As Robert has pointed out, this discussion extends far beyond Pappas's book. I feel strongly that we should use the phrase "death by suicide" rather than "commit suicide" or "kill oneself" precisely because of what Robert himself has identified in talking to his friend: there is still so much shame around suicide, and, adjacently, mental illness. Robert's friend teaches her children, not yet 10, that death by suicide is shameful. But shame is not a helpful emotion. June Tangney, among other psychologists, has studied shame for decades, and explains that "Feelings of shame can be painful and debilitating, affecting one’s core sense of self, and may invoke a self-defeating cycle of negative affect." Shame does not motivate change, and is in fact linked to depression and anxiety, among other psychological disorders.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106346/
By and large, people who die by suicide are suffering from serious mental illness. Death by suicide often occurs when people are not thinking clearly, their minds literally clouded by their illness. When they die, they lost the battle against their disease in that moment. The words "kill" and "commit," however, invoke the language of agentive, criminal offenses. Robert says, "One doesn't die by suicide in the same way they do cancer. I feel like the more graphic we can be in acknowledging this, the more likely we are to reduce suicide." But in fact, people die by suicide much in the way they die by cancer: disease won. Perhaps with better treatment or a different intervention, their lives could have been saved, but being "more graphic" about suicide actually only serves to increase rather than decrease rates of suicide, as the evidence clearly shows.
https://www.bmj.com/company/newsroom/media-reports-of-celebrity-suicide-linked-to-increased-suicide-rates/
I would not dare to tell Alexi Pappas how to process her mother's death, and I make this clear in my original essay. But by publishing a book that outlines, often in graphic detail, episodes of her mother's self harm, she has made choices about how she talks about and frames mental illness. Using certain language and detailing specific events do matter to the people who will read this book.
As for the language around women's genitalia, the distinction matters. The vagina is the internal canal that connects the vaginal opening to the cervix, while the vulva contains all the external genitalia, including the clitoris. While the vagina is central to male pleasure in penetrative sex, the vulva is central to female pleasure. By not giving name to it, we erase women's sexual autonomy
https://www.theguardian.com/commentisfree/2019/feb/12/external-female-genitalia-vulva-vagina-sexual-agency
The linguistic distinction between vagina and vulva should be made clear in the sex education our children receive, so that they don't have to wait to hear from me or Alexi Pappas to figure out what their own body parts are called. There is power in naming the parts of ourselves and understanding their function. Our performance and understanding of ourselves as athletes is evidence of that.
I am not here to be the "woke police." I don't make these arguments to intimidate anyone and certainly not to shame anyone. But I believe that language matters. Words are not neutral; they have tremendous power. Pappas herself has shown how poetry can inspire a movement, offering a generation of young women the word Bravey to name and identify themselves. I hope that we can give these young readers additional tools of language to promote health, empowerment, pleasure, happiness, and growth. We should not shy away from this goal for fear of intimidating people who use the "wrong" word; in fact, that is just an opportunity to learn.