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Suicide and Suicidal Thoughts

National Suicide Prevention Lifeline
 
We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.
 
1-800-273-8255
 
National Suicide Hotline - www.suicidepreventionlifeline.org
Overview
 
Suicide, taking your own life, is a tragic reaction to stressful life situations - and all the more tragic because suicide can be prevented. Whether you're considering suicide or know someone who feels suicidal, learn suicide warning signs and how to reach out for immediate help and professional treatment. You may save a life - your own or someone else's.
 
It may seem like there's no way to solve your problems and that suicide is the only way to end the pain. But you can take steps to stay safe - and start enjoying your life again.
 
 
Symptoms
 
Suicide warning signs or suicidal thoughts include:
 
  • Talking about suicide - for example, making statements such as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born"
  • Getting the means to take your own life, such as buying a gun or stockpiling pills
  • Withdrawing from social contact and wanting to be left alone
  • Having mood swings, such as being emotionally high one day and deeply discouraged the next
  • Being preoccupied with death, dying or violence
  • Feeling trapped or hopeless about a situation
  • Increasing use of alcohol or drugs
  • Changing normal routine, including eating or sleeping patterns
  • Doing risky or self-destructive things, such as using drugs or driving recklessly
  • Giving away belongings or getting affairs in order when there's no other logical explanation for doing this
  • Saying goodbye to people as if they won't be seen again
  • Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above
Warning signs aren't always obvious, and they may vary from person to person. Some people make their intentions clear, while others keep suicidal thoughts and feelings secret.
 
 
When to see a doctor
 
If you're feeling suicidal, but you aren't immediately thinking of hurting yourself:
 
  • Reach out to a close friend or loved one - even though it may be hard to talk about your feelings
  • Contact a minister, spiritual leader or someone in your faith community
  • Call a suicide hotline
  • Make an appointment with your doctor, other health care provider or a mental health professional
Suicidal thinking doesn't get better on its own - so get help.
 
 
Causes
 
Suicidal thoughts have many causes. Most often, suicidal thoughts are the result of feeling like you can't cope when you're faced with what seems to be an overwhelming life situation. If you don't have hope for the future, you may mistakenly think suicide is a solution. You may experience a sort of tunnel vision, where in the middle of a crisis you believe suicide is the only way out.
 
There also may be a genetic link to suicide. People who complete suicide or who have suicidal thoughts or behavior are more likely to have a family history of suicide.
 
 
The National Institute for Mental Health (NIMH) suggests the following tips for helping someone who may be going through a crisis:
 
  • Asking them if they are thinking about suicide. Studies show that asking does not increase the risk
  • Keeping them safe by staying around and removing means of committing suicide, such as knives, where possible
  • Listening to them and being there for them
  • Encouraging them to call a helpline or contacting someone the individual might turn to for support, for example, a friend, family member, or spiritual mentor
  • Following up with them after the crisis has passed, as this appears to reduce the risk of a recurrence
Risk factors
 
Although attempted suicide is more frequent for women, men are more likely than women to complete suicide because they typically use more-lethal methods, such as a firearm.
 
You may be at risk of suicide if you:
 
  • Attempted suicide before
  • Feel hopeless, worthless, agitated, socially isolated or lonely
  • Experience a stressful life event, such as the loss of a loved one, military service, a breakup, or financial or legal problems
  • Have a substance abuse problem - alcohol and drug abuse can worsen thoughts of suicide and make you feel reckless or impulsive enough to act on your thoughts
  • Have suicidal thoughts and have access to firearms in your home
  • Have an underlying psychiatric disorder, such as major depression, post-traumatic stress disorder or bipolar disorder
  • Have a family history of mental disorders, substance abuse, suicide, or violence, including physical or sexual abuse
  • Have a medical condition that can be linked to depression and suicidal thinking, such as chronic disease, chronic pain or terminal illness
  • Are lesbian, gay, bisexual or transgender with an unsupportive family or in a hostile environment
 
Children and teenagers
 
Suicide in children and teenagers can follow stressful life events. What a young person sees as serious and insurmountable may seem minor to an adult - such as problems in school or the loss of a friendship. In some cases, a child or teen may feel suicidal due to certain life circumstances that he or she may not want to talk about, such as:
 
  • Having a psychiatric disorder, including depression
  • Loss or conflict with close friends or family members
  • History of physical or sexual abuse
  • Problems with alcohol or drugs
  • Physical or medical issues, for example, becoming pregnant or having a sexually transmitted infection
  • Being the victim of bullying
  • Being uncertain of sexual orientation
  • Reading or hearing an account of suicide or knowing a peer who died by suicide
If you have concerns about a friend or family member, asking about suicidal thoughts and intentions is the best way to identify risk.
 
 
Starting antidepressants and increased suicide risk
 
Most antidepressants are generally safe, but the Food and Drug Administration requires that all antidepressants carry black box warnings, the strictest warnings for prescriptions. In some cases, children, teenagers and young adults under 25 may have an increase in suicidal thoughts or behavior when taking antidepressants, especially in the first few weeks after starting or when the dose is changed.
However, keep in mind that antidepressants are more likely to reduce suicide risk in the long run by improving mood.
 
 
Complications
 
Suicidal thoughts and attempted suicide take an emotional toll. For instance, you may be so consumed by suicidal thoughts that you can't function in your daily life. And while many attempted suicides are impulsive acts during a moment of crisis, they can leave you with permanent serious or severe injuries, such as organ failure or brain damage.
 
For those left behind after a suicide - people known as survivors of suicide - grief, anger, depression and guilt are common.
 
 
Prevention
 
To help keep yourself from feeling suicidal:
 
  • Get the treatment you need. If you don't treat the underlying cause, your suicidal thoughts are likely to return. You may feel embarrassed to seek treatment for mental health problems, but getting the right treatment for depression, substance misuse or another underlying problem will make you feel better about life - and help keep you safe.
  • Establish your support network. It may be hard to talk about suicidal feelings, and your friends and family may not fully understand why you feel the way you do. Reach out anyway, and make sure the people who care about you know what's going on and are there when you need them. You may also want to get help from your place of worship, support groups or other community resources. Feeling connected and supported can help reduce suicide risk.
  • Remember, suicidal feelings are temporary. If you feel hopeless or that life's not worth living anymore, remember that treatment can help you regain your perspective - and life will get better. Take one step at a time and don't act impulsively.
 
 
Reducing the risk
 
The following may help lower the risk of suicidal ideation and suicide attempts:
  • Getting family support, for example, talking to them about how you feel and asking them to meet your health provider and possibly attend sessions with you
  • Avoiding alcohol and illegal drugs
  • Avoiding isolation and staying connected to the outside world, as much as possible
  • Doing exercise
  • Eating a well-balanced, healthful diet
  • Getting at least 7-8 hours continuous sleep in every 24-hour period
  • Seeking out things that give you pleasure, such as being with friends or family you like, and focusing on the good things you have
  • Attending a self-help or support group, where you can discuss issues with people who understand, get help from others, and help people with similar problems to get through their difficulties
  • Seeking and following treatment
Remember that many people experience suicidal thoughts at some time, and many of them find a solution, for example, by sharing their problem with someone.
 
It does not mean that there is anything wrong with you. Even if you feel alone in a place and afraid to share what you are going through, a confidential hotline may help.