alt f4 said:

This is a really sad story.

We have insight to the daily journey leading up to this weekend on their Facebook page. No doubt this will be made into a documentary.

Anchoring Hope for Mental Health: Jeremy & Bailey Koch

Anchoring Hope for Mental Health: Jeremy & Bailey Koch. 22,457 likes · 14,424 talking about this. High school sweethearts now together over 25 years, our love story consists of fighting suicidal...

www.facebook.com

This post from a month ago...
Jeremy has survived multiple suicide attempts... most recently last month when I woke to my husband standing next to our bed with a knife. Thank God, he had a moment of clarity and was able to wake me up to tell me something was wrong. We talked through the ups and downs as he debated ending his life, and I was able to distract him long enough to hide the knife. He then accepted help and allowed me to take him to our safe place, Richard Young Hospital in Kearney.

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GAHusker said:

I think I read he was at Mary Lanning in Hastings before going home. I assume they’ll be under pretty intense scrutiny. . .

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Cash68847 said:

I think the one kid was going to graduate in Cozad Saturday. I wonder if the family wanted him out for the graduation? I think he was in Richard Young not long before Mary Lanning.

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Cash68847 said:

I think the one kid was going to graduate in Cozad Saturday. I wonder if the family wanted him out for the graduation? I think he was in Richard Young not long before Mary Lanning.

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Bulldog10 said:

Anyone else think that his wife posting about his issues probably only made everything worse? I couldn’t imagine going through that & have my wife posting on social media for the world to see my issues..

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Lionsfan93 said:

Not to de-rail this thread, but Netflix has a documentary called The Family Nextdoor. Successful husband who killed his pregnant wife and two daughters. At the time that the documentary came out, I had 2 daughters the same age as his and my wife was pregnant. It fucked with me so much. I can't imagine the terror in those kids when their daddy was attacking them...

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Bulldog10 said:

Anyone else think that his wife posting about his issues probably only made everything worse? I couldn’t imagine going through that & have my wife posting on social media for the world to see my issues..

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COYS said:

I work at one of the largest inpatient psych hospitals in Nebraska doing intakes. I can tell you imo Nebraska definitely needs more regional center type facilities to care for chronically mentally ill population. There are so many out there just incapable of taking care of themselves. They need to be in locked facility with structure, no access to drugs and their medications administered to them. Right now all we have is the Lincoln Regional Center and that is extremely difficult to get patients into and long term wait.

So what inevitably happens is our hospital can’t hold people forever so they get discharged to a community group home that has a little structure but is usually poorly staffed with individuals who don’t know how to care for this population. They get kicked out usually for some type of behavior and come back to the hospital, we find them new place to go and rinse/repeat until they have burned their bridges in all community support facilities. End up homeless, start using drugs/etoh with no community support and just spiral out of control with no quality of life and roaming our streets high on drugs or unmedicated schizoaffective/schizohrenia. They live in the emergency departments and hop from hospital to hospital taking up inpatient beds when they need a respite from the street life.

They simply can’t take care of themselves and would be best served in a state hospital locked away. Again, just my opinion from someone who works with this population. I would add, this situation in Cozad is completely different scenario than what I discussed above. That’s a difficult case with a guy who had a loving, supporting family and stable environment.

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COYS said:

I work at one of the largest inpatient psych hospitals in Nebraska doing intakes. I can tell you imo Nebraska definitely needs more regional center type facilities to care for chronically mentally ill population. There are so many out there just incapable of taking care of themselves. They need to be in locked facility with structure, no access to drugs and their medications administered to them.

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Bulldog10 said:

Anyone else think that his wife posting about his issues probably only made everything worse? I couldn’t imagine going through that & have my wife posting on social media for the world to see my issues..

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Goskers07 said:

Not at all. I think she was very actively working behind the scenes to help and advocate for him in an arena that is increasingly getting more crowded nationwide without assistance. Her postings were not ones that I took as damaging as I read them. More so they were insightful, honest, and directed to help others battling the same issues.

I think it is very easy to say they were damaging, especially after these events, because so much other shit that goes on Facebook is dramatic, damaging, and pointless. But I think she was doing this the right way and was fighting a battle she didn't sign up for in a way we could all only pray our wives would for us if we got stuck in that situation.

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Napkins said:

I am firmly opposed to asylums as they have been enacted in the past but I will absolutely acknowledge that our current resources (I’m not in Nebraska but it is a national issue) for the outpatient level of care are insufficient and many of our patients need a more restrictive level of care than a group home. It’s hard for me to square that with my view on patient autonomy, but I remember an article in favor of asylums referring to the absence of asylums and the lack of suitable alternatives as patients roaming the streets “dying with their rights on.” Unfortunately I think that is often true.

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2010sarenevercomingback said:

My personal opinion is that asylums are bad, and that about the only thing worse than asylums is not having asylums.

The autonomy tightrope is tricky, but the desperately sick and/or evil continually violate the autonomy of others, so leaving them largely unrestrained is simply an attack on the sovereignty of the most caring, weak, and vulnerable.

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