜ฆ ๐˜ฐ๐˜ง ๐˜ข๐˜ต๐˜ต๐˜ฆ๐˜ฏ๐˜ต๐˜ช๐˜ฐ๐˜ฏโ€-Nancy Kline

3. When listening to someone in distress, be non-directive, switch off our medical mindset, avoid giving advice/solutions. The power is ๐ง๐จ๐ญ ๐ข๐ง ๐Ÿ๐ข๐ฑ๐ข๐ง๐ , ๐›๐ฎ๐ญ ๐ข๐ง ๐ฅ๐ข๐ฌ๐ญ๐ž๐ง๐ข๐ง๐  ๐ญ๐จ ๐œ๐ซ๐ž๐š๐ญ๐ž ๐ฎ๐ง๐๐ž๐ซ๐ฌ๐ญ๐š๐ง๐๐ข๐ง๐ .

4. Avoid sharing our own experiences. We might feel it builds rapport. But, with a distressed colleague, this ‘๐ข๐ง๐ญ๐ž๐ซ๐ซ๐ฎ๐ฉ๐ญ๐ข๐ง๐  ๐ฐ๐ข๐ญ๐ก ๐จ๐ฎ๐ซ ๐จ๐ฐ๐ง ๐ž๐ฑ๐ฉ๐ž๐ซ๐ข๐ž๐ง๐œ๐ž’ prevents deep listening, putting the frame of reference on ourselves.

๐“๐ซ๐ฎ๐ž ๐ฅ๐ข๐ฌ๐ญ๐ž๐ง๐ข๐ง๐  ๐ข๐ง๐ฏ๐จ๐ฅ๐ฏ๐ž๐ฌ ๐ฌ๐ž๐ญ๐ญ๐ข๐ง๐  ๐š๐ฌ๐ข๐๐ž ๐ฌ๐ž๐ฅ๐Ÿ.

5. Iโ€™ve learned not to suggest how someone should feel. Invalidating emotions, telling someone to โ€˜๐˜ฃ๐˜ฆ ๐˜ฎ๐˜ฐ๐˜ณ๐˜ฆ ๐˜ฑ๐˜ฐ๐˜ด๐˜ช๐˜ต๐˜ช๐˜ท๐˜ฆโ€™, or suggesting they โ€˜๐˜ซ๐˜ถ๐˜ด๐˜ต ๐˜ฎ๐˜ฐ๐˜ท๐˜ฆ ๐˜ฐ๐˜ฏโ€™ is profoundly unhelpful to someone in distress. Instead of โ€˜๐˜‹๐˜ฐ๐˜ฏโ€™๐˜ต ๐˜ธ๐˜ฐ๐˜ณ๐˜ณ๐˜บ, ๐˜ช๐˜ต ๐˜ธ๐˜ช๐˜ญ๐˜ญ ๐˜ฃ๐˜ฆ ๐˜ง๐˜ช๐˜ฏ๐˜ฆโ€™, try โ€˜๐˜›๐˜ฉ๐˜ข๐˜ต ๐˜ด๐˜ฐ๐˜ถ๐˜ฏ๐˜ฅ๐˜ด ๐˜ณ๐˜ฆ๐˜ข๐˜ญ๐˜ญ๐˜บ ๐˜ฅ๐˜ช๐˜ง๐˜ง๐˜ช๐˜ค๐˜ถ๐˜ญ๐˜ต. ๐˜›๐˜ฆ๐˜ญ๐˜ญ ๐˜ฎ๐˜ฆ ๐˜ฎ๐˜ฐ๐˜ณ๐˜ฆ ๐˜ข๐˜ฃ๐˜ฐ๐˜ถ๐˜ต ๐˜ฉ๐˜ฐ๐˜ธ ๐˜ต๐˜ฉ๐˜ช๐˜ด ๐˜ง๐˜ฆ๐˜ฆ๐˜ญ๐˜ด.โ€™

This ๐Ÿ๐จ๐œ๐ฎ๐ฌ ๐จ๐ง ๐Ÿ๐ž๐ž๐ฅ๐ข๐ง๐ ๐ฌ ๐ข๐ฌ ๐ฐ๐ก๐ž๐ซ๐ž ๐ก๐ž๐š๐ฅ๐ข๐ง๐  ๐›๐ž๐ ๐ข๐ง๐ฌ. Our doctor mindset often prioritises facts, data. Instead, deep empathic listening focuses on allowing layers of emotions to surface.

6. If suicidal thoughts show up in conversation, ๐ ๐ž๐ง๐ญ๐ฅ๐ฒ ๐ž๐ฑ๐ฉ๐ฅ๐จ๐ซ๐ข๐ง๐  ๐ญ๐ก๐ž๐ฆ ๐ซ๐ž๐๐ฎ๐œ๐ž๐ฌ, ๐ง๐จ๐ญ ๐ข๐ง๐œ๐ซ๐ž๐š๐ฌ๐ž๐ฌ, ๐ญ๐ก๐ž ๐ซ๐ข๐ฌ๐ค ๐จ๐Ÿ ๐ฌ๐ฎ๐ข๐œ๐ข๐๐ž.

We often worry that exploring suicidal thoughts might โ€˜put an idea in someoneโ€™s headโ€™, but the evidence is the precise opposite. It’s silence thatโ€™s the real risk. https://lnkd.in/dWw3vG6Q

So, if your intuition guides you, have the courage to ask a distressed colleague if they are having thoughts about ending their life. This can be life-saving.

The Samaritans are available 24/7 on 116 123.

And the following link offers advice on supporting someone with suicidal thoughts. https://lnkd.in/dJ9BJAH9