Peeling Back the Layers: A Nurse’s Perspective on Suicide Prevention

Trigger warning: This article contains references to suicide and crisis intervention which some individuals may find distressing. 

If you are located in Canada and are in mental health distress or worried about someone you know, call 1-866-277-3553 or text 535353. If it’s an emergency, call 911.

“I want to help change the image that staff have toward patients admitted following a suicide attempt or with a psychiatric diagnosis. There’s often stigma — patients can feel judged, and nurses can feel fear or uncertainty.” – Tanya Callender

We spoke with Tanya Callender, an experienced nurse and Liaison Nurse Clinician at the McGill University Health Centre (MUHC). Tanya has worked closely with orthopedic/trauma and traumatic brain injury patients and now plays a vital role on the Consultation Liaison Psychiatry team, supporting both patients and staff navigating complex emotional and mental health challenges.

Through her years of experience, Tanya has seen firsthand how compassion, understanding, and open dialogue can make a difference — and she continues to advocate for breaking stigma around suicide and mental health in healthcare settings.

What are some misconceptions people have about suicide or suicidal ideation, and how do you address them?

One myth I often hear is that asking someone about their suicidal thoughts might provoke them to act on those thoughts. That’s false. Often, the person feels caught up in their thoughts, weighed down by regret or shame, and just wants someone to listen. Asking and listening can actually bring them relief.

Another misconception is that all suicides can be prevented through constant monitoring. Unfortunately, even with the best care and available resources, suicide attempts can still happen.

Finally, not everyone who attempts suicide has a clear intention to die. For some, coping skills are missing, and they act impulsively. Sometimes it’s a cry for help or a way to express deep pain.

What motivated you to get involved in suicide prevention work, and what keeps you passionate about this cause?

I want to help change the image that staff have toward patients admitted following a suicide attempt or with a psychiatric diagnosis. There’s often stigma — patients can feel judged, and nurses can feel fear or uncertainty.

I used to feel that way too when I was a new nurse, but with time and experience, I began to understand people’s stories. Everyone has layers, like an onion. As you peel them back, you understand what led to their pain. I want all patients to be cared for equally.

Can you share a story or experience that has had a profound impact on you in your work?

When I was a new graduate nurse, I cared for a patient who survived an attempt. She was with us for months, recovered, and eventually left the hospital. Years later, I heard her name mentioned again and went to see her. She and her mother remembered me.

From then on, whenever she saw me, she would call my name. Before she was discharged again, she gave me one of her drawings and signed it. I have it in my office — it always makes me smile. You never know when you’ll meet your patients again.

Do you have any rituals or practices that help you to stay mentally strong and resilient in your work?

I think it’s important to have people to vent to when things get heavy — friends, family, colleagues. Some are in the medical field, others not, and that mix of perspectives helps me see things differently.

I’m also lucky to work with a great team; I know I can talk to anyone. And outside of work, I let go of stress through hobbies — I really enjoy aqua fitness!

What are some ways people support suicide prevention work in their communities or among their loved ones?

Don’t ignore the signs — no matter how small they seem. If someone opens up to you, help them get help. Sometimes, all they need is your presence. There are so many community resources available, like 24/7 crisis centers or helplines. It’s just a matter of asking.

Looking ahead, what are the next steps your organization is focusing on to further the cause of suicide prevention?

For the past few years, my team and I have been presenting to new staff about our suicide prevention protocol. We also participate in workshops, like those for new préposé aux bénéficiaires (PABs) who supervise patients one-on-one. I hope to continue educating and supporting staff and patients — to take away any form of stigma.

If you or someone you know is in crisis, below are multiple resources that can help:

Suicide.ca 
Tel: 1-866-277-3553
Service offered in English and French

Jevi 
Tel: 819-564-1354
Service offered in French

Suicide Prevention Center of Montreal 
Tel: 1 866 277-3553
Service offered in English and French

For more resources, visit Vent Over Tea’s resource guide.

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