Why are faith-informed conversations needed?

Disparities in mental health outcomes for people from minority ethnic backgrounds, and the high proportion of people from such backgrounds professing a faith, means that referrals and signposting through faith communities is one way of addressing health inequalities and enabling people to gain timely access to the support they need.

Trigger points

Many people turn to their faith, or access a faith community, at times of transition, difficulty or change – like bereavement, retirement, changes in relationships, living somewhere new, or having a baby. These moments can also be trigger points for poor mental health and suicidal ideation, so a well-placed intervention, or referral to the right support, can make a big difference.

Personalised care

Good care is personalised and built upon what matters to people. You might argue that few things are more personal than where we place our faith. Any truly personalised approach to suicide prevention must take faith into account.

Benefits

People want their faith to be included in their care, and they benefit when it is. Religious or spiritual beliefs and practices are important to many people, and can be a major influence on their attitudes and behaviours. Over half of people who use mental health services find their beliefs helpful in managing their mental health issues, but often find it difficult to speak about them with health professionals.

Studies have shown that culture and faith-informed practice can improve communication and lead to better outcomes.

There are people that do seek professional help, but they still want to understand: what is happening to them? Is it based on karma? They’ve got so many questions that they want answering based from their faith… -Leader of a faith-based mental health charity

Assets

Faith communities have assets for prevention, including:

• Prominent buildings in accessible locations
• An ethos of care and compassion, including to the most marginalised
• Motivated volunteers (meaning investment goes a long way)
• Social capital and expertise through their networks
• Trust and community knowledge

Assets are the physical and non-physical resources or characteristics which help faith groups serve their communities. Such as: buildings and spaces, volunteer power, an ethos of care and service, and trust.

Judaism

Judaism is a monotheistic religion, which means that Jews believe there is only one God. According to Jewish belief and the Hebrew Bible, the Tanakh, God existed before creation, and Jews have a special relationship with God because of covenants they have made with him, which began with God’s promise to Abraham.

A covenant is an agreement. Jewish people believe they have a special responsibility to follow God’s laws, (called mitzvot in Hebrew) because of the covenants they have made with him.

For many Jews, Jewish law governs all aspects of Jewish life, including how to worship, compulsory rituals and dietary laws. The Jewish place of worship is called the synagogue and it plays a major role in the lives of many Jewish people.

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The following content is intended to offer information on when, where and how Jews might access community-based support. It should not be treated as guidance on how to engage with any Jewish community or synagogue.

How is life, suffering, and death understood within the Jewish faith?

Life…

• is a precious gift from God to be received with gratitude.
• is to be preserved.
• is considered to be passed from generation to generation (l’dor vdor) within the wider context of the preservation of the life and culture of the Jewish people.

Suffering…

• is a consequence of human free will to choose good and evil.
• may represent punishment for sin, testing, or an opportunity for spiritual growth.
• is to be met with empathy, compassion and acts of justice and kindness (tzedakah).
• may be understood on a cultural level through collective memory of times where the Jewish people were persecuted, including the Holocaust.

Death…

• is the entry point to the afterlife, where reward awaits those who have lived a righteous life.
• is a natural process and not to be feared.
• may be seen as leading eventually to the resurrection of the body in the World to Come (Olam HaBa).

Support

When do Jews gather / connect?

Orthodox men visit the synagogue daily. In other parts of the community gatherings take place around Shabbat, including Friday night and Saturday morning, as well as for Jewish festivals.

Festivals such as Jewish New Year (Rosh HaShanah, September-October) Day of Atonement (Yom Kippur, September-October) and Passover (March-April) are particularly well observed by many. Sukkot (September-October) is also celebrated across the community, during which many people make a temporary dwelling – a sukkah – in their garden. Others visit the sukkah at their synagogue.

The community is also widely involved with marking Holocaust Memorial Day (27th January) and Israel Independence Day (April-May).

Where do Jews gather / connect?

Worship and gatherings may take place in the home (for example, around Shabbat)(sometimes called Sabbath), as well as at the synagogue. Social and cultural events are hosted by individual synagogue-based communities. Synagogues may be referred to as a ‘shul’ (school) in Orthodox communities.

Synagogues are often purpose-built structures but are also found in adapted or converted buildings. Some Jewish communities may rent premises for worship.

Orthodox Jewish communities are concentrated in certain, largely urban, geographic areas of the UK. Most Jews in the UK reside in London, but there are communities in most major cities in England.

The Jewish community has a highly organised infrastructure and Jewish people connect through networks of schools, youth organisations, including those running athletic events (Maccabi GB), Jewish social care and health organisations such as Jami (mental health services), Jewish Care (older adult social services), Chai Cancer Care, AJR (Association of Jewish Refugees), JWA (Jewish Women’s Aid), a domestic violence charity, and many others including housing societies.

If a Jew wanted to access faith-based wellbeing support, how and where might they do this?

Spiritual leadership is very important within Jewish communities, and many Jews would feel that their Rabbi is a person they would want to talk to if they, a relative or a friend needed support. Some Rabbis have received specific training in mental health, but this is not the case across the board.

There are a range of dedicated voluntary organisations supporting the Jewish community around mental health, and health and social care. Jewish Care is the lead social care organisation providing services for older adults and their families. Jami, a mental health service (part of Jewish Care), offers services for adults, young people and carers. Jami have a high-street community based at their Head Room Café in Golders Green.

There are additional organisations operating in the orthodox community. They usually promote themselves within that social system.

Are there dedicated organisations offering faith-informed support?

Jami offers a mental health service for adults, young people, and carers.
https://jamiuk.org/

The Interlink Foundation work closely with the orthodox Jewish community and can offer support and advice regarding referring to organisations serving this community.
https://www.interlink-foundation.org.uk/

Lifeline is a multifaith support body. . Excellent explanatory (Easyread) material from Lifeline about Myths and Misconceptions on Suicide is found here:
https://toolkit.lifeline.org.au/topics/suicide/suicide-stigmas-myths-and-misconceptions

Judaism and Bereavement

The Good Thinking team has worked with the Jewish community, including Rabbi Eryn London and Rabbi Stanley Coten, to produce this short guide about bereavement.

It aims to help Londoners who identify as Jewish but who are not connected to the Jewish community as well as members of the Jewish community in London who are not aware of the support available when someone dies.

In addition, this guide should help health and care professionals who are supporting terminally ill patients of the Jewish faith.

Download Judaism and Bereavement

Additional content

Things that may be helpful to know about Judaism in the context of suicide prevention

Diversity

Jews in the UK are a diverse community with people following the faith in an ultra-orthodox (Charedi), orthodox, or progressive approach. However, the legacy of Jewish historic practices and ideas can impact many within the wider community and so it is helpful to understand the sensitivities around a death by suicide within a traditional Jewish context. People from the various communities differ in their religious/cultural practices.

Rituals and burial practices

Historically, there was tension around burial after suicide. People were not buried alongside other members of the community. However, in modern times, there is a lot more understanding that many suicides are caused by mental illness and severe distress and practices have evolved to reflect that understanding.

In Judaism, there is a great sensitivity around the sanctity of the body after death. A dead person is handled with care and prayers are said. Understanding the family’s desire to honour these rituals is important for the emergency services to alleviate further suffering or a later trauma response. A Rabbi may be called to lead the prayers at this point. Allowing the family time with the deceased to say prayers and honour the person who has died would be in keeping with many Jewish peoples wishes.

The coronial process would also be traumatic for many Jews. People are buried very quickly according to Jewish tradition. Delaying burial and having the deceased’s body examined needs to be handled with the greatest of sensitivities for the Jewish community.

Every Rabbi from the most orthodox to progressive would want to support families to be able to engage with Jewish rituals around the tragedy of a death by suicide, including burial, sitting shiva (house of mourning of the chief mourners i.e. spouse, child, sister, brother etc), and a stone setting, a memorial service held just under a year after the death, when the tombstone is set and the person is recalled.

Language

Language is a very sensitive area as the word ‘suicide’ is a word that many people from the ultra-orthodox community would not necessarily use. If a person who died had a struggle with mental illness it may be regarded more as a death caused by illness rather than a purposeful choice to end life.

Preservation of life

It is important to consider the centrality of the commitment to preserve life in faith communities being a possible barrier to someone seeking support when dealing with thoughts of death by suicide, as well as a source of stigma for surviving relatives.

 

World Suicide Prevention Day – Tuesday 10th September 2024
Changing the Narrative