Enhanced descriptions from Syndetics:

Suicide would appear to be the last taboo. Even incest is now discussed freely in popular media, but the suicide of a loved one is still an act most people are unable to talk about--or even admit to their closest family or friends. This is just one of the many painful and paralyzing truths author Carla Fine discovered when her husband, a successful young physician, took his own life in December 1989. And being unable to speak openly and honestly about the cause of her pain made it all the more difficult for her to survive.

With No Time to Say Goodbye , she brings suicide survival from the darkness into light, speaking frankly about the overwhelming feelings of confusion, guilt, shame, anger, and loneliness that are shared by all survivors. Fine draws on her own experience and on conversations with many other survivors--as well as on the knowledge of counselors and mental health professionals. She offers a strong helping hand and invaluable guidance to the vast numbers of family and friends who are left behind by the more than thirty thousand people who commit suicide each year, struggling to make sense of an act that seems to them senseless, and to pick up the pieces of their own shattered lives. And, perhaps most important, for the first time in any book, she allows survivors to see that they are not alone in their feelings of grief and despair.

Table of contents provided by Syndetics

• Part 1 Introduction
• 1. Letting Go of the Silence (p. 3)
• Part 2 The Suicide
• 2. The World Explodes (p. 19)
• 3. The Initial Impact (p. 35)
• 4. The Final Farewell (p. 48)
• 5. The Stigma (p. 61)
• Part 3 The Aftermath
• 6. The Blame and Guilt: Searching for the Whys (p. 79)
• 7. The Helplessness: Haunted by the What-Ifs (p. 90)
• 8. The Roller Coaster of Emotions (p. 102)
• 9. Legal and Financial Problems (p. 116)
• Part 4 The Survival
• 10. Beginning the Mourning (p. 131)
• 11. Effect on Families (p. 147)
• 12. Getting Help (p. 163)
• 13. The Public Suicide (p. 180)
• 14. Long-term Effects (p. 192)
• 15. Forgiving Them/Forgiving Ourselves (p. 205)
• Part 5 Afterword
• 16. Making Sense of the Chaos (p. 221)
• Part 6 Resources
• 17. Organizations and Resource Material (p. 227)
• 18. Support Groups for Survivors (p. 232)
• 19. Bibliography (p. 249)

Excerpt provided by Syndetics

Suicide is different from other deaths. We who are left behind cannot direct our anger at the unfairness of a deadly disease or a random accident or a murderous stranger. Instead, we grieve for the very person who has taken our loved one's life. Before we can even begin to accept our loss, we must deal with the reasons for it--and the gradual recognition that we might never know what happened or why. According to the book Suicide and Its Aftermath: Understanding and Counseling the Survivors, edited by Edward Dunne, John McIntosh, and Karen I-Maxim, the attention of the mental health profession focuses on those who commit suicide and rarely addresses what happens to people who have survived the suicide of someone close to them. The authors cite studies showing that people who lose a loved one to suicide feel more guilt, more often search for an understanding of the death, and appear to experience less social support than those who lose a loved one to other causes. In addition, the authors write, suicide survivors experience feelings of intentional rejection and deliberate abandonment, which separate them from others who are mourning the death of a loved one. They state "This difference may explain why survivors of suicide who have attended grief groups for survivors of deaths by other causes report feeling different from other grievers and tend to drop out of these groups." Suicide is the eighth leading cause of death in the United States and the third leading cause of death among young people ages fifteen to thirty-four. The American Association of Suicidology estimates that for each of the 32,000 Americans who kill themselves each year, there are six survivors. According to the association, there are almost 4 million people in the United States who have lost a loved one to suicide, with the number increasing annually by almost 200,000 persons. Yet, most of us who have experienced the suicide of a loved one feel separate and apart. At the time my husband killed himself, it seemed inconceivable that I would ever emerge from the isolation created by his death. Even in my self-exile, however, I knew that there must be others who understood what I was going through. I searched fruitlessly in the literature for books and articles containing stories similar to mine. Instead, I found medical texts analyzing why people kill themselves, manuals on suicide prevention, articles on the link between creativity and suicide, essays on the moral and philosophical implications of suicide, even guidebooks on how to kill yourself; those of us who were left behind seemed forgotten, overshadowed by the drama and mystery that suicide leaves as its legacy. I am writing this book because I do not want our stories to go untold. The grieving process of suicide survivors is often shrouded by stigma and silenced by shame. By exchanging the unthinkable details about our mother's swallowing an overdose of pain medication, our son's shooting himself with a hunting rifle, our brother's jumping from an office window, our wife's poisoning herself with carbon monoxide fumes, we will come to realize that we are neither crazy nor alone. Since my husband's death, I have spoken with more than one hundred women and men throughout the country who are struggling to find meaning from their loved one's suicide. They have revealed their most carefully guarded personal histories to me in the hope that their stories might help ease the pain of others in similar circumstances. I have changed their names and some of the details of their stories because I believe that privacy and secrecy are two separate entities. We can own and protect our privacy without being made to feel that we are hiding some dark, shameful secret. In addition, I have interviewed a number of mental health professionals and others who specialize in the field of suicide survivors. It is my hope that by sharing our experiences, the loneliness of mourning our loved one's self-inflicted death will begin to diminish. As instant comrades-in-arms in a common struggle, we can identify with the stages and patterns of our similar journeys. We will see that, ever so slowly, the pain does ease. Gradually, there will be minutes, then hours, then longer chunks of time when the suicide is not the focus of our lives. Even though we have entered a looking-glass existence, where everything we once held dear has been transformed beyond recognition, we will come to believe that eventually we will emerge. And survive. "I refuse to make two tragedies out of this," says Carol, a woman whose husband drowned himself when she was nine months pregnant. "As much as I want to die, I know I want to live. The choice is as simple as that." I have worked hard to overcome the gripping shame that continues to cloud my acceptance of Harry's decision to die. Seven years after his suicide, the words "he killed himself" are still uncomfortable for me to say when I am asked about the cause of his death at the age of forty-three. Yet, as I start to talk about it more openly, what most surprises me is the reaction to my decision to tell the truth. "My sister killed herself in her freshman year of college," a neighbor confides. "My uncle drove his motorcycle into a tree," the dental assistant reveals. "My father shot himself," the woman sitting next to me on the flight to Miami whispers. I hope this book will help penetrate the isolation that surrounds the mourning process of those of us who have lost a loved one to suicide. As we begin to tell our stories, the stigma associated with the memories of our mothers and fathers, husbands and wives, sons and daughters, sisters and brothers, lovers and friends, relatives and coworkers, will be lifted. With the support of others who have been there, we will be able to let go of the silence and start to make sense of the chaos that suicide leaves behind. Excerpted from No Time to Say Goodbye: Surviving the Suicide of a Loved One by Carla Fine All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.

Reviews provided by Syndetics

Library Journal Review

A great many books have been written on the reasons for suicide from the victim's point of view, but this powerful work deals with the wrenching emotional effects of unexpected purposeful death on grieving survivors. The author's husband, seemingly a thriving physician, took his life in December 1989. Fine's discovery of his body left her with a flood of mixed emotions and anguish that inspired her to record, in vividly honest terms, the legacy of suicide on survivors. Despite the permanent sadness and even humiliation that suicide survivors face, this book offers hope in its summary of predictable patterns of adjustment. Sections move from the suicide, to its aftermath, to survival and how to make sense of the chaos. An excellent appendix includes current information on organizations, resource materials, and support groups for suicide survivors. The bibliography is extensive and useful. Recommended for public libraries and specialized mental health collections.‘Catherine T. Charvat, John Marshall Lib., Alexandria, Va. (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Publishers Weekly Review

In 1989, the author's husband of 21 years, 44-year-old Harry, a New York City physician who was depressed over the recent deaths of his parents, killed himself with a lethal dose of an anesthetic. Stunned by her loss, Fine (Married to Medicine: An Intimate Portrait of Doctors' Wives) searched in vain for books on how to deal with the suicide of a loved one. In her comprehensive and well-written manual for "suicide survivors," such as herself, she offers advice for those recovering from the suicide of a marital partner, relative or close friend. Drawing on research, interviews with survivors and her own experience, Fine provides insights into living beyond this tragedy including dealing with feelings of guilt and anger, the stigma of suicide and financial and legal problems, and she tells where to get help. She stresses that joining a peer support group is an important coping tool. Although some of the descriptions of suicides make for harrowing reading, the book is a valuable contribution to an overlooked subject. (Jan.) (c) Copyright PWxyz, LLC. All rights reserved

Booklist Review

Few events in life are as traumatic as the suicide of a loved one, as Carla Fine knows firsthand. Fine's husband killed himself seven years ago, and she battled with the emotional turmoil so common to survivors of a suicide. Using her experiences, those of other survivors, and advice from mental-health professionals, Fine provides a compassionate guide for dealing with the guilt, anger, and confusion. The pain is made worse by the social stigma attached to suicide, an act that is still considered criminal. Fine herself initially lied to coworkers, telling them her husband died of a heart attack rather than face the embarrassment of the truth. In unearthing the causes of this torment, Fine hopes to foster healing, in part by stressing the importance of forgiving the absent person. Sensitive and curative, this book offers a frank look at a subject many would prefer to ignore. --Brian McCombie

Author notes provided by Syndetics

Carla Fine is the author of two earlier books, Married to Medicine: An Intimate Portrait of Doctors' Wives and Barron's Guide to Foreign Medical Schools . She has written articles for Cosmopolitan , Woman's Day , and Omni , and has appeared on national television programs and lectured to survivors' groups across the country. She lives in New York City.