In the waiting room he has to fill out a questionnaire. The seats are brightly coloured, arranged around a coffee table with a children’s abacus toy on it. The coffee table is much too low for him to lean forward and fill out the pages on its surface, so he arranges them awkwardly in his lap instead. On the very first question he pierces the page with his ballpoint pen and leaves a tiny tear in the paper. He looks up at the receptionist who provided him with the form but she’s not watching, so he looks back down again. The second question is headed ‘Pessimism’. He has to circle the number beside one of the following statements:

It seems to him that any of these statements could plausibly be true, or more than one of them could be true at the same time. He puts the end of his pen between his teeth. Reading the fourth sentence, which for some reason is labelled ‘3’, gives Connell a prickling feeling inside the soft tissue of his nose, like the sentence is calling out to him. It’s true, he feels his future is hopeless and will only get worse. The more he thinks about it, the more it resonates. He doesn’t even have to think about it, because he feels it: its syntax seems to have originated inside him. He rubs his tongue hard on the roof of his mouth, trying to settle his face into a neutral frown of concentration. Not wanting to alarm the woman who will receive the questionnaire, he circles statement 2 instead.

It was Niall who told him about the service. What he said specifically was: It’s free, so you might as well. Niall is a practical person, and he shows compassion in practical ways. Connell hasn’t been seeing much of him lately, because Connell lives in his scholarship accommodation now and doesn’t see much of anyone anymore. Last night he spent an hour and a half lying on the floor of his room, because he was too tired to complete the journey from his en suite back to his bed. There was the en suite, behind him, and there was the bed, in front of him, both well within view, but somehow it was impossible to move either forward or backwards, only downwards, onto the floor, until his body was arranged motionless on the carpet. Well, here I am on the floor, he thought. Is life so much worse here than it would be on the bed, or even in a totally different location? No, life is exactly the same. Life is the thing you bring with you inside your own head. I might as well be lying here, breathing the vile dust of the carpet into my lungs, gradually feeling my right arm go numb under the weight of my body, because it’s essentially the same as every other possible experience.

He looks up at the woman behind the glass. It strikes him now for the first time that they’ve placed a glass screen between this woman and the people in the waiting room. Do they imagine that people like Connell pose a risk to the woman behind the glass? Do they imagine that the students who come in here and patiently fill out the questionnaires, who repeat their own names again and again for the woman to type into her computer – do they imagine that these people want to hurt the woman behind the desk? Do they think that because Connell sometimes lies on his own floor for hours, he might one day purchase a semi-automatic machine gun online and commit mass murder in a shopping centre? Nothing could be further from his mind than committing mass murder. He feels guilty after he stammers a word on the phone. Still, he can see the logic: mentally unhealthy people are contaminated in some way and possibly dangerous. If they don’t attack the woman behind the desk due to uncontrollable violent impulses, they might breathe some kind of microbe in her direction, causing her to dwell unhealthily on all the failed relationships in her past. He circles 3 and moves on.

He glances back over at the woman again. He doesn’t want to confess to her, a total strangParaer, that he would like to kill himself. Last night on the floor he fantasised about lying completely still until he died of dehydration, however long that took. Days maybe, but relaxing days in which he wouldn’t have to do anything or focus very hard. Who would find his body? He didn’t care. The fantasy, purified by weeks of repetition, ends at the moment of death: the calm, silent eyelid that closes over everything for good. He circles statement 1.

After completing the rest of the questions, all of which are intensely personal and the last one is about his sex life, he folds the pages over and hands them back to the receptionist. He doesn’t know what to expect, handing over this extremely sensitive information to a stranger. He swallows and his throat is so tight it hurts. The woman takes the sheets like he’s handing over a delayed college assignment and gives him a bland, cheerful smile. Thanks, she says. You can wait for the counsellor to call you now. He stands there limply. In her hand she holds the most deeply private information he has ever shared with anyone. Seeing her nonchalance, he experiences an impulse to ask for it back, as if he must have misunderstood the nature of this exchange, and maybe he should fill it out differently after all. Instead he says: Okay. He sits down again.

For a while nothing happens. His stomach is making a low whining noise now because he hasn’t eaten breakfast. Lately he’s too tired to cook for himself in the evenings, so he finds himself signing in for dinner on the scholars’ website and eating Commons in the Dining Hall. Before the meal everyone stands for grace, which is recited in Latin. Then the food is served by other students, who are dressed all in black to differentiate them from the otherwise identical students who are being served. The meals are always the same: salty orange soup to start, with a bread roll and a square of butter wrapped in foil. Then a piece of meat in gravy, with silver dishes of potatoes passed around. Then dessert, some kind of wet sugary cake, or the fruit salad which is mostly grapes. These are all served rapidly and whisked away rapidly, while portraits of men from different centuries glare down from the walls in expensive regalia. Eating alone like this, overhearing the conversations of others but unable to join in, Connell feels profoundly and almost unendurably alienated from his own body. After the meal another grace is recited, with the ugly noise of chairs pulled back from tables. By seven he has emerged into the darkness of Front Square, and the lamps have been lit.

A middle-aged woman comes out to the waiting room now, wearing a long grey cardigan, and says: Connell? He tries to contort his face into a smile, and then, giving up, rubs his jaw with his hand instead, nodding. My name is Yvonne, she says. Would you like to come with me? He rises from the couch and follows her into a small office. She closes the door behind them. On one side of the office is a desk with an ancient Microsoft computer humming audibly; on the other side, two low mint-coloured armchairs facing one another. Now then, Connell, she says. You can sit down wherever you like. He sits on the chair facing the window, out of which he can see the back of a concrete building and a rusting drainpipe. She sits down opposite him and picks up a pair of glasses from a chain around her neck. She fixes them on her face and looks down at her clipboard.

Okay, she says. Why don’t we talk about how you’re feeling?

Yeah. Not great.

I’m sorry to hear that. When did you start feeling this way?

Uh, he says. A couple of months ago. January, I suppose.

She clicks a pen and writes something down. January, she says. Okay. Did something happen then, or it just came on out of nowhere?

A few days into the new year, Connell got a text message from Rachel Moran. It was two o’clock in the morning then, and he and Helen were coming back from a night out. Angling his phone away, he opened the text: it was a group message that went out to all their school friends, asking if anyone had seen or been in contact with Rob Hegarty. It said he hadn’t been seen for a few hours. Helen asked him what the text said and for some reason Connell replied: Oh, nothing, just a group message. Happy New Year. The next day Rob’s body was recovered from the River Corrib.

Connell later heard from friends that Rob had been drinking a lot in the preceding weeks and seemed out of sorts. Connell hadn’t known anything about it, he hadn’t been home much last term, he hadn’t really been seeing people. He checked his Facebook to find the last time Rob had sent him a message, and it was from early 2012: a photograph from a night out, Connell pictured with his arm around the waist of Marianne’s friend Teresa. In the message Rob had written: are u riding her?? NICE haha. Connell had never replied. He hadn’t seen Rob at Christmas, he couldn’t remember for certain whether he’d even seen him last summer or not. Trying to summon an exact mental picture of Rob’s face, Connell found that he couldn’t: an image would appear at first, whole and recognisable, but on any closer inspection the features would float away from one another, blur, become confused.

In the following days, people from school posted status updates about suicide awareness. Since then Connell’s mental state has steadily, week after week, continued to deteriorate. His anxiety, which was previously chronic and low-level, serving as a kind of all-purpose inhibiting impulse, has become severe. His hands start tingling when he has to perform minor interactions like ordering coffee or answering a question in class. Once or twice he’s had major panic attacks: hyperventilation, chest pain, pins and needles all over his body. A feeling of dissociation from his senses, an inability to think straight or interpret what he sees and hears. Things begin to look and sound different, slower, artificial, unreal. The first time it happened he thought he was losing his mind, that the whole cognitive framework by which he made sense of the world had disintegrated for good, and everything from then on would just be undifferentiated sound and colour. Then within a couple of minutes it passed, and left him lying on his mattress coated in sweat.

Now he looks up at Yvonne, the person assigned by the university to listen to his problems for money.

One of my friends committed suicide in January, he says. A friend from school.

Oh, how sad. I’m very sorry to hear that, Connell.

We hadn’t really kept up with each other in college. He was in Galway and I was here and everything. I guess I feel guilty now that I wasn’t in touch with him more.

I can understand that, Yvonne says. But however sad you might be feeling about your friend, what happened to him is not your fault. You’re not responsible for the decisions he made.

I never even replied to the last message he sent me. I mean, that was years ago, but I didn’t even reply.

I know that must feel very painful for you, of course that’s very painful. You feel you missed an opportunity to help someone who was suffering.

Connell nods, dumbly, and rubs his eye.

When you lose someone to suicide, it’s natural to wonder if there’s anything you could have done to help this person, Yvonne says. I’m sure everyone in your friend’s life is asking themselves the same questions now.

But at least other people tried to help.

This sounds more aggressive, or more wheedling, than Connell intended it to. He’s surprised to see that instead of responding directly, Yvonne just looks at him, looks through the lenses of her glasses, and her eyes are narrowed. She’s nodding. Then she lifts a sheaf of paper off the table and holds it upright, businesslike.

Well, I’ve had a look at this inventory you filled out for us, she says. And I’ll be honest with you, Connell, what I’m seeing here would be pretty concerning.

Right. Would it?

She shuffles the sheets of paper. He can see on the first sheet where his pen made the small tear.

This is what we call the Beck Depression Inventory, she says. I’m sure you’ve figured out how it works, we just assign a score from zero to three for each item. Now, someone like me might score between, say, zero and five on a test like this, and someone who’s going through a mild depressive episode could expect to see a score of maybe fifteen or sixteen.

Okay, he says. Right.

And what we’re seeing here is a score of forty-three.

Yeah. Okay.

So that would put us in the territory of a very serious depression, she says. Do you think that matches up with your experience?

He rubs at his eye again. Quietly he manages to say: Yeah.

I’m seeing that you’re feeling very negatively towards yourself, you’re having some suicidal thoughts, things like that. So those are things we’d have to take very seriously.

Right.

At this point she starts talking about treatment options. She says she’s going to recommend that he should see a GP in college to talk about the option of medication. You understand I’m not in a position to make any prescriptions here, she says. He nods, restless now. Yeah, I know that, he says. He keeps rubbing at his eyes, they’re itchy. She offers him a glass of water but he declines. She starts to ask questions about his family, about his mother and where she lives and whether he has brothers and sisters.

Any girlfriend or boyfriend on the scene at the moment? Yvonne says.

No, says Connell. No one like that.

Helen came back to Carricklea with him for the funeral. The morning of the ceremony they dressed in his room together in silence, with the noise of Lorraine’s hairdryer humming through the wall. Connell was wearing the only suit he owned, which he had bought for a cousin’s communion when he was sixteen. The jacket was tight around his shoulders, he could feel it when he lifted his arms. The sensation that he looked bad preoccupied him. Helen was sitting at the mirror putting on her make-up, and Connell stood behind her to knot his tie. She reached up to touch his face. You look handsome, she said. For some reason that made him angry, like it was the most insensitive, vulgar thing she possibly could have said, and he didn’t respond. She dropped her hand then and went to put her shoes on.

They stopped in the vestibule of the church to speak to someone Lorraine knew. Connell’s hair was wet from the rain and he kept smoothing it, not looking at Helen, not speaking. Then, through the opened church doors, he saw Marianne. He’d known she was coming back from Sweden for the funeral. In the doorway she looked very slim and pale, wearing a black coat, carrying a wet umbrella. He hadn’t seen her since Italy. She looked, he thought, almost frail. She started putting her umbrella in the stand inside the door.

Marianne, he said.

He said this aloud without thinking about it. She looked up and saw him then. Her face was like a small white flower. She put her arms around his neck, and he held her tightly. He could smell the inside of her house on her clothes. The last time he’d seen her, everything had been normal. Rob was still alive then, Connell could have sent him a message or even called him and talked to him on the phone, it was possible then, it had been possible. Marianne touched the back of Connell’s head with her hand. Everyone stood there watching them, he felt that. When they knew it couldn’t go on any longer, they let go of one another. Helen patted his arm quickly. People were moving in and out of the vestibule, coats and umbrellas dripping silently onto the tiles.

We’d better go and pay our respects, Lorraine said.

They lined up with everyone else to shake hands with the family. Rob’s mother Eileen was just crying and crying, they could hear her the whole way down the church. By the time they got halfway up the queue Connell’s legs were shaking. He wished Lorraine were standing with him and not Helen. He felt like he was going to be sick. When it was finally his turn, Rob’s father Val gripped his hand and said: Connell, good man. I hear you’re doing great things above in Trinity. Connell’s hands were wringing wet. I’m sorry, he said in a thin voice. I’m so sorry. Val kept gripping his hand and looking in his eyes. Good lad, he said. Thanks for coming. Then it was over. Connell sat down in the first available pew, shivering all over. Helen sat down beside him, looking self-conscious, pulling at the hem of her skirt. Lorraine came over and gave him a tissue from her handbag, with which he wiped his forehead and his upper lip. She squeezed his shoulder. You’re alright, she said. You’ve done your bit, just relax now. And Helen turned her face away, as if embarrassed.

After Mass they went to the burial, and then back to the Tavern to eat sandwiches and drink tea in the ballroom. Behind the bar a girl from the year below in school was dressed in a white shirt and waistcoat, serving pints. Connell poured Helen a cup of tea and then one for himself. They stood by the wall near the tea trays, drinking and not talking. Connell’s cup rattled in its saucer. Eric came over and stood with them when he arrived. He was wearing a shiny blue tie.

How are things? Eric said. Long time no see.

I know, yeah, said Connell. It’s been a fair while alright.

Who’s this? Eric said, nodding at Helen.

Helen, said Connell. Helen, this is Eric.

Eric held out his hand and Helen shook it, balancing her teacup politely in her left hand, her face tensed in effort.

The girlfriend, is it? Eric said.

With a glance at Connell she nodded and replied: Yes.

Eric released her, grinning. You’re a Dub anyway, he said.

She smiled nervously and said: That’s right.

Must be your fault this lad never comes home anymore, Eric said.

It’s not her fault, it’s my fault, said Connell.

I’m only messing with you, Eric said.

For a few seconds they stood looking out at the room in silence. Helen cleared her throat and said delicately: I’m very sorry for your loss, Eric. Eric turned and gave her a kind of gallant nod. He looked back at the room again. Yeah, hard to believe, he said. Then he poured himself a cup of tea from the pot behind them. Good of Marianne to come, he remarked. I thought she was off in Sweden or someplace.

She was, said Connell. She’s home for the funeral.

She’s gone very thin, isn’t she?

Eric took a large mouthful of tea and swallowed it, smacking his lips. Marianne, detaching herself from another conversation, made her way towards the tea tray.

Here’s herself, said Eric. You’re very good to come all the way back from Sweden, Marianne.

She thanked him and started to pour a cup of tea, saying it was nice to see him.

Have you met Helen here? Eric asked.

Marianne put her teacup down in her saucer. Of course I have, she said. We’re in college together.

All friendly, I hope, said Eric. No rivalry, I mean.

Behave yourself now, said Marianne.

Connell watched Marianne pouring the tea, her smiling manner, ‘behave yourself’, and he felt in awe of her naturalness, her easy way of moving through the world. It hadn’t been like that in school, quite the opposite. Back then Connell had been the one who understood how to behave, while Marianne had just aggravated everyone.