With the tragic news of Anthony Bourdain and Kate Spade’s recent deaths by suicide, the spotlight is on suicide this month. The latest trends are chilling: The suicide rate in the United States has grown by over 25% since 1999, according to the CDC. Alison van Diggelen’s latest report for the BBC’s Health Check couldn’t be more timely. She was asked to explore the role that barbershops can play as a conduit to getting vulnerable men the help they need. Alison found that the potential for reaching vulnerable people is enormous. This hopeful story could equally apply to hair salons, sports clubs, bars, cafes, places of worship… even sidewalks. Wherever two people have a chance to talk, there’s an opportunity to help save a life.
[Photo credit: Elizabeth Brockway, The Daily Beast]
“It’s not just a cut, it’s more of a confessional…their sanctuary to unload a lot of their intimate feelings. We hold those relationships in high regard. These individuals can trust us that it’s not going to go any further than the chair.” Dan Dixon, owner of Crewners Barber Shop in Silicon Valley, California
Listen to the report at BBC Health Check (@9:55)
Or from the Fresh Dialogues podcast below:
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Here’s a transcript of the original report (edited for length and clarity):
BBC Health Check host, Claudia Hammond: In many parts of the world, men feel reluctant to seek help for their mental health. So in Silicon Valley, California, there’s a barbershop that’s become a safe space for men to talk about more private things in life, while they have a haircut. For Health Check, Alison van Diggelen has been to a barbershop to see how it’s done…
Atmos: Barber shop scissors cutting, clippers buzzing, hair drier…
Alison van Diggelen: Here in downtown San Jose, Crewners Barber Shop is a popular place for men to shed some hair, as well as some of their troubles. The owner, Dan Dixon, is dapperly dressed in burgundy shirt, black waistcoat and white tie. He’s a warm and friendly chap who sees his regulars about once a month. Over the years, he’s built a lot of trust. Dixon and his barbers have become confidantes to many men. Their clients tell them when they’re planning to leave their spouses, when there’s a death in the family and more…
Dan Dixon: There are people who’ve felt this is their place, their sanctuary to unload a lot of their intimate feelings… A gentleman who’d not yet come out to his family…he wanted to go through a sex change. He confided that in me prior to mentioning it to his family. We hold those relationships in high regard. These individuals can trust us that it’s not going to go any further than the chair.
Alison van Diggelen: His barbershop is a safe place to talk, for anyone at all.
Dan Dixon: It’s not just a cut, it’s more of a confessional. What’s funny right now is Alex is cutting the hair of one of our Catholic priests here in downtown San Jose. So Alex is currently giving his confessional to his priest. (laughter) It’s a great environment…I try to lend a bit of my background…I’m older, I’m 49. I try to be the open ear and the soft spoken one and lend what I’ve gone through…
Alison van Diggelen: I talk to James Ursin, one of Dixon’s long time clients. James, have you shared intimate stuff about you, your family?
James Ursin: Of course! And he has too. When you live in such a competitive atmosphere of Silicon Valley: high cost of living, job opportunities…I like to run things by him. He’ll sometimes open up…you have a relationship you see once a month. You have to be honest with them, they’re holding scissors next to your neck! (laughter) Part of that goes back to trust.
James Ursin: Sometimes just talking out my problems to him he doesn’t even need to respond. I can usually answer them myself. Maybe I bring up questions I wouldn’t bring up with my wife, or my business partner. An ear to listen to…It’s important – barbers is a lost art, an amazing profession. It’s not just about cutting hair…
Alison van Diggelen: This intimate bond between barbers and their clients is something that doctors sought to leverage in a recent six-month study of 52 barber shops across Los Angeles. Cardiologist Ron Victor and his team discovered that barbers could act as a conduit to getting men the healthcare interventions they need. The study’s focus was blood pressure and by bringing pharmacists into barber shops, they helped reduce the blood pressure of 300 men by a significant percentage. Independent experts called the study “a home run in high-touch medicine.”
Does Victor believe this method could be used for other healthcare issues? It’s possible he says, but he points out that blood pressure tests involve a simple cuff around the arm and are quick and easy to administer. Mental health screening is a sensitive issue, he says, and would require more time and expertise. Victor mentions however, that black barber shops – the focus of his study – would be a good place to address mental health issues as most have a back room where a mental health worker could meet privately with customers.
A British charity, the Lions Barber Collective is focused on suicide prevention. Its barber shop members encourage customers to talk openly and are trained to identify signs of depression. They connect customers with the Samaritans, a volunteer group that offers a 24-hour helpline and free counseling for people in distress.
Here in California, I talked to Mego Lien, who manages public health efforts to prevent suicide across Silicon Valley. Would a similar scheme work here?
Mego Lien: The barbershop collaboration is a fantastic idea! Middle aged men have a much lower chance of reaching out to mental health professionals. It’s really about going to where men are at and relying on existing relationships…
Alison van Diggelen: In Silicon Valley, the suicide rate rises in men over 45 years-old. Lien’s team aims to help vulnerable groups, including teenage men. They’ve reached middle-aged men via targeted public service announcements on sports radio; and they reach teenagers at school.
Mego Lien: It’s not just the mental health professionals in schools, the teachers, the coaches, the bus drivers and the janitors ideally would all be trained in recognizing the warning signs and speaking to someone who might be thinking of suicide. It’s about: Who are the individuals in the community who’re interacting with the people you’re trying to reach?
Alison van Diggelen: Lien recommends talking directly to people you’re concerned about; and using the word “suicide” and not vague phrases like “harming yourself.”
Mego Lien: Research shows that if you’re able to breach the topic of suicide genuinely and empathetically that lowers people’s anxiety around the topic. There’s a lot of stigma…more likely to open up to you and talk about what’s going on with them.
Alison van Diggelen: She points out that warning signs aren’t always verbal…
Mego Lien: …they might be behavioral, like stockpiling pills or dangerous weapons…they could be physical like stomach aches, headaches or chronic pain that can’t be explained. The starting point is to look out for these warning signs…start having rapport building conversations, list a few of the signs you’re noticing…
Alison van Diggelen: What’s the best way to get help for a loved one?
Mego Lien: We recommend…taking them to a therapist who can help them…or sit with a loved one and dialing the number for the suicide prevention hotline and supporting them while they make the call and have that conversation. Provide mental health resources and get their good faith commitment that they’re going to seek help.
Alison van Diggelen: Lien points out that easy access to guns is a big issue in the United States. Her wish list for effective suicide prevention has three components:
Mego Lien: A lot of community members trained who can recognize warning signs. Strong mental health systems that can take people who need treatment; and less access to deadly means like firearms. [CDC reports confirm that about half of U.S. suicides use guns]
Alison van Diggelen: She emphasizes that the media has an important role to play to avoid sensationalizing suicide and to help to lift its stigma…
Mego Lien: Research has shown media can contribute to contagion …In terms of do’s and don’ts: the word “Commit” makes people think about committing a crime or a sin. We prefer the language someone “died by suicide.” It’s more neutral and less stigmatizing.
Fade in: Atmos of barber shop
Alison van Diggelen: Back in the barbershop, I ask Dan Dixon if he’d embrace a suicide awareness and prevention program like the Lions Barber Collective in Britain…
Dan Dixon: I know it would work for me and my staff. Barber shops in the U.S. are more along lines of pub…a clubhouse type setting where it’s more about the masculine camaraderie…my staff, we would be open to that.
Atmos: Hair cutting, men chatting…fade out…
END of report
Find out more
If you’re having thoughts of suicide, go to SpeakingOfSuicide.com/resources
- Suicide Prevention Hotline: Call 1-800-273-TALK (1-800-273-8255)
- Use the online Lifeline Crisis Chat
CDC Suicide Information and Prevention
In the media? Use these media reporting tips to help prevent contagion
